First Name (required)
Last Name (required)
Email Address (required)
Address (academic year)
I confirm that I am currently enrolled at this university and will not have finished my degree program prior to the completion of the fellowship period.
—Please choose an option—MscPhD
Membership in an underrepresented group
Member of an underrepresented ethnic and racial group as defined by the National Science Foundation (specifically: African American, Hispanic/Latino, Native American, Alaskan Native, Pacific Islander)Member of the LGBTQ+ CommunityDisabled
If you selected Other please clarify below.
LUMCON Faculty Sponsor (Select One)
—Please choose an option—Dr. Stephanie ArcherDr. Marshall BowlesDr. Juliana D'AndrilliDr. Alex KolkerDr. Kevin Du ClosDr. Guillaume RieucauDr. Brian Roberts
Please upload files as PDFs
1. Research Proposal (one page).
2. Research Timeline (one page)
3. Project Budget Form
4. Budget Justification (two pages)
5. Personal Statement (one page)
6. CV (three page max)
7. Graduate Advisor support form
8. LUMCON Mentor support form