Academic Year Research Application Form | Missouri Louis Stokes Alliance for Minority Participation (MOLSAMP)

M-RAP/GUILD Application

Program Application

Please select the program(s) you are applying to:

MOLSAMP Research Associate's Program (M-RAP) -- STEM Research Interests Only

Guided Undergraduate Intensive Learning Development (GUILD) -- Open to research proposals in all academic disciplines

Student Information

First Name

Preferred Name

Middle Initial

Last Name

Student ID

Preferred Pronouns

Gender

Date of Birth

Class Standing

Current or intended major(s)

Current or intended minor(s)

Contact Information

Primary Email

Secondary Email

Telephone

Can we text this phone number?

Yes

Local Address

City

State/Province

Zip/Postal

Country

Permanent Address

City

State/Province

Zip/Postal

Country

Research Interests

Please provide a research proposal (up to 500 words) clearly addressing: The purpose of the project; Why you are interested in this research; The academic fields or disciplines into which the project fits and how it will contribute to those fields; Why this research may have significance even for those outside of those fields; What research questions are underlying or animating your project; What methods you plan to use and why those methods are appropriate for your research questions; What preparation or skills you have that make you well suited for this research; Whom you have selected to be your faculty mentor, how the mentor’s expertise aligns with your research, and how your mentor will contribute to your development.

Name of faculty member for proposed research project

Faculty mentor's email address

Faculty mentor's department(s) or program(s)

Personal Statement of Purpose

Provide a statement of purpose (up to 500 words) articulating your commitment to the aims of MOLSAMP/GUILD as indicated in the mission statement (https://molsamp.wustl.edu/about-molsamp/). Your statement should be written as a cohesive narrative essay that addresses all of the following: How have your experiences in college been shaped by underrepresentation of certain groups in academia? What are your goals for the future? In what specific ways do you hope to change higher education by way of those goals?

Unofficial Transcripts

Please attach a current unofficial transcript below.

Maximum upload size: 51.2MB

Letters of Recommendation

You must have two letters of recommendation. Please make sure to reach out to your recommenders and have them submit their letters to molsamp@wustl.edu.

Name of Recommender #1

Email of Recommender #1

Name of Recommender #2

Email of Recommender #2

Acknowledgment

By typing my full legal name below, I hereby certify to the best of my knowledge that the information furnished on this application is true and complete without evasion or misrepresentation. I understand that if found otherwise, it is sufficient cause for rejection of my application.

Please type your full name above as an electronic signature.

(Optional) Work Plan

Please attach a detailed work plan that includes a schedule of how your research will be divided over two semesters, and what you may need (supplies, books, travel, etc.) to complete that research successfully.

Maximum upload size: 51.2MB

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