UW-Casper and Casper College Undergraduate Research Application

UW-Casper and Casper College INBRE Undergraduate Research Application
If you have technical difficulties please contact Dagmara Motriuk-Smith at motriuk@uwyo.edu or 307-268-2542
Last Name*
First Name*
Student ID
Birth Date*
School e-mail*
Personal e-mail address used frequently*
Phone Number*
Can we ocassionally send text reminders to the above number?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Hometown*
Home state*
Are you a resident of Wyoming?*
Which College/University are you attending? *
What is the highest degree you earned so far?*
Current GPA*
Expected graduation date (Month/Year)*
What is your major?*
Second major?
Minor?
Are you a first generation college student? (Neither parent has a bachelor's degree.)*
What is the HIGHEST degree you eventually hope to earn?*
Once you finish your current degree program, what do you see as the IMMEDIATE next step in your career path?*
What are your long-term career goals?*

To conduct research in an industry settingTo conduct reaserch at a universityTo practice medicineTo teach (grades K-12)To teach (college/university level)To work in the allied health professions (nursing, pharmacy, etc.)Other
If you selected "Other" please explain
Type of research you will be working on?*
Faculty Mentor's Last Name*
Faculty Mentor's e-mail address*
Name of 1st faculty reference:*
Name of 2nd faculty reference:*
Have you received an INBRE fellowship before?*

YesNo
If so, what semester(s) and year(s)?
All documents must be submitted in a readable PDF.

(To convert a Microsoft Word file to a PDF, select File. You will select Save As. Below the File Name, there is a drop down menu. There will be several programs listed, select PDF)

If you do not have Adobe PDF, download here: https://get.adobe.com/reader/
Upload File-PDF Letter of Intent or Research Proposal*

Upload a File

Cancelof
Upload File -PDF (unofficial) Transcipts*

Upload a File

Cancelof
Incomplete or late applications will not be reviewed.
If I am awarded the WY INBRE Research Internship I agree to the following terms:
- Work hours agreed upon with your mentor (typically 5 hrs per week during spring and fall and at least 15 hrs per week during summer). WY INBRE cannot pay overtime, thus combined hours for any given week cannot exceede 40 even if a student holds multiple positions at the University of Wyoming
- Submit a written report summarizing conducted research
- Present a poster and an oral presentation during the spring Wyoming Undergraduate Research and Inquiry Across Disciplines event and the Fall WY INBRE Statewide Retreat
- Attend the INBRE videoconference seminars (usually Fridays around noon), two seminars per semester
- Complete the required training modules
Please sign your full name below:
Name*

First NameLast Name
Should be Empty:

UW-Casper and Casper College INBRE Undergraduate Research Application