| Applicant |
| First Name | | Last Name | |
| Phone | | Email | |
| Date of Birth | | Gender | |
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| Mailing Address |
| Street | |
| City | |
| State | | Zip | |
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| Permanent Address |
| Street | |
| City | |
| State | | Zip | |
| Phone | |
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| In 50-100 words, describe your interest in nanotechnology and why you want to participate in the SURE Program in Nanotechnology this summer. |
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| Demographic Information (this section optional) |
| Citizenship | U.S. Citizen or Permanent Resident
Not U.S. Citizen or Permanent Resident
Do not wish to reveal
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| Racial Background | NA (Native American/Alaska Native)
AA (African American/Black)
PI (Pacific Islander)
A (Asian)
C (Caucasian)
Biracial - incl. NA, AA, or PI
Biracial - Asian and Caucasian
Do not wish to reveal
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| Ethnicity | Not Hispanic/Latino
Hispanic/Latino
Do not wish to reveal
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| Disability | Not Disabled
Disabled
Do not wish to reveal
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| Current Educational Information |
| College / University | |
| Major | |
| Class Standing | | Expected Degree | |
| Expected Graduation Date | |
| Overall GPA | |
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| Previous Colleges / Universities attended (list dates) |
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| List all science and math courses taken and grades earned, including those you're taking now. |
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| Are you considering an advanced degree after graduating? Please rate your interest. |
| Science M.S./Ph.D. | |
| Engineering M.S./Ph.D. | |
| M.D. | |
| M.D./Ph.D. | |
| M.B.A. | |
| Other | | Please describe | |
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| At present, what do you see yourself doing after you complete your education? Are you considering a career in Industry, Government, Academia, Medicine? |
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| Have you had any previous experience doing scientific research? If so, please tell us briefly what you worked on, when, where and with whom. |
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| To help us match you to available summer research projects in nanotechnology, please rank your top 5 choices from 1 (top) to 5. |
| Rank | |
| A. Optical Experiments with Nanomaterials
Prof. Marc Achermann, Department of Physics |
| B. Single Molecule Spectroscopy of Optoelectronic Nanomaterials
Prof. Mike Barnes, Department of Chemistry |
| C. Responsive Polymer Nanostructures
Prof. Ryan Hayward, Department of Polymer Science & Engineering |
| D. Environmental Impact of Nanoparticles
Prof. Richard Vachet, Department of Chemistry |
| E. Title TBA
Prof. Bryan Coughlin, Department of Polymer Science & Engineering |
| F. Properties of Nanoscale DNA Structures
Prof. Harry Bermudez, Department of Polymer Science & Engineering |
| G. Organic-Inorganic Hybrid Nanowires for Photovoltaic Applications
Prof. Alejandro Lopez Briseno, Department of Polymer Science & Engineering |
| H. Nanoparticle Assemblies for Tailored Mechanical Properties
Prof. Al Crosby, Department of Polymer Science & Engineering |
| I. Modeling Mesophase Assembly of Surface-Absorbed, Polar Nanoparticles and Colloids
Prof. Gregory Grason, Department of Polymer Science & Engineering |
| J. Molecular Modeling of Polymer Translocation
Prof. M. Muthukumar, Department of Polymer Science & Engineering |
| K. Biohybrid Materials for Hydrogen Generation and Utilization
Prof. Mike Maroney, Department of Chemistry |
| L. Nanoparticle-Based Sensing of Proteins, Bacteria, and Human Cells
Prof. Vince Rotello, Department of Chemistry |
| M. Drug, DNA, and siRNA Delivery to Cells using Gold Nanoparticles
Prof. Vince Rotello, Department of Chemistry |
| N. Integrating Top-Down Nanofabrication Processes with Bottom-Up Nanoparticle Assembly
Prof. Vince Rotello, Department of Chemistry |
| O. Synthetic Cell Penetrating Peptide Mimics
Prof. Greg Tew, Department of Polymer Science & Engineering |
| P. Novel Hydrogels With Tunable Properties
Prof. Greg Tew, Department of Polymer Science & Engineering |
| Q. Polymeric Nanostructures Towards Enhancing Solar Cell Performance
Prof. S. Thayumanavan, Department of Chemistry |
| R. Photovoltaic Devices Based on Inorganic Semiconductors
Prof. D. Venkataraman, Department of Chemistry |
| S. Photovoltaic Devices Based on Organic Semiconductors
Prof. D. Venkataraman, Department of Chemistry |
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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. The letters may be sent by regular mail, or sent electronically if signed by the sender and scanned to a PDF file. List below the names of the individuals who are writing a letter of recommendation on your behalf. |
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| Name | |
| Email | |
| Institution / Organization | |
| Position | |
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| Name | |
| Email | |
| Institution / Organization | |
| Position | |
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| Review of applications will begin immediately and continue until February 28, 2010. |
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| Letters of recommendation and official transcripts should be sent directly to the address below: SURE Nanotechnology Program
MassNanoTech Institute
322 Lederle Graduate Research Tower
710 North Pleasant Street
University of Massachusetts
Amherst, MA 01003 or by email to: massnanotech@research.umass.edu. |
