The UAB Department of Neurobiology

University of Alabama at Birmingham Research Experience for Undergraduates (REU)

Summer Program in Neuroscience (SPIN)

Personal Information
First Name:
 Last Name:
 Date of Birth:
Institution:
 Location:
 Geographic Location:
Email:
 Gender:
Male   Female

Expected Graduation:
 Major:
Year Completed:
 GPA:


Contact Information
Current Mailing Address:











Permament Mailing Address:













Other Information How did you hear about this program?


Citizen or Immigration Status:


Previous Research Experience?


After reviewing the research interests of the UAB faculty mentors at http://www.neurobiology.uab.edu/spin, please indicate four with whom you would like to work in order of preference.

Preference Potential Faculty Mentors
1st 2nd 3rd 4th  
Sweatt, Ph.D., J. David Professor and Chair
Hablitz, Ph.D., John J. Professor and Vice Chair
Brenner, Ph.D., Michael Professor
Dobrunz, Ph.D., Lynn E. Associate Professor
Lester, Ph.D., Robin A.J. Associate Professor
Lubin, Ph.D., Farah Assistant Professor
Overstreet Wadiche, Ph.D, Linda Assistant Professor
Parpura, M.D., Ph.D., Vladimir Associate Professor
Pozzo-Miller, Ph.D., Lucas Professor
Sontheimer, Ph.D., Harald W. Professor
Theibert, Ph.D, Anne B. Associate Professor
Visscher, Ph.D., Kristina Assistant Professor
Wadiche, Ph.D., Jacques Assistant Professor
Wilson, Ph.D, Scott Assistant Professor
Ye, Ph.D, Tong Assistant Professor


Academic Interests and Goals Please provide 1-2 page statement describing your previous research experience, if any, and your plans regarding postbaccalaureate training. Also, indicate in one or two sentences why you would like to work with each of the mentors you selected.

Please the use the text area below:



-or upload a document:
Transcripts from Undergraduate Institution Please mail original transcripts to the address below. You may also upload this but a hard copy MUST be received before your application can be considered.

Upload Transcripts:


Letters of Recommendation Please list below and request letters from two faculty members (usually at your home institution) who best know your academic record. Recommendation letters may be uploaded to this form but a hard copy MUST be received before your application can be considered.









Upload Letter:








Upload Letter:

Please mail HARD copies of transcripts and letters of recommendations to:

USPS Address:
Ms. Jan Phillips
Department of Neurobiology
University of Alabama at Birmingham
SHEL 911
1530 3rd Avenue South
Birmingham, AL 35294-2182
(205) 934-2452 		FedEx or UPS
Ms. Jan Phillips
Department of Neurobiology
University of Alabama at Birmingham
SHEL 911
1825 University Boulevard
Birmingham, AL 35294-2182
(205) 934-2452


  By checking this box, I agree that the contents of this application are truthful and represent my academic record.

Applications must be submitted by March 1, 2010

Applicant's Name:
Date:


 
   © Copyright 2007 UAB Department of Neurobiology    All Rights Reserved Web Development by Infomedia   
Home | Calendar | Faculty | Graduate Program | Links | Seminars | Evelyn F. McKnight Brain Institute | Contact Us | WebMail