Beckman Scholars Program Application

*Fields marked with asterisks are required.

Personal Information
*First Name
MI
*Last Name
*Permanent Street Address
Permanent Street Address Two
*Permanent City
*Permanent State
*Permanent ZIP
*Home Telephone
*E-mail
Enter the following information if your current address and/or phone number are different from your permanent address.
Current Street Address
Current Street AddressTwo
Current City
Current State
Current ZIP
Current Telephone
*Citizenship status? (Please check one.)	US Citizen Permanent Resident Not Applicable
*Major(s)
*College Status
*GPA
*Year Graduate

Optional Information For statistical purposes only. Check one box in each category.
Gender	Male Female
Disability	Yes No
Ethnicity

Plans, Goals, Research Interests
Faculty advisors of greatest interest. You must list two. It is expected that applicants will have arranged interviews with three or more individuals on the mentor list prior to choosing the two listed in the application.
*First Choice
*Second Choice
Faculty References Arrange for the submission of letters of recomendation from two faculty members at your current college/university acquainted with your laboratory and coursework. Ask that they send the letter of recommendation attached to an e-mail or by mail to the address below. Please provide contact information for these two faculty members: *First Faculty Reference
*Name
*Email
*Phone
*Second Faculty Reference
*Name
*Email
*Phone

In addition to the online application, please submit:

An up-to-date resume.
An essay (500 words or less) describing relevant academic and research accomplishments and career goals..
Unofficial college transcripts to verify GPA and major eligibility.
Two letters of recommendation sent directly by your references.

All documents should be submitted electronically as attachments to: beckmanscholars@ku.edu.

Personal Information