Application for Louis Stokes Alliances for Minority Participation (LSAMP)

First and Last Name

For Towson Students Only - TU ID Number (ex. 071234)

Ethnicity

Sex

If you would like the opportunity, we invite you to share more about your gender identity

Are you a first-generation college student? (Parent or guardian did not have a Bachelor's degree by your 18th birthday)

YesNo

Are you a U.S. Citizen or Permanent Resident? (A-1 Visa holders are not considered permanent residents by the NSF)

YesNo (Note this makes you ineligible)

Date of Birth (MM/DD/YYYY)

Full Mailing Address (where stipend will be sent)

Phone (###-###-####)

Email

Class Standing (at beginning of Fall 2022)

Freshman (0-30 credits)Sophomore (31-60 credits)Junior (61-90 credits)Senior (91+ credits)

Major

Expected Graduation Date

Cumulative GPA

Are you affiliated with any of the following programs? (check all that apply)

For other, please specify.

Are you a transfer student?

YesNo

Which institution did you transfer from?

In what term did you begin your studies at current institution?

How many credits did you transfer into your current institution?

What was your major at your previous institution?

What term do you plan to start your LSAMP research experience?

I will be enrolled in one or more courses over the summer

YesNo

If you are planning to take courses this summer, please list the summer session, course title, and number of credits

We discuss topics relevant to our personal and professional development. Please select which topics are of interest to you.

How to Develop a Strong Research PresentationsCV/Resume StrategiesStrategies for the Graduate School and Fellowship Personal StatementHow to Find a Summer Research Experience that is Outside my Home InstitutionWellness StrategiesAcademic advisement, career coaching and resource referralOther

We may have in-person, hybrid, or virtual sessions. In order to encourage engagement between members of the community, it is helpful to understand whether or not students have access to a webcam. Do you have a webcam that you can use during virtual and hybrid sessions?

YesNo

What student organizations are you involved with? (check all that apply)

For other, please specify.

What post graduation opportunities are you currently considering? (check all that apply)

For other, please specify.

Please share with us anything else you would like us to know about yourself in order for us to make a thoughtful decision for the new group of research fellows.

Are you interested in pursuing research at this time?

YesNo

I need assistance in finding a research mentor

If you require support in finding a research mentor, you must meet with the LSAMP Assistant Director two weeks prior to the application deadline. E-mail lsamp AT_TOWSON to set-up a time to meet to discuss.

YesNo

Faculty Mentor Name and Department

I have confirmed my spot in my Faculty Mentor's Research lab

YesNo

Describe the steps you have taken to find a Faculty Mentor

Title of Project (if available at time of submission)

If you already know your research project for summer, describe it below.

Include your project goals and how the research experience will benefit you and your academic career (500 word limit; to be prepared in collaboration with faculty researcher).* Discuss the relative importance of the proposed research within its discipline* State the specific tasks to be accomplished during the program* Define the scope and goals of the proposed research

If you do not yet know your research project for summer, please describe your research interests. Be as detailed as possible as we will use this information to help match you.

Are you receiving any additional funding for this research project? (Receipt of additional funding will not impact the competitiveness of an application)

If you select no, you can submit your application. Any edits to your application can be sent to lsamp AT_TOWSON prior to the application deadline.

YesNo

Application

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