Application
for the National Science Foundation Scholars Program
First Name:
Last Name:
Address:
Email address:
Home Phone:
Major:
Class Standing:
Current GPA (Cumulative)
List all colleges and universities
attended:
If a transfer student from a community
college to CSULB, date of transfer:
Anticipated date of graduation:
Are you a Citizen of the United States? (If not, you must provide proof that you are currently a permanent resident
of the United States or its possessions.)
YES
NO
Name of participating faculty member who you wish to
undertake research with:
Names of two faculty members who have
written letters of recommendation:
If you become a finalist, do you have financial need that you wish
to be considered?
YES
NO
All of the information provided is to
the best of my knowledge true and accurate. If selected as National Science
Foundation Scholar, I will commit to doing research in my faculty mentor’s
lab for a minimum of two summers (ten weeks of full-time work each summer)
and one academic year (10 hours/week).
Date:
Signature:
Send Application to:
National Science Foundation
Scholars Program c/o Dr. A. Z. Mason, Director Department of Biological Sciences (PH1-109) California State Univ., Long Beach Long Beach, CA 90840
