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NC-LSAMP Application

North Carolina Louis Stokes Alliance for Minority Participation (NC-LSAMP) Program Application

Personal
  
  
  
  
  
  
  
  
  
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Demographic
  
  
  
  
 
Academic
  
  
  
  
  
  
 
Personal Statement
  
 
Transcripts

Official transcripts from each institution attended must be sent to:

NC-LSAMP Program
1200 Murchison Road
Lyon Science Annex, Room 329
Fayetteville, NC 28301

 
Please select your areas of research interest: (select all that apply)
Biology Computer Simulations Analytical Chemistry Plant Biology
Chemistry Physics Genomics Biochemistry
Molecular Biology Organic Chemistry
 
Emergency Contact
  
  
  
  
 
Please list recommenders that will be providing recommendation forms for you:
  
  
  
  
  
  
  
  
 
Signature

I hereby certify that all information submitted is complete and correct to the best of my knowledge. I understand that failure to disclose accurate and complete information is grounds for dismissal from the program. You have permission to share my application information including my transcripts with faculty and staff to better determine my eligibility for acceptance into the program.

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A Constituent Institution of The University of North Carolina