Academic Research Consortium Summer 2012 program University of California, Santa Barbara-Graduate Division
PART I: Program Application and Personal Information ____________________________________________________________________________________ Student’s Last Name First Name Middle ____________________________________________________________________________________ Current Telephone Email Address ____________________________________________________________________________________ Street Address City State Zip Code ____________________________________________________________________________________ Current Institution Field of Study Degree Seeking Expected Date of Graduation Resident Status: Gender:
U.S. Citizen Female
Yes
No
If no, Permanent Resident:
Yes
No
Male
Ethnicity: Select all that apply. American Indian/Alaska Native Asian American African American Hawaiian/Pacific Islander Hispanic or Latino European or Caucasian (includes Middle Eastern) Decline to state Cumulative Grade Point Average:___________ (Please provide copies of your official transcript(s). Faculty Mentor Preferences. Please provide the following information about the UCSB faculty member with whom you wish to conduct research. Faculty:_________________________________
Email:__________________________________
Department:_____________________________
Phone:_________________________________
Have you already been in contact with the above-named faculty?
Yes
No
Summer Research Experience Preference June 18, 2012 – August 10, 2012
June 25, 2012 – August 17, 2012
Academic Research Consortium Summer 2012 program University of California, Santa Barbara-Graduate Division
Part II Essay Name:____________________________________________ Overview: Write a concise essay concerning your interest in the summer research opportunity provided through the Academic Research Consortium (ARC) Program at UCSB. This essay should address the key components listed below. Please feel free to expand upon these components and share any additional information that you feel is relevant to your unique personal or educational history. Writing Prompts: 1. Describe a research area of interest. 2. Discuss why you are interested in pursuing a graduate degree. 3. Describe your educational background and achievements, providing information on barriers (educational, social, and/or cultural) you may have personally faced and how you overcame them. If appropriate, include a discussion of your family’s educational background, indicating whether your family members experienced barriers in higher education, whether you are the first person in your family to go to college, and whether you have experienced a lack of role models or informational resources about higher education and careers. 4. Be sure to include mention of participation in undergraduate achievement programs (i.e. McNair Scholars Program). Essay requirements: Your submission should be a minimum of one double-spaced page but should not exceed two pages in length. Please use 1” margins, 12-point “Times” or “Times New Roman” font. Include your name at the top of each page.
Application Checklist (Deadline: March 30, 2012) Application/Personal Information Form Essay Letter of Recommendation Official Transcript(s) Please email or fax your completed application to: Walter L. Boggan, Jr. – Director, Admissions and Outreach
[email protected] (805) 893-2322 Fax (805) 893-8259 www.graddiv.ucsb.edu/diversityoutreach
