Dean’s Award for Life Science Research
Application Now Open for Winter 2021
Application deadline:
Week 5 of Fall Quarter
Applications must be received by the deadline in order to be considered. For questions regarding the award, please contact COMPASS-Life Science Directors Dr. Gina Poe (ginapoe@ucla.edu) or Dr. Megan McEvoy (mcevoy@microbio.ucla.edu).
Last Name: First Name:
UCLA SID #:
By providing your UCLA SID number you are authorizing the COMPASS Life Science Director’s to access information from your student record for application purposes and during the period of the award.
Major: Minor (if any):
Email:
Cell phone or best contact phone:
Text OK? Yes No
Current Address (not necessarily your permanent address, but where you are living now):
Ethnic group:
- Hispanic or Latino
- Not Hispanic or Latino
Racial group (check all that apply):
- American Indian or Alaska native
- Asian
- Black or African American
- Native Hawaiian or other Pacific Islander
- White
Are you from a socio-economically disadvantaged background and qualify for federal disadvantaged assistance (e.g. Pell grant)? Yes No
If applicable, please have documentation available for verification upon request.
Are you a student with a disability? Yes No
If yes, have you registered with the UCLA Center for Accessible Education (CAE)? Yes No
Date of matriculation to UCLA:
GPA at UCLA:
Expected graduation date (quarter, year):
Highest degree objective:
- PhD
- Dual degree (MD/PhD or DDS/PhD or similar)
- MD
- Master of Science (MS)
- Bachelor of Science (BS)
- Other professional degree (e.g. PharmD, DVM, DDS, etc.)
- Other________________________________________
Career objectives (100 characters, not including spaces, max):
List any previous or current research experience below:
Dates (month/year-month/year) & approx total hours Faculty mentor (& institution if not UCLA)
If not already conducting research, list one to three faculty members at UCLA that you are interested in working with, and provide one or two sentences describing why you have an interest in this lab (300 characters max).
Name: Department:
Interest in this lab:
Name: Department:
Interest in this lab:
Name: Department:
Interest in this lab:
Please upload a separate file that includes BOTH the Personal Statement and Research Statement (Include your last name in the name of the file)
PERSONAL STATEMENT ESSAY
Must be at least 100, but no more than 3500 characters (excluding spaces).
Please elaborate on all of the following topics, and anything else you’d like us to know about you:
- Your family, education, and community background
- Factors that contributed to your decision to study science
- Your area of research interest (if known)
- How you anticipate this award will make a difference in your life
RESEARCH EXPERIENCE ESSAY
Must be at least 100, but no more than 3500 characters (excluding spaces).
If you have previous and/or current research experience, please describe the research (give us a brief introduction, your hypothesis, the methods you used, and either your expected or actual results). If you have not yet had any research experience, describe your potential research interests as well as you can imagine.
TRANSCRIPT(S)
Please authorize the COMPASS Life Science Directors to obtain your Degree Progress Report (DPR) from your student record: Authorization permission: Yes No
RÉSUMÉ/CV (please upload as a separate file, include your last name in the name of the file)
Provide a résumé/CV that includes any information on your educational background, awards, scholarships, outside activities, specialized skills or leadership positions that you would like us to be aware of.