2016 YNS Summer High School Research Application Form, Part 1

I. ELIGIBILITY AND DIVERSITY

Young Nebraska Scientists (YNS) programs are open to all eligible applicants. We especially encourage the participation of individuals who are underrepresented in the fields of science, technology, engineering and mathematics.

II. CONFIDENTIALITY OF INFORMATION

Financial information and other personal data are requested, either for reporting of aggregate YNS participant information the National Science Foundation (NSF) or for filling camp spaces that are open specifically for low-income or potential first-generation college students. No one may see the information you provide unless they work for Nebraska EPSCoR. The information reported to NSF is not associated specifically with the individual participant and is used in general statistical information about program participants, to help measure our success and to improve YNS programs.

III. SUMMER RESEARCH EXPERIENCE WORK PLANS

YNS Summer High School Researchers can work up to 35 hours each week for up to 8 weeks. We ask that applicants consider these experiences a very high priority and that outside employment not be pursued if possible. However, we do understand that high school students have many commitments, and we have asked host researchers to allow high school researchers some flexibility with their summer schedules to accommodate these commitments. You will be asked to indicate your tentative commitments for summer 2016 below.

Part 1 - General Info and Academics

Student Information
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Biographic/Demographic Information
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Are you a US Citizen?

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If no, are you a permanent resident of a U.S. Territory or have you applied or intend to apply for U.S. Citizenship?

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As required by the program, I will be 16 years old by June 1.
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Academic Information
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Current grade student is enrolled in

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What are your academic aspirations?




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What are your career aspirations?




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Community Information
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Are you employed?

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Summer Research Experience Work Plans
Please indicate the number of hours per week you think you would do research during the summer



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Mother or Female Guardian

Provide information for this individual only if they have been the sole or partial provider for the applicant in the last year.

Did she graduate from high school?

Did she attend college?

Has she earned a college degree?

Father or Male Guardian

Provide information for this individual only if they have been the sole or partial provider for the applicant in the last year.

Did he graduate from high school?

Did he attend college?

Has he earned a college degree?

Household Information
Parents are:




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Student lives with (check all that apply):



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If the student lives with a guardian, what is the guardian's relationship to the student?




Is the applicant eligible for free or reduced-price meals according to Federal Guidelines?

Go to the following link to determine if you are eligible: http://www.fns.usda.gov/cnd/Governance/notices/iegs/IEGs.htm
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Parent/Guardian Permission and Verification
Understanding the YNS High School Summer Research Program commitment, I give permission for my/our son/daughter/ward to participate in the YNS High School Summer Research Program and any assessments and other evaluations during the program.