Neurotechnologies to Help the Body Move, Heal and Feel Again Program Dates: June 1 – August 9, 2022 Application Deadline: May 27, 2022 Basic Information Student Name University Currently Attending Email Address Mobile Phone Number Current School Address School Phone Number Permanent Mailing Address Permanent Phone Number Citizenship Status (select one) - Select -US CitizenPermanent Resident Education Information Expected Graduation Date (select one) Expected Graduation Date (select one) - Select -Spring 2022Fall 2022Spring 2023Fall 2023Spring 2024Fall 2024Spring 2025Other… Enter other… Cumulative GPA GPA for last 60 hours Academic Major(s) Minor (if any) Faculty Recommender Information Faculty Member Name Title Department and Institution Email Address Other Information List completed courses (including course number and title) that you feel are relevant to summer research in neurotechnologies to help the body move, feel and heal again. List courses that you are currently taking (including course number and title) that are not yet listed on your transcript. List honorary and professional societies of which you are a member, including any offices that you hold, as well as any extracurricular activities or organizations in which you participate. How did you hear about our program? Application Checklist Please combine the following documents into a single PDF with your name as the title and email to reu_brain@egr.uh.edu: Checklist: Application form (Please print/save this form as PDF.) One-paragraph description of prior research experience, if any One-page essay describing your motivation for participating in the REU Site “Neurotechnologies to Help the Body Move, Feel and Heal Again” Program. Describe how your participation fits into your short- and long-term educational and career goals. Current unofficial transcript. Once accepted to the program, you will be asked to provide an official transcript within two weeks of your acceptance date. In addition, please arrange for the following to be separately emailed to reu_brain@egr.uh.edu: Faculty recommendation letter Captcha CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? Enter the characters shown in the image. Get new captcha!