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REU in Fungal Genomics & Computational Biology at UGA APPLICATION FORM Please type or print legibly in black ink and answer all questions completely.
 

Summary: REU in Fungal Genomics & Computational Biology at UGA
APPLICATION FORM Please type or print legibly in black ink and answer all questions completely.
Name: ____________________________________________________________________________
First Last Nickname
Social Security Number ___________________________________ Date of Birth _____________
Current (School) Information:
Street Address ___________________________________________ Apt. No. _________________
City ______________________________________________ State _____________ Zip ________
When does Spring semester end? __________________ Telephone: ( ) _________________
Cell Phone: ______________________ School e-mail address: _____________________________
Permanent (Home) Information:
Street Address ___________________________________________ Apt. No. _________________
City _______________________________________________ State _____________ Zip ________
Telephone: ( )______________________ Parents Name(s): _____________________________
Home e-mail address: _____________________________________
Race/Ethnicity:
_____ African American _____ White/Caucasian _____ Asian/Pacific American
_____ Latino/Hispanic (please specify) _____Native American/Am. Indian _____ Other (Specify)
Geneder: _____ Male _____ Female
Citizenship/Residency: _____US Citizen _____ Permanent Resident

  

Source: Arnold, Jonathan - Nanoscale Science and Engineering Center & Department of Genetics, University of Georgia

 

Collections: Biotechnology