EUREKA Fellowship Program Application

Complete this form in its entirety to apply to the EUREKA Undergrad Research Fellowship program.

Name Name First Last
Email
Phone Phone - ### - ### ####
Race/Ethnic Origin: please indicate how you identify yourself. (You may select one or more)

Race/Ethnic Origin: please indicate how you identify yourself. (You may select one or more) American Indian/Alaskan Native Asian Black/African American Hispanic Native Hawaiian or Other Pacific Islander White Other Two or More
Are you the first person in your immediate family to attend and pursue a four-year college degree?

Note: You are considered a first-generation college student even if your sibling(s) have attended college, as long as your parents or guardians did not complete a four-year degree.
University
Department

Department Chemical & Biomedical Engineering Civil & Environmental Engineering Electrical & Computer Engineering Industrial & Manufacturing Engineering Materials Science & Engineering Mechanical & Aerospace Engineering
Class
Current GPA
Faculty Advisor/Mentor Faculty Advisor/Mentor First Last
Application Supporting Materials

Please upload the following to complete your application.
Copy of Unofficial Transcript

Attach Files
Faculty Recommendation Letter

Attach Files
Proposed Research Project Abstract

Attach Files