Summer Research Program

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					  Submit materials to:
  Daniel Fabrega
  University of California, Irvine
  Graduate Division
  120 Aldrich Hall
  Irvine, CA 92697                   2012 SUMMER RESEARCH PROGRAM (SURF)
  dfabrega@uci.edu
  (949) 824-8730
                                                    Application for Participation

                         Program Dates: June 27- August 22, 2012

                                      Application Deadline: February 6, 2012

The Summer Research Program (SRP) Summer Undergraduate Research Fellowship (SURF) is a
competitive program for upper division undergraduate students, and master’s students from diverse
backgrounds with outstanding academic potential. The program is designed for students who plan to
enter academic careers, and are especially interested in pursuing a doctoral degree at UCIrvine.
Participants in SURF conduct research under the direct supervision and guidance of a UCIrvine faculty
member, graduate student, and/or postdoctoral mentor. The mentor (not the student) selects the
research project. Students will be paired with a faculty mentor whose special expertise and interests
match those of the student’s.

Major components of the program are the supplemental activities designed to enhance the research
experience and graduate preparation of the participants. Students are required to attend GRE test
preparation courses as well as take the GRE exam in August. SRP features workshops and seminars on
strategies to improve the likelihood of success in applying to graduate school.

The goal of the summer research program is to increase the level of diversity among students who
enter Ph.D. programs at UCIrvine, and who want to pursue careers in university teaching and research
by providing research opportunities to undergraduate and master’s students who have been
underserved.

WHO SHOULD APPLY/QUALIFICATIONS:
   U.S. citizens or permanent residents
   Sophomores, juniors, seniors or master’s students interested in pursuing a Ph.D.
   Students who will be enrolled full-time at a college or university during the Spring and Fall 2012
    terms
   Students with a 3.0 cumulative grade point average or better (on a 4 point scale)
   Students interested in attending UCIrvine for graduate studies
   Students from educationally disadvantaged or underserved backgrounds are especially
    encouraged to apply
   SURF is open to students in virtually all academic fields (e.g., arts, humanities, social sciences,
    social ecology, biological sciences, engineering, education, computer sciences and physical
    sciences)

PROGRAM BENEFITS:
   $3000 summer stipend
   Free on-campus housing (All program participants will be required to reside in assigned on-
    campus University housing)
UCI Graduate Division                          To Be Completed by the Applicant      Revision date: 12/5/2011
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         Roundtrip travel costs to UCIrvine (covered within program limitations)
         GRE preparation course and the GRE exam

PROGRAM EXPECTATIONS
   Participants are required to complete the entire eight-week program
   The research objectives of the program are substantial and require full-time student commitment
    (five days a week/35-40 hours per week)
   In conjunction with the requirements of the faculty mentors, all participants are required to
    submit a research paper (minimum 12 pages)
   Students are required to submit an abstract (2 pages) describing his/her research
   Students will present their research at the research symposium during the final week of the
    program.
   Each participant must attend all required workshops, presentations, and meetings
   Students are required to take the GRE course as well as the actual GRE exam and submit scores,
    during the time of the program
   Students evaluate the program and their research experience at the close of the program

APPLICATION PROCEDURES
Applications must be submitted BOTH by email and by mail as follows:

1. BY MAIL: All application materials must be submitted in one envelope and must include the
following:
   A completed typed application form
   A two (2) page personal statement
   An unofficial transcript of all college coursework
   One letter of recommendation from a college faculty member who can best assess your ability for
      academic research and your motivation for graduate school

2. BY EMAIL: The completed application form must be submitted electronically as a Word
document to: diversity@rgs.uci.edu. Completed application forms must be saved and
emailed as follows:
  Application Word document must be saved as “Last Name-First Name”
  Example: “Smith-John.doc”

Completed application forms must be received by email, AND completed application packets must be
received (not postmarked) by the UCIrvine Graduate Division by February 6, 2012. No
applications will be accepted by FAX. Incomplete applications will not be reviewed.
Admission to the summer program will be announced in late-March. Students will be notified by mail
and email.

