Docstoc

app

Document Sample
app Powered By Docstoc
					     THE MBRS-RISE & MARC-U*STAR APPLICATION PACKET
Instructions and Advice
Attached you will find an application that requests several types of information. All parts must be turned in for your
application to be considered. In addition, you must be accepted at UTSA. Evaluation/recommendation forms may be turned
in separately from the rest. Turn in your application to Mrs. Linda Felan, in BSB 2.03.02G. She can also tell you about
tentative dates for future selection committee meetings, during which your application will be evaluated.

Parts of a complete application:
   1. A (unofficial) copy of your most recent transcripts (incoming freshman, please provide high school transcripts).
   2. A copy of your most recent financial aid “Award Package by Aid Year” page, from ASAP. You must have applied
        for financial aid in order to be considered for the program.
   3. The general fill-in section of the application, containing contact information, career objectives, academic
        information, work experience, and honors and awards (pgs 1-2).
   4. Your personal statement to the selection committee, about yourself, your future educational and career plans, and
        why you should be chosen for this program (see instructions in application, bottom of pg 2). This part of the
        application is important. Follow the guidelines, proofread it and word process it if possible. Submit the statement
        on a separate sheet(s) of paper.
   5. The yes/no checkbox section requesting demographic information (pg 3).
   6. Recommendation forms (pgs 4-5). The recommenders turn in the forms in themselves. Please sign before giving to
        recommender.
   7. Release forms dealing with your future access to your file and allowing potential mentor to view your application
        packet, to assess your qualifications (pgs 6-7).
Advice on Recommendation Forms:
   1. The application contains two recommendation forms. We advise you to provide these to the person from whom you
       will obtain a recommendation, along with a stamped envelope with address to which it can be returned.
   2. Obtain recommendations preferably from UTSA math or science faculty members (exception: Psych students who
       should get at least one from a Psych professor). TAs are not recommended. First semester freshmen may obtain
       both recommendations from High School science/math teachers. If you have worked in or are working in a research
       laboratory (not a teaching lab), get one from your research mentor.
   3. The better you know someone, the better your recommendation is likely to be. If you have any doubts if a person
       will evaluate you well, ask them whether they “know you well enough to write a good recommendation for you.”
       People don’t like writing bad recommendations and this way, you give them an easy way to turn you down rather
       than write a bad or very scanty recommendations. Realize, however, that even a scanty recommendation is better
       than not turning one in at all or not applying.
   4. Ask your recommender as far in advance as possible- preferably two weeks at minimum. Good recommendations
       take some consideration ands take a good bit of time to put together and your professors are very busy.
   5. Electronic versions of the recommendations can be emailed (lfelan@utsa.edu), but follow-up with the original
       recommendation either written on or attached to the included signed Request for Recommendation form (give this
       form with your signature, to the person from whom you request the recommendation).
   6. If a faculty member doesn’t know you very well but will work with you, you may assist them by helping them to get
       to know you better. Set up an appointment and provide them with a letter detailing your future goals and the
       program to which you are applying, as well as a copy of your resume/CV.
   7. Ph.D.’s often need to be reminded and are not annoyed if you do it politely. Follow up with your recommenders to
       make sure that the letters are actually sent. The squeaky wheel gets the oil really works in this circumstance.
General Advice:
Do not allow shyness or hesitation about an application prevent you from participating is these programs. If you are strongly
motivated to pursue a career in research and are having trouble with letters or other parts of your application, come and see
the program coordinator, Gail Taylor (BSB 2.03.02F) for advice. If a doctoral degree in Biology or Chemistry is your goal,
our programs will benefit you greatly, both in the present by allowing you to obtain valuable research experience, and in the
future with admission to special off-campus undergraduate summer research programs and doctoral (Ph.D.) programs.
                                                              1
                     THE UNIVERSITY OF TEXAS AT SAN ANTONIO
                             MBRS/MARC APPLICATION


Applying for:

  MARC (Junior/Senior)
  MBRS (Fr./Soph.)            MBRS (Jr./Sr.)      MBRS (M.S.)                      MBRS (Ph.D.)
(note: it is recommended that Jr/Sr students apply to both the MBRS and MARC programs)


Name: ____________________________________________________                      SSN: __________________
      (Last)                  (First)                 (M.I.)

