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This application is for the summer 2017 Research Academy. Please complete all of the questions in this application. Incomplete applications will be deleted after 1 week. When a survey is successfully submitted, you will see a summary of your answers.
Student's last name:
Student's first name:
When is your birthday?
Student email address:
Student phone number:
Parent/Guardian email address:
Parent/Guardian phone number:
The Summer Research Academy cannot provide housing or transportation.
What is your home address? (Include street, city, state, and zip code. Example: 12345 South Parkway, Austin, TX 78704)
Please give your address while you will be attending the program. If it the same as your home address, you can enter "same".(Example: 12345 South Parkway, Austin, TX 78704)
I am aware that the UT-Austin Summer High School Research Academy cannot provide housing or transportation, and I have reliable transportation to and from the UT-Austin campus.
High School Name:
This program is open to any student regardless of nationality or citizenship, but the university requires information about each applicant's nationality so that we can process the appointments of applicants accepted to the program. Please indicate the student's citizenship...
U.S. Permanent Resident, citizen of
Non-U.S. resident, citizen of
All students must be at least 15 years-old. For the 2017-18 academic year, I will be classified as a:
I have already been communicating with a UT professor regarding summer research placement, or I previously attended the High School Research Academy.
Yes, Research Methods, which year and month?
Yes, I attended the Research Academy and worked with:
Yes, name of professor/researcher with whom you have been in contact (by answering 'yes', you are indicating that this researcher has agreed to have you work in their lab this summer):
We have some paid internships as well as scholarships to offset the costs of tuition. Are you eligible for free or reduced lunch at your school?
For a lab placement I am available during the following weeks (must be
5 consecutive weeks). Most labs are open in June and July, with a few staying open into August. The more availability you have, the more likely it is that we can find a lab to match your schedule:
Please list five words that best describe your interests in scientific research (example: biology, microscopes, cells, insects, and viruses)
Share with us why you are interested in participating in the this program. This essay is the most important part of your application (max. 6000 characters):
In order to be considered for Summer Research Academy participation, completed applications must be submitted by April 2, 2017. Completed applications include the following items:
1. Submission of this on-line application
2. A teacher recommendation form - send this link to the teacher who will recommend you:
Give the name of the person who will write your recommendation:
A liability and medical release form signed by your parent or guardian. These forms will be signed via an online system called Docusign. These links will open in another window.
4. The cost for the Summer 2017 High School Research Methods and Research Academy is $700. Once payment is made, refunds will only be given if the student is unable to attend for medical or other reasons outside of your control. Accepted students will be notified about how to submit payments.
(The University of Texas is committed to providing this opportunity to a diverse range of high school students. We have paid internships as well as scholarships to help defray the costs of the program. If you would like to be considered for one of these opportunities, please send an email demonstrating financial need to Dr. Stuart Reichler (
) no later than April 2, 2017.)
I have read and understand all application requirements for the High School Summer Research Academy. After successfully submitting your application, you will see a summary of your answers.
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