| Applicant |
| First Name | | Last Name | |
| Email | | Alternate Email | |
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| Gender | |
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| Current Educational Information |
| College / University | |
| Major | | Expected Degree | |
| Expected Graduation Date | | Class Standing | |
| Overall GPA | |
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| College/University Address |
| Street City State Zip |
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| Permanent/Home Address |
| Street City State Zip |
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| Previous Colleges / Universities attended (list dates) |
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| Demographic Information (this section optional) |
| Citizenship | |
| Racial Background | |
| Ethnicity | |
| Disability | |
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| List any previous undergraduate research and dates, including summer REUs. |
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| List all math and science classes in progress or taken, including dates and grades. |
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| In 50-100 words, please describe your interest in nanotechnology research and why you want to participate in the SURE Program in Nanotechnology this summer. |
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| Briefly explain what your plans are after graduation. List any advanced degree you would hope to earn (e.g., MS in Chem, PhD in Engineering, MD, etc.) and/or if you are currently interested in a career in Industry, Government, Academia, Medicine, etc. |
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| To help us make the best match for your summer research project, please rank your top 5 choices (only) from 1 (top) to 5. |
| Rank | |
| A. Responsive Polymer Nanostructures
Prof. Ryan Hayward, Department of Polymer Science & Engineering |
| B. Environmental Impact of Nanoparticles
Prof. Richard Vachet, Department of Chemistry |
| C. Polymer Templates for Organic-based Photovoltaics
Prof. Bryan Coughlin, Department of Polymer Science & Engineering |
| D. Properties of Nanoscale DNA Structures
Prof. Harry Bermudez, Department of Polymer Science & Engineering |
| E. Organic and Polymer Single-Crystalline Solar Cells
Prof. Alejandro Lopez Briseno, Department of Polymer Science & Engineering |
| F. Polymers for Use in Thermoelectric Energy Harvesting
Prof. Alejandro Lopez Briseno, Department of Polymer Science & Engineering |
| G. Modeling Self-Limited Assemblies of Chiral Nanofilaments
Prof. Gregory Grason, Department of Polymer Science & Engineering |
| H. Molecular Modeling of Polymer Translocation
Prof. M. Muthukumar, Department of Polymer Science & Engineering |
| I. Nanoparticle-Based Sensing of Proteins, Bacteria, and Human Cells
Prof. Vince Rotello, Department of Chemistry |
| J. Drug, DNA, and siRNA Delivery to Cells using Gold Nanoparticles
Prof. Vince Rotello, Department of Chemistry |
| K. Integrating Top-Down Nanofabrication Processes with Bottom-Up Nanoparticle Assembly
Prof. Vince Rotello, Department of Chemistry |
| L. Synthetic Cell Penetrating Peptide Mimics
Prof. Greg Tew, Department of Polymer Science & Engineering |
| M. Novel Hydrogels With Tunable Properties
Prof. Greg Tew, Department of Polymer Science & Engineering |
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| In addition to this application, please send us an up-to-date official transcript from the college/university you currently attend, and provide two letters of recommendation. Please list the names of the individuals who are writing a letter of recommendation on your behalf. |
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| Reference #1 | Reference #2 |
| Name | | Name | |
| Title | | Title | |
| Institution | | Institution | |
| Email | | Email | |
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| Review of applications will begin immediately and continue until February 28, 2013. |
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| The letters may be sent by regular mail to the address below, or sent electronically if signed by the sender and scanned to a PDF file. The official transcript should be sent to: SURE Nanotechnology Program MassNanoTech Institute 370 Lederle Graduate Research Tower 710 North Pleasant Street University of Massachusetts Amherst, MA 01003 or by email to: massnanotech@research.umass.edu. |