Current Address:        ________________________________________                Phone: _________________

                        ________________________________________                Cell Phone: ______________

                        ________________________________________      Email: ________________________

Permanent Address: ________________________________________           Emergency Phone: _____________
(Parents’ address)                                                    (Parents’ phone number)
                        ________________________________________

Date of Birth:          ________________________        U.S. Citizen ______ or Permanent Resident ______

Name of High School: _______________________________________ Year Graduated: _______________

City/State of High School: ______________________________________

LONG-TERM EDUCATION AND CAREER OBJECTIVES/GOALS (be as specific as possible):




Research Interest/Area (if known):

Proposed Mentor (if known):


Current level (Undergrad, MS, Ph.D.) and year: __________________________________
Expected Graduation Date from UTSA: ____________________
Current Major: ___________          Minor: ____________
Current Cum. GPA:________           GPA in Major Field: ____________

                                                    2
OTHER COLLEGES/UNIVERSITIES ATTENDED:
                           (Dates Attended)
Name                    From          To                                  Degree              Major         Cum. GPA
___________________________           ________          ________          ________            ________      ________
___________________________           ________          ________          ________            ________      ________
___________________________           ________          ________          ________            ________      ________

Are you a full time student?  yes;  no
% College Expenses Earned: _________________ (including financial aid)
How Earned: ______________________________________________________________________________
__________________________________________________________________________________________

College Honors/Awards, Professional Society Memberships, and Other Activities:




Work Experience:
Name of Company              Responsibilities                                       Hrs/Wk            Employment Dates
_____________________        _________________________________                      _________         __________________
_____________________        _________________________________                      _________         __________________
_____________________        _________________________________                      _________         __________________

How did you find out about our program? Check all that apply:

 Bulletin board or poster      Instructor announcement      Participating student
 Scholarship office            Laboratory Mentor            Student Newspaper
 Poster                        UTSA Event                   During High School
 Other: _______________________________________________________________________________


*Applicant’s Personal Statement to the MBRS/MARC Student Selection and Retention Committee:
                               (Please complete this section on a separate sheet of paper.)

Please write several paragraphs addressing the following:
     Why do you want to be in the MBRS-RISE or MARC-U*STAR programs?
     Why do you think you should be offered this training opportunity?
     Why are you interested in Biomedical Research?
     What are your future educational plans?
     What are your career plans?
     How do you think this program will enhance your ability to obtain your career goal(s)?
     What/who inspired you to perform biomedical research?
Also, include any other relevant information that you feel the Student Selection and Retention Committee
should take into consideration when assessing your application.

                                                            3
The following information will help the Committee determine which program is most appropriate for you.
Responses are voluntary.

1) Do you have any Physical Disability?  yes;  no.

2) What is your gender?  male;  female

3) Please categorize yourself in terms of race:

   American Indian or Alaskan Native (a person having origins in any of the original peoples of North
 
   America and who maintains cultural identification through tribal affiliation or community recognition)
   Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian
 
   subcontinent - for example, China, India, or Korea)
   Pacific Islander (a person having origins in any of the original peoples of the Pacific Islands - for
 
   example, Hawaii, Samoa, Guam, or Philippines)
  Black (a person having origins in any of the black racial groups of Africa)

  White (a person having origins in any of the original peoples of Europe, North Africa or the Middle East)
     Hispanic (a person having origins in any of the original peoples of Mexico, Puerto Rico, Cuba,
 
     Central/South America, or other Spanish culture or origin)

4. Please check as many as apply, to determine disadvantaged and/or economic background.

  Eligible for Financial Aid?          If yes, Family Income:                     # Dependents:
  First generation to attend college (parents did not, siblings okay)
  Applicant employed while attending post-secondary school and/or college
  Family responsibilities during post-secondary school and/or college
  English not primary language prior to attending school
  Attendance of Texas school(s) in lowest quarter of wealth per student distribution
  Resident of South Texas-Border Region




I hereby certify and declare that all of the above information is true, and that I am seriously considering a career
in laboratory research. Furthermore, I will participate in all associated MBRS/MARC activities, including but
not limited to required coursework, laboratory research, GRE preparation, professional development activities,
and evaluation activities designed to assess program effectiveness and my own educational progress.



_____________________________________                                         ________________________
Signature                                                                     Date

                                                          4
                         THE UNIVERSITY OF TEXAS AT SAN ANTONIO

                            MBRS/MARC Programs Office – BSB 2.03.02G
                                    (210) 458-4184 or 4185




STUDENT FILE RELEASE FORM


       Among other rights afforded to me under the Texas Open Records Law and “The 1974 Family
Educational Rights and Privacy Act,” as amended, I understand that I have the right to specify the name of every
individual, company, corporation, or governmental agency to whom my file is released.

      I hereby authorize the MBRS/MARC Programs Office to release my file to all prospective faculty
mentors.

       My file contains any and/or all of the following:

       A.      A copy of my transcripts
       B.      Personal data
       C.      Letters of recommendation
       D.      Other documents related to my obtaining support

       I understand that in order to revoke this release and authorization, I must do so in writing and that such
revocation shall not apply to files which have been released prior to the date of revocation.




