UNDERGRADUATE STUDENT APPLICATION
Deadline is February 1, 2019.
2019 Program dates: May 20, 2019 to August 3, 2019

Applicants are strongly encouraged to read the Frequently Asked Questions on the SMART-MIND program website before applying.

Accepted students are expected to arrive on campus May 18, 2019.   

The first week of orientation and pre-program training is mandatory.
Form Login Account (highly recommended)

You must complete this form in its entirety in order to submit. Creating an account will enable you to partially complete this form and return later to finish it. The login account you create is only for this form.
 
New Users / Returning Users CLICK HERE to setup or return to your account for this form. 

PERSONAL INFORMATION

Note: The email address you enter below will be used by the program as the principal means of communication with you. This address will not be shared with other programs without your consent.
Upon submission, a copy of your application will be sent to the email address you enter.
I am a (select one) *
Note: This program can only support US Citizens of Permanent Residents
Answering the questions below about race and ethnicity is optional. Information collected, however, will be used for important statistics.  Your cooperation is highly appreciated.
Race (select all that apply)
Ethniticy (select one)
Do you belong to any of the following groups that are underrepresented in science? *

HEALTH INSURANCE INFORMATION

To be accepted into the program, applicants must provide proof of health insurance. Please complete the information below.

If for any reason you cannot provide the information at this time, please mark the appropriate box below, and send us the information requested here, plus copies of your health insurance card (front and back), by email at a later date.

Select one
 *

PERMANENT ADDRESS

PARENT/GUARDIAN OR EMERGENCY CONTACT INFORMATION 1

PARENT/GUARDIAN OR EMERGENCY CONTACT INFORMATION 2

ACADEMIC INFORMATION


If yes, briefly describe your research experience in the space below (250 words or less).

Be sure to include the following:

1. Name of the school and department where the research took place
2. Name of the advisor/mentor who supervised (or is supervising) your research
3. Title of the project you were (or are) involved in
4. Length of time you were (or have been) involved in the project
5. A brief description of the project. 
0/250 words
Which of the following best describes your plans after graduation with a bachelors degree? (Select one) *

PROJECT SELECTION

In the spaces below, enter the names of three professors listed on the SMART-MIND website whose projects interest you. List them in order of preference from 1 (most preferred) to 3 (least preferred). If selected to participate, you will be assigned to work on the project directed by one of these three professors

REFERENCES

Please arrange for two professors to complete recommendation forms for you. The recommendation forms link will be sent to your recommenders via e-mail and the dealine for submission is February 15, 2019.

Enter below the names and contact information of those two professors. 
    Reference 1
    Reference 2

STUDENT PERSONAL STATEMENT

 
The student statement must fit in the space provided = 500 words. You may copy and paste from your favorite word-processing software. To have a competitive application, you must include the following in your narrative:

a) Motivation/rationale for your desire to participate in the projects that you ranked as #1, #2 and #3.
b) Prior academic courses and/or professional experience that prepared you for those projects.
c) The expected impact of this research experience on your future academic and career plans.
0/500 words

ACCOMMODATIONS

I am a visiting student from another institution and I: *

IMPORTANT NOTE

You are almost done.
PLEASE, CAREFULLY REVIEW YOUR ANSWERS BEFORE SUBMITTING AND TAKE NOTE OF YOUR LOGIN INFORMATION.

If you have questions about this application, contact us at smartmind@utep.edu

I certify that the information above is correct to the best of my knowledge *