For additional information and to submit application packets, contact:

Daniel Fabrega
University of California, Irvine
Graduate Division
120 Aldrich Hall
Irvine, CA 92697-3180
dfabrega@uci.edu
(949) 824-8730
http://www.grad.uci.edu/about-us/diversity/grad-prep-programs/non-uci-students/surf.html
UCI Graduate Division                         To Be Completed by the Applicant             Revision date: 12/5/2011
                                                                                                        Page 2 of 7
  Submit materials to:
  Daniel Fabrega
  University of California, Irvine
  Graduate Division
  120 Aldrich Hall                       2012 SUMMER RESEARCH PROGRAM (SURF)
  Irvine, CA 92697
  dfabrega@uci.edu                                      Application for Participation
  (949) 824-8730

 STUDENT INFORMATION
                       Student Name:      (Last)         (First)            (Middle)
                        Local Address:                                                                    Cell Phone: (    )     -
                  City, State and ZIP:
              Student e-mail address:
                 Permanent Address:                                                                       Permanent Phone:
                  City, State and Zip:
 Major 1:                                                                       Major 2 or Minor:
 Undergraduate
 Institution:

 Year:      Sophomore       Junior       Senior     Master’s (yr 1)         Master’s (yr 2)
                                                                                       Expected Term of
 GPA in Major:                           Overall GPA:
                                                                                       Graduation:
 Gender:      Female        Male                  Ethnicity*:
 Birthdate:                                       Birthplace:
 Citizenship:     U.S. Citizen       Permanent Resident: A#
 What is your first language (language spoken at
 home)?
 What is the highest level of education attained by your parents or guardian?

 Mother:        Did not graduate high school      High school graduate      Some college, but no bachelor’s degree             4 year
 college graduate
                  Master’s degree    Professional degree      Doctoral degree    Unknown

 Father:         Did not graduate high school      High school graduate     Some college, but no bachelor’s degree             4 year
 college graduate
                  Master’s degree     Professional degree    Doctoral degree    Unknown

 Guardian:      Did not graduate high school      High school graduate      Some college, but no bachelor’s degree             4 year
 college graduate
                  Master’s degree    Professional degree      Doctoral degree    Unknown

 * This information is collected for statistical purposes.

 1.      Have you participated in any of the following pre-collegiate and collegiate programs:
           MBRS       McNair Scholar      CAMP/LSAMP      NIMH COR       MARC      Howard Hughes                 Upward Bound
           EOP/EAP     MESA/MAP       Amgen       Other:

 2.      Do you plan to apply to a graduate program?                  Yes        No
         If yes, what quarter/year?

 3.      Which graduate degree are you considering?                  Master’s         Ph.D.

 4.      What field/subject are you considering pursuing an advanced degree in?

 5.      What are your top three choices for universities for graduate school?
         1.
         2.
         3.

UCI Graduate Division                                        To Be Completed by the Applicant                     Revision date: 12/5/2011
                                                                                                                               Page 3 of 7
 6.     State your educational and career goals.


 7.     Describe one extracurricular or community activity you participated in during the past year. Indicate your role
        and describe how the group benefited from your participation and how you benefitted.




 8.     Indicate the course work you have taken that would qualify you to conduct research in the academic area of your
        choice.
        Course Work                                               Term




 9.     What topics in your major interest you most?


 10.    Briefly indicate your specific experience with the following, if any:
        Laboratory skills:
        Computer languages or software:
        Other foreign languages you can speak/read other than English:

 11.    Have you ever conducted research before?              Yes       No
        If yes, please describe:


 12.    How did you hear about the UCI SURF Program?

 13.    List two UCIrvine faculty members whose research you are most interested in.
        Please note: These faculty members may not be those with whom you will actually conduct research. Visit
        http://www.faculty.uci.edu/ for information on UCI faculty. Please also attach to the application any and all contact with faculty
        mentors

        1. Name:                                    Department:                                   Phone
                                                                                                  Number:
           Have you been in contact with this faculty member?        Yes       No
           If yes, please explain:

        2. Name:                                    Department:                                   Phone
                                                                                                  Number:
           Have you been in contact with this faculty member?        Yes       No
           If yes, please explain:




UCI Graduate Division                                    To Be Completed by the Applicant                          Revision date: 12/5/2011
                                                                                                                                Page 4 of 7
 Student participants:
   1) Must have the potential to enter UC graduate schools (minimum GPA of 3.0)
   2) May not be supported by more than one (1) stipend for the same summer research project

 Each student is required to participate in the following activities:
  1) An 8-week summer research experience at UCI
  2) All workshops and presentations
  3) GRE preparation courses, completion of the GRE exam and submit scores to UCI SURF staff
  4) Research skills training
  5) Faculty monitoring meetings
  6) Summer research symposium
  7) Write an original research abstract
  8) Write an original 12-page research paper
  9) Program Evaluation
  10) Scheduled meetings with your program staff

 IMPORTANT: Your signature is required below. Without your signature, your application is incomplete and cannot be
 processed.

