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SEEDS Undergraduate Research Fellowship

Deadline: Friday, December 21^st, 2012

ALL INFORMATION REQUESTED IS REQUIRED.

General Information

Full Name:


Last Name	First Name	M.

Gender:

Female Male

Birth Date (MM/DD/Year):

(12/02/1990)

Notification Address:

(No & Street/PO Box)

City:

State:

Zip/Postal Code:

Cell Phone Number:

Alternate Phone:

Email Address:

Alternate Email:

Permanent Address:

(No & Street/PO Box)

City:

State:

Zip/Postal Code:

If not a U.S. citizen, national or permanent resident alien, what is your country of citizenship?

Race/Ethnicity:

Other:
If selected American Indian or Alaska Native, enter your Tribal Affiliation:

Where did you learn about this opportunity?
(check only ONE)

Web search Direct email from ESA/SEEDS
SEEDS Chapter Participated with SEEDS before
Communication from a former faculty/professor/advisor
Communication from a former SEEDS participant
At a conference/meeting
Other organization website/listserv/bulletin board

Where did you FIRST find out about SEEDS?
(check only ONE)

Web search Direct email from ESA/SEEDS
SEEDS chapter Participated with SEEDS before
Communication from a former faculty/professor/advisor
Communication from a former SEEDS participant(specify):
At a conference/meeting (specify):
Other organization website/listserv/bulletin board (specify):

Chapter member?

Yes No

Academic Information

College or University:

Year :

Freshman Sophomore Junior Senior

Cumulative GPA:

Anticipated Graduation Date:

(Month/Year)

Degree to be Obtained:

(AA, AS, BA, BS)

Major:

Minor/Concentration:

Faculty Advisor Name:

Advisor Phone:

Email:

Relevant Coursework:

Two Academic References

The letters must be sent/emailed directly to SEEDS (seeds@esa.org) by your endorser. The letters must be received by the application deadline and must answer the following questions:

How do you know the student - academically/professionally?
What kind of involvement does this student have in ecology clubs/activities/coursework/internships
Do you believe the student has a sincere interest in ecology or a related field and has plans to pursue future endeavors in ecology?
Do you feel this student has potential to be a leader in ecology? In what way/s?
Do you have any reservations about this student? (maturity to handle being away, ability to get along with others, flexibility, adaptability)

Please provide the following information for your references:

Please provide us with the following information for your references:

Reference One Name :

(Full Name)

Title:

Phone No:

Email:

Reference Two Name:

(Full Name)

Title:

Phone No:

Email:

Failure to provide accurate contact information may result in the denial of your application.

Statement of Interest

In a short essay, (1) describe why you want to participate in this field trip; (2) how would this experience would further your educational and career goals; (3) summarize your ecology experience thus far (SEEDS activities, coursework, research or work experience, etc.); (4) explain how your participation would meet the SEEDS mission.

Personal Statement:

In 300 words or less (1) describe the nature of research that you intend to pursue; (2) specify how this experience would further your educational and career goals; (3) summarize your ecology experience thus far (SEEDS activities, coursework, research or work experience, etc.); (4) explain how you will contribute to the mission of the SEEDS program during and after the Fellowship

Resume

Please Copy and Paste your resume in the box below. Resume must include relevant research experience, coursework, employment, awards, honors, and scholastic achievement.
Resume

Applicant's Certification

I have read and checked this form for omissions and errors. To the best of my knowledge, the information is complete and correct. I understand that the inclusion by me of false information or the failure to report all information requested in this application could disqualify me for further opportunities with the Ecological Society of America's SEEDS Program.

Applicant Agree:
Date:

Yes No
(MM/DD/YEAR)