Application for NSF REU Program Name* First Last I am:*A Deaf or Hard-Hearing REU Student Applicant interested in Scientific ResearchA Hearing REU Student Applicant interested in Scientific Research and American Sign Language Training(Please select one) • If you are a hearing applicant, list below previous experience with American Sign Language TrainingGender*MaleFemalePrefer Not to AnswerEmail* Phone*Permanent Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EthnicityAfrican AmericanAmerican IndianAsianHispanicNative Hawaiin or Other Pacific IslanderWhiteAre you a US Citizen or Permanent Resident (Green Card Holder)?*YesNoMost Recent College or University Attended*Major*What year of college are you in?*FreshmanSophomoreJuniorSeniorUndergraduate GPA*Expected Graduation DateAfter graduation with your bachelor’s degree, do you envision:Graduate SchoolMedical SchoolIndustryEducation/TeachingGovernmentNon-profit• Please describe your research interests, previous experience/training (if any) and how participation in this REU program will contribute to your academic and professional development (limit 500 words):What area or disciplines are you most interested in? Check all that apply. Biochemistry and Biophysics Cell Biology Computational Modeling Genetics and Genomics Microbiology Neuroscience Plant Biology Systems and/or Synthetic Biology Please provide the name and contact information for two references who we may contact for a reference.Name of Reference #1*Relationship with Reference #1*Email of Reference #1* Phone number of Reference #1*Name of Reference #2*Relationship with Reference #2*Email of Reference #2* Phone number of Reference #2*How did you hear about this program?* UT BCMB Department Website NSF Website Direct Email Recommendation by Professor/Instructor Recommendation by Fellow Student Other (please select all that apply)IMPORTANT: After submitting your application, please email a copy of your academic transcript (unofficial is fine) and a CV/resume to Professor Daniel M. Roberts at drobert2@utk.edu and copy Cathy Parks at cparks7@utk.edu.