Application for the 2017 Summer Workshop in Cognitive and Brain Sciences at the University of Delaware
Please fill in the requested information and press the "Submit" button. All fields marked with an asterisk are required.

In addition to this form, we also require a cover letter, a resume or CV, an unofficial transcript of your college work, and two letters of recommendation. Please see the full instructions at the bottom of this form for submitting these materials. Your application will not be considered complete until all materials are received.

The deadline for submission of all application materials is March 1, 2017.
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Personal information
First name *
Last name *
Date of birth *
U.S. citizenship status *
Are you a resident of the state of Delaware? *
Mailing address (street or PO box) *
City *
State/province *
Country *
Postal code *
Home phone *
Cell phone *
Email *
Educational information
Your college or university *
Major *
Minors (if any)
Your current classification *
Expected graduation date *
Cumulative GPA *
Demographic information
This project is funded by the National Science Foundation, which values diversity and inclusion in its programs. Thank you for responding to the questions in this section.
Gender *
Race & ethnicity (check all that apply) *
Required
If other, please list
Physical disability *
If yes, please explain
First generation college student (parents never attended college) *
Are you a veteran? *
Are you a low-income individual? For our reporting purposes, low-income is defined here: https://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html *
Special opportunity for an extended research experience
We are able to offer a small number of students the opportunity to participate in an extended undergraduate research experience. Under the guidance of faculty, students will engage in a research activity related to cognitive and brain sciences. This extended program will run as an extension of the workshop from June 18–August 11, 2017. A stipend will be provided.

Are you interested in being considered for an extended research experience? *
Additional application materials
In addition to this application form, please submit a cover letter, your current resumé or CV, and an unofficial transcript of your college work as attachments to an email message to brainworkshop@psych.udel.edu. The subject line of your email should read "Application materials for (fill in your name)."

In your cover letter, state in 400 words or less your reason for wishing to attend the Summer Workshop in Cognitive and Brain Sciences and its relevance to your future plans. Please give brief details of your research interests and/or experience if applicable. (Note that prior research experience is not required for admission to the workshop.)

The cover letter and resume should be in PDF format. Please name your files with your full name and file type. For example, your resume should be labeled as follows:  Last name_First name_Resume.pdf

The deadline for all additional application materials is March 1, 2017.


Recommendations
Please request letters of recommendation from two faculty members who know your work well. Have your recommenders send their letters directly to brainworkshop@psych.udel.edu by the March 1 deadline.
Name of Recommender 1 *
Institution *
Phone number *
Email *
Name of Recommender 2 *
Institution *
Phone number *
Email *
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