Name:

Email address:

Major(s):

Minors(s):

Year in School:
Freshman
Sophomore
Junior
Senior
5th year and up

Are you a U.S. citizen, national, or permanent resident?
Yes       No

What are your career goals?

Mathematics/Statistics and/or Biology background (include grades received in each course):

Previous experience with interdisciplinary work:

Filling out this form alone does not constitute a complete REU application.
A letter of recommendation must be emailed to Kathleen Moore (kerr@math.utah.edu) or submitted to LCB 214.