North Carolina A&T State University
College of Agriculture & Environmental Sciences
Under
graduate Research Scholars Program (URSP)
(Complete form online, print and submit with original signatures)
Applicant’s Name: _________________________________ Banner Student ID No.: _____________________
Major: _____________________________ Current Classification: Sophomore Junior Senior
Cumulat
ive GPA: ________________ Expected Graduation Date: ________________________
Local Address: ________________________________ Telephone Number (s): ______________________________
Preferred Mailing Address (During Summer): _________________________________________________________
University Email Address: Alternate Email Address: ______________________
Are you a member of a professional organization in your field? Yes No
If y
es, list the organization(s):
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
NARRATIVE: Please answer the following questions on a separate sheet (not to exceed 3 pages).
Responses must be typed and double-spaced.
1. Briefly describe your career interest and state your long-term goals (3-5 years).
2. Explain how participation in this program will help you to achieve your career goals.
3. Briefly discuss current issue(s) in your area of study you are most interested in researching and indicate the
reason for your interest.
REQUIRED FORMS/DOCUMENTS:
1. Submit two (2) Recommendation Forms completed by faculty/ academic advisor and faculty mentor.
Recommenders should not be from the same lab. Recommendations should speak to the recommenders’
observation of applicant’s abilities, skills and readiness for this Program. Recommendation Form is attached.
2. Submit official transcript. Unofficial transcripts will not be accepted.
ORIGINAL SIGNATURES:
________________________________________ ____________________________________
Faculty/Academic Advisor (Print and Sign Name) URSP Faculty Mentor (Print and Sign Name)
Deadline for fully completed application is April 3, 2020. Application should be submitted to the
following address:
Dr. Shirley Hymon-Parker
North Carolina A&T State University
Undergraduate Research Scholars Program
1601 E. Market Street, C. H. Moore Agricultural Research Station, Greensboro, NC 27411
Tel. (336) 285-4701 Fax (336) 334-7674
