Application Form
NSF Research Experience for Undergraduates
Dauphin Island Sea Lab, Dauphin Island, AL
Program Dates: May 30 - August 5, 2016
Application Deadline: February 12th, 2016

* First Name: * Last Name: M.:
* S.S.No.: * Date of Birth:
* Phone: Cell Phone:
* Email: * Fax:
Current Address:
* Addres1: Address2:
* City: * State:    * Zip:
Permanent Address: Same as current address.
* Addres1: Address2:
* City: * State:    * Zip:
* Parent/Guardian:
(emergency contact):
* Phone:
* Sex:
(for housing assignment)
* With which ethnicity do you most identify?
* Institution currently attending:
* Major: * Class Next Fall:
* How would you describe opportunities for research experiences at your home institution?
Briefly describe research opportunities you are aware of for undergraduate students on your campus. (Limit to 200 words)
Have you participated in NSF sponsored fellowship before? If so where/program dates:
Program: Start Date: End Date:
Program: Start Date: End Date:
List Any Other Colleges or Universities You Have Attended and the Dates Attended:
College/University: Start Date: End Date:
College/University: Start Date: End Date:
College/University: Start Date: End Date:
List the Two Individuals Who You Have Asked to Provide Letters of Recommendation:
* Name: * Email: * Phone:
* Name: * Email: * Phone:
* A narrative statement from you describing your background, other research experiences, career goals, particular research interests
offered at DISL, faculty member you are interested in working with, and why you want to participate in this research opportunity.

(Limit narrative to 500 words, or 3200 characters).
* Select a faculty member at DISL you are interested in working with:  Or Open to Any: Yes  No
*List Coursework in Progress:
(Seperate by comma if there are
more than one entry)
A complete application should include:
1. This application form (submitted through the internet).
2. Official transcripts of all completed work.
3. Two letters of recommendation (these can be emailed to
Mail, Email, or Fax Official Transcripts and Letters of Recommendation to:
University Programs Registrar (
REU Research Fellowships, Dauphin Island Sea Lab
101 Bienville Blvd., Dauuphin Island, Alabama 36528
Phone: 251-861-2141 ext. 2256   Fax: 251-861-7540
All students who are offered a position at this REU Site have until March 15th to accept or reject the offer. Any student who is asked
to accept or reject an offer prior to March 15th should contact the Division of Ocean Science's REU Program Director, Lisa Rom
at or 703-292-7709.