SUMMER RESEARCH OPPORTUNITY PROGRAM

2012 Application

Personal Data

 

First Name
Middle Name
Last Name
Birth Date (dd-mm-yyyy)
Gender Male Female

 

Campus Mailing Address
Permanent Mailing Address
Address 1
Address 1
Address 2
Address 2
City
City
State
State
Zip
Zip
Phone
(no hyphens)
Phone
(no hyphens)
 
Cell Phone
(no hyphens)
School Email
Alternate Email

 

 

 

 

 

 

 



Are you a U.S. Citizen (not permanent resident) Yes No

Race/Ethnicity:

Other Ethnicity:

Academic Information

 

Undergraduate Institution
City
State
Major
Department
GPA 4.0 Grading Scale Yes No
    Other Scale
Have you had any previous summer research experience? Yes No
If you have had summer research experience, where did this take place?
Are you a McNair scholar? Yes No
How did you learn about SROP?
Current Classification
Expected Graduation Date (mo/year)
Please select the type of degree(s) that is of interest to you. Master's MFA Ph.D. M.D./Ph.D. J.D. MBA M.D.
In which discipline are you planning to pursue a graduate degree?
Please explain why you are interested in pursuing a graduate degree at Northwestern University in 200 words or less.  

Courses

List your courses for the fall and the spring semesters (or winter if on a quarter system).

Fall 2011 Winter/Spring 2012

Faculty Mentor Selection

Please visit the Current Faculty Mentor page to identify faculty mentors of interest. Then, return to this page to indicate which faculty mentors you would like to work with by selecting them from the drop down boxes. You may select up to four in order of preference. If you do not find any current faculty mentors working in your area of interest, please visit the faculty profiles housed on the Web site of the department of interest. You may type in up to 3 names of faculty who are not listed on the current faculty mentor page. We cannot guarantee that we will be able to match you with a faculty member who has not yet volunteered to participate in the SROP, but we will contact the faculty members and invite them to participate. Please do not contact faculty mentors directly.

 

First Choice
Second Choice
Third Choice
Fourth Choice

Alternative Faculty Choice(s)

1.

2.

3.

Applicant Statements

 

1. Statement of Research Interests. (Please describe the research areas that are most interesting to you. Limit your statement to 250 words)

 

2. Personal Statement. (Please describe your educational and career goals. Limit your statement to 500 words.)

 

3. Diversity Statement. (Please explain how you would contribute to the diversity of the community of scholars at Northwestern. Limit your statement to 250 words.)

 

 

By clicking here, I confirm that:

  • The information provided in this application is accurate
  • The Northwestern University SROP administrator has my permission to share information submitted in connection with my SROP application with all faculty and staff affiliated with the program for official purposes.

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