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U.S. Citizen Non-U.S. Citizen If not a US citizen, are you a permanent resident of the US? - None -YesNo First-Generation College Status: Has either of your two primary guardians earned a bachelor’s (or equivalent) degree from an accredited college or university? Yes No Academic Information Current Institution Attending Current student classication (as of May of the current year) - Select -First YearSophmore JuniorSenior Expected graduation date (mm/yy) Expected graduation date (mm/yy): Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Expected graduation date (mm/yy): Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Current cumulative grade point average (out of 4.0) Primary area of research interest - None -Human Motor ControlCognitive ProcessingHuman Neurophysiology Top Choice Faculty Mentor - None -Thackery BrownYoung-Hui ChangMukesh DhamalaVonetta Dotson Tricia KingMachelle PardueBoris PrilutskyDobromir RahnevEric SchumacherMinoru “Shino” ShinoharaLena TingAshley WareLewis WheatonMark Wheeler Second Choice-Faculty Mentor - None -Thackery BrownYoung-Hui ChangMukesh DhamalaVonetta Dotson Tricia KingMachelle PardueBoris PrilutskyDobromir RahnevEric SchumacherMinoru “Shino” ShinoharaLena TingAshley WareLewis WheatonMark Wheeler Third Choice-Faculty Mentor - None -Thackery BrownYoung-Hui ChangMukesh DhamalaVonetta Dotson Tricia KingMachelle PardueBoris PrilutskyDobromir RahnevEric SchumacherMinoru “Shino” ShinoharaLena TingAshley WareLewis WheatonMark Wheeler If none of your preferred mentors are available, would you consider being placed with another mentor? - Select -YesNo Personal Statement and Transcripts Transcript(s) Maximum 3 files.5 MB limit.Allowed types: pdf, doc, docx, . Personal Statement One file only.2 MB limit.Allowed types: pdf, doc, docx, . Letter of Recommendation 1st Recommender Title Title - None -MissMsMrMrsDrOther… Enter other… First Last Department/Institution Email Address Waive Right - None -YesNo Under the provisions of the Family Educational Rights and Privacy Act of 1974, I hereby waive my right to inspect to the recommendation given above.