_____________________________________                          ____________________________
Signature                                                      Date




                                                           5
                         THE UNIVERSITY OF TEXAS AT SAN ANTONIO

                            MBRS/MARC Programs Office – BSB 2.03.02G
                                    (210) 458-4184 or 4185




WAIVER OF ACCESS TO FILE


        I hereby apply to the MBRS/MARC Committee on Student Selection and Retention for a research
internship. I understand that my file contains and and/or all of the following materials:

       A.      A copy of my transcripts
       B.      Personal data
       C.      Letters of recommendation
       D.      Other documents related to my obtaining grant support

       Among other rights afforded to me under the Texas Open Records Law and “The 1974 Family
Educational Rights and Privacy Act,” as amended, I understand that I have the right of access to my file and all
materials, except for letters of recommendation, submitted prior to June 14, 1973, the effective date of the Texas
Open Records Act.

       I further understand that I may either retain or waive my right of access to letters of recommendation
contained in my file as long as such letters are used solely for the purpose of securing a research internship.

       ____ I hereby waive my right of access to letters of recommendation contained in my file.

       ____ I hereby retain my right of access to letters of recommendation contained in my file.

This waiver shall be effective until I notify you in writing that the same is revoked.




_____________________________________                         ____________________________
Signature                                                     Date




                                                         6
                                   THE UNIVERSITY OF TEXAS AT SAN ANTONIO
                                     MBRS/MARC Programs Office (BSB 2.03.02G)
                                               Department of Biology
                                            6900 North Loop 1604 West
                                              San Antonio, TX 78249
                                              (210) 458-4184 or 4185
                                               FAX: (210) 458-5765

                     REQUEST FOR RECOMMENDATION FROM SCIENCE / MATH FACULTY

APPLICANT: _______________________________                             _________________________                   ____________
            Last                                                       First                                       M.I.

SOC. SEC. NUMBER: ________________________ Student ID: ___________________________


        I hereby voluntarily waive and relinquish                               I hereby retain my right of access
        any right of access to this confidential                                       to this letter of evaluation.
        letter of evaluation.
        _____________________           _________                               ___________________             _________
        Signature                       Date                                    Signature                       Date

Note: This and other programs may place a higher weight on evaluations that are not accessible to the person being evaluated,
believing that the evaluator may be more free in expressing their sentiments.

        The remainder of this form is to be completed by the evaluator. We recommend that you choose someone who has
        direct knowledge of your performance in a research environment or in science courses. Please give this form, as
        well as an envelope, to your evaluator. When completed, the evaluation should be sent or delivered directly to the
        MBRS-RISE/MARC-U*STAR Offices by the evaluator.
                                EVALUATOR: PLEASE DO NOT RETURN TO APPLICANT.


Note to evaluator: This applicant is applying to the MBRS-RISE or MARC-U*STAR Research Training program at UTSA. The
purpose of these programs is to provide background and experience needed for first generation underrepresented or “disadvantaged”
students to pursue graduate degrees in the sciences; selection criteria are race neutral.

 Name: ____________________________________________       Title: _______________________________________________
 Affiliation: _______________________________________________________________________________________________
 Email: ____________________________________________      Phone: _____________________________________________
 Address: __________________________________________
           __________________________________________
           __________________________________________

1. Please specify your relationship to the applicant by checking the following:
______ College science/math course instructor          Course: _________________________________________________________
______ High School Science Teacher:           Course: ________________________________________________________________
______ Mentor in research laboratory          (how long): _____________________________________________________________
______ Director in research program           Program: _______________________________________________________________
______ Other: ______________________________________________________________________________________________

2. Familiarity with Applicant: (how known, how long, how well known?) _______________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

                                                                  7
3. Do you feel that applicant’s academic record is indicative of his/her intellectual ability? Yes/No (if no, explain below)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

4. Please complete by checking the boxes at the right that correspond to your evaluation of each characteristic.

                                                                High                   Neutral                     Low      Can’t rate
                                                                 5            4          3              2           1
 Motivation for a career in research
 Motivation for a doctoral degree
 Motivation for a career in medicine- Does this student
 give indication of desire for a career as an M.D.?
 Reliability – Intellectual and personal integrity,
 promptness, conscientiousness
 Emotional Stability – self-control, judgment, consistency,
 maturity, dependability
 Intellectual Curiosity – Interest in learning
 Critical thinking – applicant can come up with logical and
 insightful questions and answers
 Industry: Drive, initiative, work habits, performance
 Personality- Manners, courtesy, tact, poise
 Leadership- Ability to inspire confidence
 Academic- Ability to handle upper division coursework in
 their field of interest
 Overall potential for a career in research:
 Other:

5. Comments: Please include in this section pertinent information that you have regarding the applicant, particularly focusing on
potential and interest in doctoral studies and a career in research.




