Application for Summer Undergraduate Research Fellowship in Information Technology (SURF-IT) | SURF-IT | Jack Baskin School of Engineering

Education

Class Level Fall After Program: *

Home College or University: *

Expected Graduation Date: *

Major: *

Mathematics and Algorithms Completed: *

List the highest levels of mathematics you have completed. We will primarily use this when assigning research projects.

Computing Experience: *

List the languages and levels of proficiency. We will primarily use this when assigning research projects.

Other Background: *

List other knowledge and skills in computing, engineering, and science, that we may not figure out from your transcript.

Spring Classes: *

List the classes you plan to take in your Spring quarter or semester. Include Winter also if it will not appear on your transcripts.

Clubs and Activities: *

List any school activities, clubs or programs you have participated in, including offices held and academic honors earned. Also list non-school clubs, activities, program or conferences in which you have participated.

Other Internships:

Please list other internships you are applying to.

Family Background

Father's Highest Level of Education: *

Father's Occupation: *

Mother's Highest Level of Education: *

Mother's Occupation: *

Financial Aid

Have you filed the FAFSA form?: *

Estimated Family Contribution:

If you have filed the FAFSA, please indicate your estimated family contribution (EFC).

Public Assistance: *

Did you or your family receive any income during the past 5 years from public assistance programs, such as welfare, AFDC, Social Security, disability, etc?

If yes, which programs?:

Transcripts

We can't evaluate your application without your official or unofficial transcript(s)! Please upload your most recent one or two transcripts, and send any other transcripts by email to surf-it@soe.ucsc.edu or by mail to SURF-IT; Baskin School of Engineering, SOE3; University of California, Santa Cruz; 1156 High Street; Santa Cruz, CA 95064

Getting transcript to SURF-IT: *

Uploading now(best)

Email to surf-it

Mail to UCSC

How will you send us your transcript? The safest thing to do is upload it as part of your application. If that's not possible, you can email it to us or mail it to us, but be sure to do it before you forget!

Transcript 1 School: *

Transcript 1:

Upload a copy of your transcript in pdf (preferred), txt, doc, or html. Be sure your name is on the transcript. Please contact us if you have a different format you would like to upload.

Transcript 2 School:

Transcript 2:

If you have studied at a second college or university, please upload the transcript. Email additional transcripts to surf-it@soe.ucsc.edu.

Letters of Reference

Give the names and email addresses of two individuals who will be writing letters of reference for you. One or both of these letters should come from faculty at your home institution. We will not contact the letter writers; you must ask them to send their letters.

First Reference E-Mail: *

First Reference Name: *

Second Reference Name: *

Second Reference E-Mail: *

Certification

I certify that the information reported on this application, to the best of my knowledge, is true and correct. I authorize SURF-IT to release the information in this application to the selection committee, and to review my academic transcripts. I also authorize SURF-IT to release information on this application to the National Science Foundation. If I am selected as a participant, I authorize SURF-IT and UC Santa Cruz to publicize any relevant scholarship and biographical information and/or publish photographs. I also agree to participate in the assessment of SURF-IT by completing surveys and participating in focus groups and/or interviews regarding my perceptions and personal experiences in the program. I understand that all information will be treated as confidential by the researcher.

Do you agree to these terms and conditions?: *

reCaptcha

Please enter the two words you see in the image below into the box provided. This helps stop automated SPAM bots from filling out this form.