Interdisciplinary Summer Research Program
in
Biological, Agricultural, and Environmental Sciences

 

All materials, including the signed printout of the next page, writing sample, transcript, and teacher recommendation forms
not submitted on line must be postmarked by
March 31 and received by April 5

NOTE: Please read the entire application before you begin.  There are several requests for information and three essay questions that you may want to prepare for prior to beginning to complete this form.

If you have previously completed part or all of this application, please click here to edit the material you have submitted.
Please note, no edits can be made after March 31st.

Student:
Last Name: First Name: Middle Name:
Age: Date of Birth: Sex: M / F
Address: City: State: Zip Code:
Email Address:
Parent's Name:
Home Phone: Business Phone:
Current Grade in School:
Overall GPA:    Weighted GPA:

Nominating Teachers (Providing teachers' email address will expedite the application process.)
Name:	Email:	Phone and extension:
1.
2.

High School:
Name:
Address:
City: State: Zip Code:
Phone:
Description of School: (Please check all that apply) Public Private Rural Suburban Urban
Approximate Enrollment:

Please list the science, math, english, and computer, classes in order taken, and circle the year taken (8th, 9th, 10th, 11th), and grades recieved in the chart below. Be sure to designate Honors or Advanced Placement:

Class	Year	Fall Grade	Spring Grade	Special Comments
Science
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
Math
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
English
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D
Computers
	8 9 10 11	A B C D	A B C D
	8 9 10 11	A B C D	A B C D

 

Briefly describe your participation in SCIENCE and NON-SCIENCE activities (clubs, fairs, competitions):

(Limit 100 words)
 

Honors won (both in school and out):
(Limit 100 words)

Please describe any prior participation in a research program.
Write a brief description of the program and your work in that program.
Previous participation does not exclude consideration.
(Limit 50 words)

 

Application Questions  


Please respond to all three (3) questions in the space provided (the text will scroll).  Limit your responses to 150 words for each question.  The first 150 words of each response will be read by the application review committee after March 31 as part of the application review and selection process. 

Question # 1

What do you feel is the most important invention or scientific discovery and why?
(Limit 150 words)

Question # 2
The UCD-YSP is a six-week program of academics, research and community living.  What attributes, skills, and or abilities do you possess that will promote your personal success and the success of your peers in this rigorous environment?  What do you see as possible impediments to your success in this program?
(Limit 150 words)

Question #3
Please provide any other information, not included in your answers to questions 1 or 2 above, that you feel the application review committee should know about you or why you want to participate in this program?
(Limit 150 words)

Please let us know how you learned about this program. (Check all that apply)
	Teacher
	Past Participant
	Internet - Specify:
	School Announcement
	Program Brochure
Other

Click "Continue" to save your application and move on to the next step.
You will receive an email with instructions on how to access and update your application.

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Please address all questions to jrpomeroy@ucdavis.edu.

Return toUCD Young Scholars Program Home Page.