6. Summary: Please check the category in which you would place this applicant regarding his/her overall potential as a scientific
researcher/doctoral program applicant, taking his/her level of education into account.
 a. _____ Insufficient information/knowledge of students              d. _____ Average –
 b. _____ Excellent – upper 10% of students                           e. _____ Below average – lower ½ of students
 c. _____ Well above average – upper ¼ of students                    f. _____ Poor – lower ¼ of students


SIGNATURE: ________________________________________                                        DATE: ____________________

                                                                   8
                                   THE UNIVERSITY OF TEXAS AT SAN ANTONIO
                                     MBRS/MARC Programs Office (BSB 2.03.02G)
                                               Department of Biology
                                            6900 North Loop 1604 West
                                              San Antonio, TX 78249
                                              (210) 458-4184 or 4185
                                               FAX: (210) 458-5765

                     REQUEST FOR RECOMMENDATION FROM SCIENCE / MATH FACULTY

APPLICANT: _______________________________                             _________________________                   ____________
            Last                                                       First                                       M.I.

SOC. SEC. NUMBER: ________________________ Student ID: ___________________________


        I hereby voluntarily waive and relinquish                               I hereby retain my right of access
        any right of access to this confidential                                       to this letter of evaluation.
        letter of evaluation.
        _____________________           _________                               ___________________             _________
        Signature                       Date                                    Signature                       Date

Note: This and other programs may place a higher weight on evaluations that are not accessible to the person being evaluated,
believing that the evaluator may be more free in expressing their sentiments.

        The remainder of this form is to be completed by the evaluator. We recommend that you choose someone who has
        direct knowledge of your performance in a research environment or in science courses. Please give this form, as
        well as an envelope, to your evaluator. When completed, the evaluation should be sent or delivered directly to the
        MBRS-RISE/MARC-U*STAR Offices by the evaluator.
                                EVALUATOR: PLEASE DO NOT RETURN TO APPLICANT.


Note to evaluator: This applicant is applying to the MBRS-RISE or MARC-U*STAR Research Training program at UTSA. The
purpose of these programs is to provide background and experience needed for first generation underrepresented or “disadvantaged”
students to pursue graduate degrees in the sciences; selection criteria are race neutral.

 Name: ____________________________________________       Title: _______________________________________________
 Affiliation: _______________________________________________________________________________________________
 Email: ____________________________________________      Phone: _____________________________________________
 Address: __________________________________________
           __________________________________________
           __________________________________________

1. Please specify your relationship to the applicant by checking the following:
______ College science/math course instructor          Course: _________________________________________________________
______ High School Science Teacher:           Course: ________________________________________________________________
______ Mentor in research laboratory          (how long): _____________________________________________________________
______ Director in research program           Program: _______________________________________________________________
______ Other: ______________________________________________________________________________________________

2. Familiarity with Applicant: (how known, how long, how well known?) _______________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

                                                                  9
3. Do you feel that applicant’s academic record is indicative of his/her intellectual ability? Yes/No (if no, explain below)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

4. Please complete by checking the boxes at the right that correspond to your evaluation of each characteristic.

                                                                High                   Neutral                     Low      Can’t rate
                                                                 5            4          3              2           1
 Motivation for a career in research
 Motivation for a doctoral degree
 Motivation for a career in medicine- Does this student
 give indication of desire for a career as an M.D.?
 Reliability – Intellectual and personal integrity,
 promptness, conscientiousness
 Emotional Stability – self-control, judgment, consistency,
 maturity, dependability
 Intellectual Curiosity – Interest in learning
 Critical thinking – applicant can come up with logical and
 insightful questions and answers
 Industry: Drive, initiative, work habits, performance
 Personality- Manners, courtesy, tact, poise
 Leadership- Ability to inspire confidence
 Academic- Ability to handle upper division coursework in
 their field of interest
 Overall potential for a career in research:
 Other:

5. Comments: Please include in this section pertinent information that you have regarding the applicant, particularly focusing on
potential and interest in doctoral studies and a career in research.




6. Summary: Please check the category in which you would place this applicant regarding his/her overall potential as a scientific
researcher/doctoral program applicant, taking his/her level of education into account.
 a. _____ Insufficient information/knowledge of students              d. _____ Average –
 b. _____ Excellent – upper 10% of students                           e. _____ Below average – lower ½ of students
 c. _____ Well above average – upper ¼ of students                    f. _____ Poor – lower ¼ of students


SIGNATURE: ________________________________________                                        DATE: ____________________

                                                                   10

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:8/16/2012
language:
pages:10