Florida Mental Health Institute

FMHI Research Experience for Undergraduates (REU)
Student Application Form

Application Deadline is March 6, 2010

Please complete this application by entering the information requested in the space provided. Please send an official transcript as well as a letter of reference from a faculty member who is familiar with your academic performance.

Applicants may want to prepare their responses in a Word document and then cut and paste the answers into the on-line application because it will not be possible to save your responses if you close the webpage.

Contact Information

First Name:

Last Name:

E-mail address:

Current Address:

Day Phone Number:

City:

State:

Zip:

Cell Phone Number (optional):

Other Information

University:	Major:
Department/College of Major:	Minor or Second Major if applicable:
Overall GPA:	Number of college hours completed as of May 2010:
Gender:	Race/Ethnicity:
Expected month and year of graduation
What is the last day of the spring, 2010 semester at your University?
Are you a U.S. Citizen? If no, are you a permanent resident of the U.S. or its possessions?
Are you a Florida resident?
Will you be able to participate in the REU on a full-time basis without having outside employment for the entire nine weeks? If no, please explain your employment status:
If selected for the REU program, will you need campus housing for the summer?
Will you be able to provide your own health insurance coverage?
Do you live outside the Tampa Bay Area? If you plan to fly, what airport will you depart from: If you plan to drive, what is your estimated round trip mileage to/from Tampa:

General Questions

Please write a brief statement (no more than 150 words) describing any research experience you have had, e.g., research courses, research projects, other related experience. The quality of your writing as well as the content of your answer will be evaluated as part of the selection process.
Please write a brief statement (approximately 500 words) describing the area(s) of research you would be interested in pursuing as part of the REU, topics you find compelling within this area, and reasons why these topics interest you. You should review areas of research expertise at BCS on the College web site: www.bcs.usf.edu and identify BCS faculty who might be a potential mentor for your research interests. We cannot guarantee that the faculty member(s) you list will be available to be a mentor but we will use this information to guide us in the matching process. The quality of your writing as well as the content of your answer will be evaluated as part of the selection process.
Please write a brief statement (approximately 250 words) describing your plans for attending graduate school and your career goals and describe how the Summer Research Institute will help you in pursuing those goals. Please note that the quality of your writing will be evaluated as part of the selection process.
Please provide any other information you would like us to consider as part of your application, e.g., honors, awards, specialized skills, other. Please limit your response to 250 words.

Faculty Reference

Please provide contact information for a faculty member who has agreed to provide a reference for you. In addition, please ask this faculty member to write a letter of support for your application.

Faculty Name:	University and Department:
Phone:	Email:

After you press the "Submit Application" button at the end of the form, your application will be converted to an html document that can be printed for your files.

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Applications, the letter of reference, and your transcript must be received by March 6, 2010. Transcripts and reference letter should be addressed to:

Dr. Catherine Batsche
Florida Mental Health Institute
College of Behavioral and Community Sciences
13301 Bruce B. Downs MHC 1115
Tampa, FL 33647