 I hereby certify to the best of my knowledge that all information submitted on this application is complete and correct.
 I also certify that I have read the program information regarding this summer research program and agree to abide by
 it if selected. I understand that failure to disclose accurate information is grounds for immediate dismissal from this
 program. I also understand the failure to complete any of the required actions may jeopardize my summer stipend.

 Signature: ___________________________________________________                     Date: _________________________

 Type Name (Last, First, Middle):




UCI Graduate Division                            To Be Completed by the Applicant                   Revision date: 12/5/2011
                                                                                                                 Page 5 of 7
  Submit materials to:
  Daniel Fabrega
  University of California, Irvine
  Graduate Division
  120 Aldrich Hall                   2012 SUMMER RESEARCH PROGRAM (SURF)
  Irvine, CA 92697
  dfabrega@uci.edu                                  Application for Participation
  (949) 824-8730

                                               Personal Statement

Name: (Last, First, Middle):

Please type out essay and do not exceed two typed double spaced pages, 12-pt font.

Please state your reason for applying to the UCIrvine Summer Research Program; include research experience (if
applicable), educational goals, research area of interest, and future professional and personal objectives.
Indicate if you have particular experiences that qualify you to undertake such research and any additional
information that may aid the selection committee in evaluating your preparation, potential, and aptitude for
graduate study. If you have encountered special personal situations in high school or college that impeded your
studies (e.g., first generation to attend college, working long hours while attending school, or other financial
hardship) please discuss the ways in which these experiences have affected your academic opportunities. Explain
why UCI is a good match for your summer goals. Also, please discuss how your prior life experiences (academic,
professional, volunteer, etc.) demonstrate commitment to graduate education, especially at UCIrvine.

NOTE: The statement can either be typed below or submitted separately with the rest of the application.




UCI Graduate Division                          To Be Completed by the Applicant            Revision date: 12/5/2011
                                                                                                        Page 6 of 7
  Submit materials to:
  Daniel Fabrega
  University of California, Irvine
  Graduate Division
  120 Aldrich Hall                       2012 SUMMER RESEARCH PROGRAM (SURF)
  Irvine, CA 92697
  dfabrega@uci.edu                                        Letter of Recommendation
  (949) 824-8730

                                         THIS SECTION TO BE COMPLETED BY APPLICANT

 Applicant: Complete this first section only. Please type. Give this form to a faculty member whom you have asked to recommend you. The
 recommender should return the completed form to you in a sealed envelope. Include this with your application materials to be submitted by
 February 6, 2012.
                    Applicant’s Name: (Last)              (First)       (Middle)
              Recommender’s Name: (Last)                  (First)       (Middle)
         Recommender’s Institution:
        Recommender’s Department:
              Recommender’s Email:
 In accordance with the Family Education Rights and Privacy Act of 1974, you may waive your rights to inspect this recommendation by signing the
 statement below. Should you decide not to waive your rights, you will have access to the recommendation once you become a program participant.

 I hereby     waive      do not waive my right of access to this document.

 Applicant’s Signature: _______________________________________________________            Date: ________________

 Return to:      Daniel Fabrega, Coordinator, Summer Research Program
                 Graduate Division
                 University of California, Irvine
                 120 Aldrich Hall
                 Irvine, CA 92697-3180

                                             THIS SECTION TO BE COMPLETED BY RECOMMENDER

 1.   How long and in what capacity have you known this applicant? ____________________________________________________________

      __________________________________________________________________________________________________________________

      __________________________________________________________________________________________________________________

 2.   Using a 10-point scale, please rate this applicant:

      1-4 Poor               5-7 Fair              8-9 Good            10 Excellent

      Past Academic Performance          ____________             Creativity and Originality         ____________
      Intellectual Potential             ____________             Motivation for Graduate Study      ____________
      Individual Maturity                ____________             Team Player                        ____________

 3.   Please write a statement about the applicant on school letterhead. Please write candidly about the student’s qualifications and
      potential for research as well as academic success. In describing attributes such as motivation, intellect, and maturity, describe
      both strong and weak points.

 Recommender’s Signature: _________________________________________________ Date: ____________________________




UCI Graduate Division                                                                                                     Revision date: 12/5/2011
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Description: The Summer Research Program (SRP) Summer Undergraduate Research Fellowship (SURF) is a competitive program for upper division undergraduate students, and master’s students from diverse backgrounds with outstanding academic potential.