SRA Abroad Application
Questions marked with a * are required
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Last Name
First Name
Institutional email address
Alternate/Personal email address
Phone number (including area code)
Are you a US Citizen or Permanent Resident?
Major
GPA
Expected Graduation Date (Note: Students with an expected Spring or Summer 2020 graduation date are ineligible for this program)
Have you been previously funded by LSAMP?
Home Institution
Research Institution (LSAMP-funded only)
Do you currently have a valid passport?
Country preference #1
Country preference #2
Country preference #3
Tell us more about why you prefer the chosen countries above for a summer research experience.  Include information on possible research groups or labs in your chosen countries that fit your research interests and goals for your summer experience.
List your area(s) of research interest.  Use keywords and list no more than three (3).  For example: biochemistry, viruses, nanotechnology, etc.
Briefly summarize your research experience to date, including a description of techniques and skills you have acquired.  (250 words max)
How would the Summer Research Academy Abroad benefit you academically and professionally? (500 words max)
Paste your text-based resume below
Name of research mentor/supervisor
Title of mentor/supervisor
Institutional email address of mentor/supervisor