Summer Undergraduate Research Experiences Application

First Name

Last Name

Email

Gender
Female Male Not specified

Citizenship
US Citizen Permanent Resident – with Permanent Resident number required Non-Resident

Permanent Resident Number

First Generation Status
Yes No The term "first-generation college student" means: (A) An individual both of whose parents did not complete a baccalaureate degree; or (B) In the case of any individual who regularly resided with and received support from only one parent, an individual whose only such parent did not complete a baccalaureate degree.

Low Income Status
Yes No
Do you qualify for low-income status? Please click here for more information.

Undergraduate Institution(s)
If you list more than one institutions, please separate each name with a semicolon.

Current Major

Current Academic Level
Freshman, Sophomore, Junior, or Senior

Anticipated Graduation Date
Please enter the date as YYYY-MM-DD (i.e, 2016-06-10).

Overall GPA

Please select your three departments of interest in rank order and five faculty for each department in order of preference.

Departments of Interest 1
Biomedical EngineeringChemical and Biological EngineeringCivil and Environmental EngineeringElectrical and Computer EngineeringEngineering PhysicsEnvironmental Chemistry and Technology ProgramGeological EngineeringIndustrial and Systems EngineeringLimnology and Marine ScienceMaterials Science and EngineeringMechanical Engineering

Department 1 Faculty of Interest
Please separate faculty names with a semicolon.

Departments of Interest 2
Biomedical EngineeringChemical and Biological EngineeringCivil and Environmental EngineeringElectrical and Computer EngineeringEngineering PhysicsEnvironmental Chemistry and Technology ProgramGeological EngineeringIndustrial and Systems EngineeringLimnology and Marine ScienceMaterials Science and EngineeringMechanical Engineering

Department 2 Faculty of Interest
Please separate faculty names with a semicolon.

Departments of Interest 3
Biomedical EngineeringChemical and Biological EngineeringCivil and Environmental EngineeringElectrical and Computer EngineeringEngineering PhysicsEnvironmental Chemistry and Technology ProgramGeological EngineeringIndustrial and Systems EngineeringLimnology and Marine ScienceMaterials Science and EngineeringMechanical Engineering

Department 3 Faculty of Interest
Please separate faculty names with a semicolon.

Statement of Research Interest

Reference Name

Reference Email

Reference Phone

Statement of Unique Contribution
The primary goal of the Summer Undergraduate Research Experience is to contribute to the success and advancement of the US economy by recruiting advanced degree engineering students into UW graduate programs to meet and exceed the requirements of a competitive, global workforce. Based on your background and lived experiences, if you were selected to participate in the Summer Undergraduate Research Experience what do you see as your unique contributions toward this goal? (Suggested length 200-300 words.)