Fillable All fields must be completed. Save application first (University of California, Santa Barbara)

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All fields must be completed. Save application first (University of California, Santa Barbara)

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All fields must be completed. Save application first before completing.
Eligibility: You must be a US citizen or Permanent Resident, 18 years or older. You must be enrolled
as a full-time student at UC Santa Barbara or at a California Community College. UCSB students
must have a GPA of 3.5 or higher; CC students must have completed a minimum of 12 transferable
semester units in science, mathematics or engineering.
Email complete application packet to outreach@icb.ucsb.edu. A complete application will include:
1. Application; 2. Statement of Interest; 3. Unofficial Transcript; 4. Letter of Recommendation
Program Dates: June 22 to August 14, 2020. Application Deadline: March 3, 2020.
Last Name
Phone
State
Zip Code
Expected Graduation Date
First Name
E-mail Address
Street Address
City
Current School
Dates of Attendance
Class Year to be entered in Fall 2020
Sophomore
Junior
Senior
Plans after Graduation (It’s OK if you don’t know)
How did you hear about this internship opportunity?
Gender
Male
Female
Ethnicity (Check all that apply)
Black/African American
Latino/Latina
Native American/Alaskan
Pacific Islander
Asian
Caucasian
Other
If chose “other” please specify
Are you a US Veteran?
Yes
No
Do you have any disabilities or special needs?
Yes
No
If yes, please explain
Will you be the first in your family to graduate from college?
Yes
No
Describe your experience working with computers. If you have programming skills, please be
specific.
Do you have experience working with technical equipment or tools? This includes lab
equipment as well as shop equipment. Please be specific.
Give a brief description of your work experience. We are interested in ALL kinds of jobs,
including non-scientific and unpaid (volunteer) work. You may attach a resume.
List the name and email of the person you have asked to write you a letter of recommendation. Your
recommender should send the letter directly to outreach@icb.ucsb.edu by March 3, 2020.
Send one letter only.
Identify which project(s) you are interested in. Project descriptions are listed on the information
sheet and the website www.icb.ucsb.edu/sabre.
Yes
No
Professor Javier Read de Alaniz, Dept. of Chemistry and Biochemistry
DASA-based Photochromic Materials for Load-bearing Applications: Emulating Nature’s
Design to Build Light-addressable Actuators
Yes
No
Professor Barry Giesbrecht, Dept. of Psychological and Brain Sciences
Global States and Cognitive Priority Control
Yes
No
Professor Michelle O’Malley, Dept. of Chemical Engineering
Engineering Sense-and-Respond Enzyme Complexes for Bioproduction
Certification
By initialing below, I certify that the responses on this application are true and correct.
Initials
Date
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Completed 13 August 2021

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