The University of Vermont
321 Marsh Life Science Bldg
Burlington, VT 05405
 Due Date:  April 15, 2007
Notification by: April 22, 2007
Application for 
Interdisciplinary Research Training for 
Mathematics and Biology Students Program
Fall 2007
STUDENT APPLICANT______________________________________________ 

STREET ADDRESS____________________________________________  
 
(ADDRESS)             ___________________________________________  
 
CITY, STATE, ZIP  ___________________________________________  
 
EMAIL:  ____________________________________________________

		TEL: (area code)____________ (number)_________________________

COLLEGE:
Anticipated Major:  Mathematics_____ Biology_____ Double Major_____ 

Research Area Preference (Please rank 1=highest): 
Physiology____
Host-parasite interactions____ 
Mammal/Insect Diversity: Speciation/Phylogeny____

HIGH SCHOOL:  (Freshmen Only)
GPA _______       
Class Rank: (rank and total number of students)  __________
SAT Verbal _________  Math__________ Date taken ___________
Or ACT ___________ Date taken_________________________

*Per National Science Foundation requirements, students must be US citizens or permanent residents. By submitting this application, the applicant certifies that they meet this requirement.
*Optional: Please indicate if you are from a group underrepresented in Mathematics and Biology [Native Americans (American Indians and Alaskan Natives, Abenaki), Blacks (African Americans), Native Pacific Islanders (Polynesians or Micronesians), and Hispanics (Latinos)].