Native American REU Application | Genomics Lab

Are you currently an undergraduate student?*
- Yes
- No
Are you a U.S. citizen or permanent resident?**
- Yes
- No
*You must be a U.S. citizen or permanent resident, must be currently enrolled as an undergraduate, and will not have received your Bachelor's degree prior to June 2020. U.S. citizenship is not required to receive funding from other WSU sources.
Personal Information
Name:*
First Last
Current Institution:
Current U.S. Mailing Address:*
Street Address Address Line 2 City State ZIP Code
Phone:
Email:
Current Class Standing*
Expected graduation date (e.g., Dec 2014, May 2015):
Academic Major:
Your Permanent Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Educational Background – include current program and expected graduation date
School and Location Dates Attended Curriculum/Major GPA/Scale Graduation Date
Employment History – please list any or all of your most recent employers
Dates Employer and Location Job Title/Responsibilities
Area of Interest
Please note which research area below you would be most interested in working in:
First Choice:
Second Choice:
Third Choice:
If Other Specify:
If Other Specify:
If Other Specify:

References
Please list the first of your two personal references and their contact information:
Reference 1 Name
First Last
Reference 1 Email
Reference 1 Phone

School and Location	Dates Attended	Curriculum/Major	GPA/Scale	Graduation Date

Dates	Employer and Location	Job Title/Responsibilities