Duquesne University | Bayer School of Natural and Environmental Sciences

Mission & Objectives | Sponsors | Summer Program | Academic Year Program | Chemistry REU

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All fields are required unless noted:

Contact Information

First Name
Last Name

Current Mailing Address

City

State Zip Code
Email

Permanent Home Address
Permanent City/State/Zip
Gender* Female Male

Citizenship* U.S. Citizen
Non-U.S. Citizen
Permanent Resident
(Green Card Holder)

Academic Profile

Education

University Name

Current Year Freshman
Sophomore
Junior

Major

GPA in Major

Overall GPA

Credits Earned in Major

Total Credits To Date
Math & Science: Overall:

Recommendation Letters

Letters to come from: 1.
2.

Faculty Selection

Faculty from the Bayer School you
would like to work with: 1.
2.
3.

Areas of Interest

All areas
Biochemistry
Biology
Chemistry
Environmental Science
Forensic Science
Pharmacy
Physics

Optional Information

How would you describe yourself?* Alaskan Native or American Indian
Asian
Black, not of Hispanic Origin
Hispanic, not Puerto Rican
Pacific Islander
Puerto Rican
White, not of Hispanic Origin
Other

*This information is used strictly for reporting purposes and in no way will affect the status of your application or cover sheet. Duquesne University does not engage in discrimination on the basis of race, color, religion, national origin, sex, age, disability or status as a veteran or disabled veteran, per our Non-Discrimination and Non-Harassment Policy.