B B S I  @  P I T T   2 0 0 8

Online Application

NIH-NSF Bioengineering and Bioinformatics Summer Institute (BBSI)

May 19 – July 25, 2008

Application Deadline is March 9, 2008

      Instructions:

     1.  Only online applications will be accepted.

     2.  All fields marked with * are required. Do not submit incomplete forms. Use the "tab" key to move between fields.

     3.  To complete this application, have an official transcript from the Registrar’s office, (including Fall 2007 grades)

          sent directly to the address at the bottom of this form - by the application deadline of March 9, 2008.

      Application Submission:

     The application period is currently closed. Please check back in December, when the 2008 application period will open.

    ^*Name              
                                                               first, middle initial (if any), last

     ^*U.S. Citizen/Permanent Resident       Yes        No

    ^*Contact Address
  

       ^*Telephone (xxx-xxx-xxxx)    
 

     ^*E-mail    

      ^*College/Institution     

      ^*Major/Department     

      ^*Select One:

      In Fall 2008, you will be:

            Entering your junior year

               Entering your senior year

               Entering first year of graduate school (or Have currently applied to graduate school)

               Entering second year of graduate school

       GPA       (official transcripts must be sent directly from the Registrar's office to the address at the bottom of this form)

       Courses Taken

       In the box next to each subject, list the number of courses taken in that area. In the larger box below each subject,

       provide course numbers and titles. For example, “Chem 1001, Introduction to Chemistry”.  List one course per line.
       You may include courses that will be completed by May 2008.

                 Biology        (must enter a number between 0 and 99)
 

                 Chemistry        (must enter a number between 0 and 99)
 

              Computer Science        (must enter a number between 0 and 99)

               

              Engineering        (must enter a number between 0 and 99)

               

              Mathematics        (must enter a number between 0 and 99)

               

             Physics        (must enter a number between 0 and 99)
 

               Total  courses    
 

      List the names of two individuals who we will contact for Letters of Recommendation in support of your application.

      Please DO NOT send any letters at this time.

     ^*Name    

    ^*Department    

     ^*Institution    

     ^*Telephone (xxx-xxx-xxxx)   

    ^*E-mail    

     ^*Name    

    ^*Department    

     ^*Institution    

     ^*Telephone (xxx-xxx-xxxx)   

    ^*E-mail    

      ^*In the space below, provide a statement of approximately 500 words describing your research interests, your

        career goals, and how this summer research program will help you in achieving those goals. Include details of any

        prior research activities, if any, and other factors that should be considered when evaluating your application.

      List three faculty members you may want to work with during the research component of this program. We will make

      every effort to match students with their choices, but this cannot be guaranteed. (click here to see Mentor list).

      1.   Select first-choice mentor Unable to select first-choice mentor Ivet Bahar Takis Benos Carlos Camacho Rob Coalson Chakra Chennubhotla Lillian Chong Billy Day Michael Erdmann G. Bard Ermentrout Jeffrey Evanseck Jim Faeder Vanathi Gopalakrishnan Bino John Kenneth Jordan Judith Klein-Seetharaman Igor Kurnikov Maria Kurnikova Jeffry Madura Ivan Maly G. Elisabeta (Liz) Marai Hagai Meirovitch Joel Stiles Hugh Nicholas John Rosenberg Gordon Rule Michael Sacks Sanjeev Shroff David Swigon Shlomo Ta’asan Pei Tang Troy Wymore Xiang-Qun (Sean) Xie Daniel Zuckerman

      2.   Select second-choice mentor Unable to select second-choice mentor Ivet Bahar Takis Benos Carlos Camacho Rob Coalson Chakra Chennubhotla Lillian Chong Billy Day Michael Erdmann G. Bard Ermentrout Jeffrey Evanseck Jim Faeder Vanathi Gopalakrishnan Bino John Kenneth Jordan Judith Klein-Seetharaman Igor Kurnikov Maria Kurnikova Jeffry Madura Ivan Maly G. Elisabeta (Liz) Marai Hagai Meirovitch Joel Stiles Hugh Nicholas John Rosenberg Gordon Rule Michael Sacks Sanjeev Shroff David Swigon Shlomo Ta’asan Pei Tang Troy Wymore Xiang-Qun (Sean) Xie Daniel Zuckerman

      3.   Select third-choice mentor Unable to select third-choice mentor Ivet Bahar Takis Benos Carlos Camacho Rob Coalson Chakra Chennubhotla Lillian Chong Billy Day Michael Erdmann G. Bard Ermentrout Jeffrey Evanseck Jim Faeder Vanathi Gopalakrishnan Bino John Kenneth Jordan Judith Klein-Seetharaman Igor Kurnikov Maria Kurnikova Jeffry Madura Ivan Maly G. Elisabeta (Liz) Marai Hagai Meirovitch Joel Stiles Hugh Nicholas John Rosenberg Gordon Rule Michael Sacks Sanjeev Shroff David Swigon Shlomo Ta’asan Pei Tang Troy Wymore Xiang-Qun (Sean) Xie Daniel Zuckerman

    (Responses will not be released without prior written consent)

      Gender            Male        Female     Do not wish to answer

      Ethinicity       African-American        Caucasian       Hispanic       Native-American       Pacific Islander     
                            Other                       Do not wish to answer

      Disabilities       Auditory       Visual      Motor       Other       None    Do not wish to answer

      _________________________________________________________________________________________________________________________

     Housing (free double-occupancy accommodations provided to all program participants)

     Select one for the following: I am interested in provided accomodations I will make my own arrangements

    _________________________________________________________________________________________________________________________

     How did you hear about this program? (select one)

            Saw the poster announcement

               Received e-mail

               A friend told me

               A Faculty member informed me
                     Faculty member's e-mail address (to send future program announcements)  

               Other

                     Please specify:  

   _________________________________________________________________________________________________________________________

     Reminder

     To complete this application, an official transcript from the Registrar’s office (including Fall 2007 grades) should be

     sent directly to the address below and received by the application deadline of March 9, 2008.

     Judy Wieber, PhD, MBA

     Coordinator, BBSI

     Department of Computational Biology

     University of Pittsburgh School of Medicine

     3064 Biomedical Science Tower 3

     3501 Fifth Avenue

     Pittsburgh, PA 15260

     Tel: 412-648-8646
     Fax: 412-648-3163

     E-mail: bbsi@pitt.edu