Herbert Wertheim College of Engineering Undergraduate Research Application

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Applicant Information

First Name*

Middle

Last*

Local (Campus) Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gatorlink Email Address*

Cell Phone Number*

Sex*

Female

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Ethnicity*

Check all that apply

African American/Black

Asian/Pacific Islander

Hispanic/Latino/Mexican/Puerto Rican

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White

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Your Home College*

Major/Department*

Current Student Standing/Class*

Super Senior (5th year or above)

Senior (4th year)

Junior (3rd year)

Sophomore (2nd year)

Freshman (1st year)

Other

Number of Credits Completed*

Expected Graduation Date (month, year)*

Are you a Foreign National?*

Yes

Are you a Matchin Florida Opportunity Scholar?*

Yes

Do you receive financial aid not including Bright Futures?*

Yes

Are you in the UF-Online program?*

Yes

Does your research or proposed research project have an artificial intelligence (AI) component that could be considered for USP AI Scholars?*

Yes

List the Research Project Titles, Faculty Mentors and Terms you are interested in:

First Choice – Project Title*

First Choice – Faculty Mentor*

Second Choice – Project Title

Second Choice – Faculty Mentor

Second Choice – Term

Third Choice – Project Title

Third Choice – Faculty Mentor

Third Choice – Term

Statement of Understanding:*

I agree to complete the requirements of the University Scholars Program by the due dates, and if I do not complete the requirements by the due dates, I will be put into repayment status (you will be required to pay back the money to UF) for the full amount that has been disbursed to me. The funds will be disbursed as follows: $750 in the Fall semester and $1000 in the Spring semester. I understand that the disbursement of the University Scholars Program stipend does not change any of the requirements or due dates of the program.

Authorization to Collect Information*

I certify that the information submitted in this form is mine, and I give permission for the Herbert Wertheim College of Engineering to use it for the purposes of undergraduate research and other academic endeavors. This constitutes an exception to any privacy holds that may exist on my record.

Herbert Wertheim College of Engineering Undergraduate Research Application

University Scholars: Student Application

Applicant Information

Herbert Wertheim College of Engineering

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