Summer Undergraduate Research Program Assistantship

APPLICATION FORM

Acceptance notifications are contingent upon funding.

This form allows you to enter all the necessary information to apply for the Summer Undergraduate Research Program Assistantship (SURPASS).
You must complete the form IN ITS ENTIRETY in order to submit.

Links are provided to upload your personal statement, project description, transcript, and your mentor's project summary and mentoring plan. Please refer to the Proposal Guidelines to prepare these documents.

Form Login Account (optional but highly recommended)

You will be allowed to submit only once. Creating an account will enable you to to partially complete this form, save it, and return later to finish the form. 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.

Upload the required documents as indicated

Upload the FIGURES DOCUMENT (OPTIONAL) in pdf format here. Be sure to follow guidelines as stated in the opportunity announcement.

Upload the MENTOR PROFILE in pdf format. Be sure to follow guidelines as stated in the opportunity announcement. *

MENTEE SELF-EVALUATION upload in pdf format here. Be sure to follow guidelines as stated in the opportunity announcement. *

MENTORING AGREEMENT upload in pdf format here. Be sure to follow guidelines as stated in the opportunity announcement. *

UNOFFICIAL TRANSCRIPT (Goldmine printout) upload in pdf format here. *

Proposed Research Project Info

Which research theme does this project fall under: *

Research Project Title *

0/75 words

Research Project Abstract (500 words) *

0/550 words

Does this project involve animal subjects or human subjects (surveys/focus groups/interviews)? *

Yes

No

The project likely requires Institutional Review Board (IRB) or Institutional Animal Care and Use Committee (IACUC) approval. Discuss this with your mentor and answer the following questions as applicable.

Has the project received IRB or IACUC approval? *

Yes

No

If yes, upload a PDF copy of the IRB or IACUC approval letter here *

If no, enter the date you anticipate receiving IRB or IACUC approval. Note: Students will not receive hourly compensation for projects involving animal or human subjects until COURI receives a copy of your IRB approval. *

Project Mentor(s)/Advisor(s) Information

Primary Advisor First Name *

Primary Advisor Last Name *

Primary Advisor's title/position *

Advisor is a faculty member in the Department of *

If not an academic department, please specify

Project Advisor Email Address *

Re-enter Advisor's Email Address *

Primary Advisor's UTEP Expertise profile URL 🛈

Is there a second mentor/advisor? *

Yes

No

Secondary Advisor First Name *

Secondary Advisor Last Name *

Secondary advisor is a member in the Department of *

2nd advisor; If not an academic department, please specify

Second Advisor Email Address *

Re-enter Second Advisor's Email Address *

Student/Mentee Information

Student First Name *

Middle Name/Initial

Student Last Name *

Miner ID Number *

Date of Birth (mm/dd/yyyy) *

Cell Phone Number *

Home Phone Number

Student Email Address *

Re-enter Email Address *

I am a *

U.S. citizen	U.S. legal resident (green card holder)
International student (F1, J1 visa)	Other - with proper documentation for employment

Answering the questions below about ethnicity, race and national origin are optional. Information collected, however, will be used for important statistics relevant to grant applications in which individual identities will not be revealed. Your cooperation is highly appreciated

Ethnicity:
Are you of Hispanic, Latino, or Spanish origin?

Yes

No

Race (select all that apply)

National Origin

U.S. Citizen

Mexican National

Other Other

Student Academic Information

Major *

Second major (only if double major)

Are you a transfer student? *

Yes

No

Name of previous institution

Current overall GPA *

Expected date of graduation (Month/Year) *

Which of the following best describes your plans after graduation with a bachelor's degree? (Select one) *

Graduate School or PhD Bound

Professional School Bound (Dental, Medical, Pharmacy, etc.)

Teaching Bound (Elementary, Middle, High School)

Workforce bound (other than teaching)

Have you previously participated in URSCA? *

Yes

No

If YES, for how many semesters? (8/10 weeks of summer counts as a semester).

Student Personal Statement (600 words max) *

0/650 words

Student Finances

Do you currently have or participate in any of the following: *

Scholarship/Fellowship

UTEP Student Employment/Workstudy

Research Stipend/Program

No other funding No other funding

You indicated another source of funding above, please provide the source of funds (name of fellowship program, name/email of supervisor, research grant faculty PI, etc). *

Do you have an off-campus job? *

Yes

No

For how many hours per week? *

Please enter the name of your employer (company/office name). *

IMPORTANT NOTE

If you were to be accepted to SURPASS, you are expected to

commit 15-19 hrs/week for 10 weeks from June thru August to conduct research related activities,
attend designated COURI sponsored workshops,
enroll in the Zero-Credit Undergraduate Research Course (RSRC 4033) of your mentor(s),
may also need to enroll in least 3 semester credit hours (SCH) for any summer session,
present at the COURI Summer Symposium at the end of the program.

You are almost done

The system will allow you to submit only once.

PLEASE, CAREFULLY REVIEW YOUR ANSWERS BEFORE SUBMITTING

It is highly recommended that you create a login/password if you will take more than one session to complete this application.
If you have questions, contact us at surpass@utep.edu.

How did you hear about SURPASS?

My email below indicates that all information provided herein is true and correct to the best of my knowledge. *

Retype e-mail address *

Informed Consent: Click here if you would allow COURI permission to utilize your personal statements for future research projects. Note: This does not impact your eligibility/selection for the program. *

I consent

I DO NOT consent