CHEERS Undergraduate Research Application

Name*

First Last

Permanent Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

University Email*

Personal Email*

Phone*

Gender*

Ethnicity*

Race*

Name of Current Academic Institution Attending*

Current Student Classification*

Expected Graduation Date (MM/YYYY)*

Are you a first-generation college student?*

What are your plans after graduation?*

Current Cumulative G.P.A. (out of 4.0)*

What is your current major and/or minor?*

Primary Area of Research Interest*

Secondary Area of Research Interest*

Most Recent Transcript(s)*

Accepted file types: pdf, Max. file size: 2 MB.

All transcripts should be in a single file. Unofficial transcripts are fine. Files must be less than 2 MB. Allowed file types: pdf.

Personal Statement*

Accepted file types: pdf, Max. file size: 2 MB.

Please briefly describe your background, and how your interest in climate change and health connects with your personal or professional goals. Also describe how you would help diversify our future professional workforce. You are welcome to include your resume with this personal statement. 500 words or less, and files must be less than 2 MB. Allowed file types: pdf.

Recommendation Letter

Letter from someone who can comment on your professional and/or academic achievements. For example, a professor who you have taken a course with, or a research mentor. We will send an email to the recommender upon submission of this form. Applicants are encouraged to submit their application early and notify recommenders as soon as possible.

Recommender Name*

Prefix First Last

Recommender Email*