Cornell University Undergraduate Research
Program on Biodiversity in the Amazon and Caribbean

Summer 2000

On-line Application

Name (last  first  middle)

Date (mm/dd/yy)  

Campus Address

Street Address

City   State Zip Code

Campus Telephone Number: ( ) -

Home Address

Street Address

City   State Zip Code

Home Telephone Number: ( ) -

E-mail:

Age: Soc. Sec. Number - -

Ethnicity: African-American Chicano/a-Latino/a American Indian Other

Current Class Standing: Freshman Sophmore Junior Senior Graduate

Major in College:

GPA: GPA in Sciences: Year of Planned Graduation:

Plans after Graduation:

Foreign Languages Spoken

Proficiency:

Proficiency:

Foreign Languages Written

Proficiency:

Proficiency:

Faculty member from whom you have requested a letter of recommendation for this application

Name:

Telephone Number: ( ) - E-mail:

I certify that all parts of this application package are complete and accurate to the best of my knowledge and I understand that submission of inaccurate information may be sufficient for denial of admission or termination of enrollment.

Upon acceptance into the Cornell Undergraduate Research Program in the Amazon, I will take the required week-long, one-credit preparatory course offered during the May of the Spring 2000 semester. I will fully participate in all program activities, and work full-time throughout the entire time of the program, beginning June 12, 2000 and ending August 15, 2000. Also, I will prepare a final research report by December 2000.

The top candidates will be interviewed by Dr. Eloy Rodriguez, Dr. Francisco Guanchez and Dr. John Berry.