Application for NSF REU Program Name* First Last I am:* A Deaf or Hard-Hearing REU Student Applicant interested in Scientific Research A 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, if any, with ASL Gender* Male Female Prefer Not to Answer Email* Phone* Permanent Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Ethnicity African American American Indian Asian Hispanic Native Hawaiin or Other Pacific Islander White Are you a US Citizen or Permanent Resident (Green Card Holder)?* Yes No Most Recent College or University Attended* Major* What year of college are you in?* Freshman Sophomore Junior Senior Undergraduate GPA* Expected Graduation Date After graduation with your bachelor’s degree, do you envision: Graduate School Medical School Industry Education/Teaching Government Non-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): Based on the projects listed on the Mentors & Project page, list your four top choices for faculty mentor. Faculty Mentor First Choice* AlexandreBinderBurch-SmithDasHongKrishnanWerner-LebeisMcCordOlukoluRobertsStatonTrinhvon Arnim select one from the pull down menu Faculty Mentor Second Choice* AlexandreBinderBurch-SmithDasHongKrishnanWerner-LebeisMcCordOlukoluRobertsStatonTrinhvon Arnim select one from the pull down menu Faculty Mentor Third Choice* AlexandreBinderBurch-SmithDasHongKrishnanWerner-LebeisMcCordOlukoluRobertsStatonTrinhvon Arnim select one from the pull down menu Faculty Mentor Fourth Choice* AlexandreBinderBurch-SmithDasHongKrishnanWerner-LebeisMcCordOlukoluRobertsStatonTrinhvon Arnim select one from the pull down menu 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 c/o Julie Knoefel jknoefel@utk.edu.