BBRI Graduate Assistantship Application

JLC-BBRI Graduate Assistant Application

Personal Information First Name: Last Name:
Local Address:
City: State: Zip:
Email:
Home Tel.#: School Tel.#:
Permanent Address:
City: State: Zip:

Gender:

Female
Male

Ethnic Origin (Optional)

African American
Caucasian
Hispanic American
Native American
Pacific Islander
Other

Are you a US Citizen?

Undergraduate Education
Degree(s) /Discipline(s)
School Name:
Location:
Dates Attended:

School Name:
Location:
Dates Attended:

Overall GPA: Science GPA:

GRE Scores:

Verbal: Quantitative: Analytical:
Date Taken:

Research Experience If you have participated in previous research projects, please provide the following information.

Please provide the name of your Supervisor/Mentor, the name of the Institution at which you participated in research, and the Institution's address.

Briefly describe your research activities.

Essay

Write a 2-5 page essay concerning your career goals, research interests and what you intend to gain from working in the JLC-BBRI.

It may be helpful to construct the essay in a Word Processor, such as Microsoft Word; then paste it into the Text Box below.