SCADAR Application Due Date: Jan 15, 2020
Required fields are indicated using (*).
Date of Application
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PERSONAL INFORMATION
Last Name(*)
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First Name(*)
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Permanent Street Addres(*)
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City(*)
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State(*)
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Zip Code(*)
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Phone Number with Area Code(*)
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Email:(*)
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Gender(*)
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Prefer to self describe
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RACE ETHNICITY INFORMATION
Hispanic, Latino, or of Spanish origin?
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CITIZENSHIP SECTION
US Citizen or Permanent Resident?(*)
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Please select one or more of the following groups with which you identify:(*)





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ACADEMIC DATA
Current College(*)
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Major(*)
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Minor
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I have interests in these career paths(*)










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If other, enter here.
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Number of Hours you are currently enrolled.(*)
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Are you a sophomore?(*)
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Cumulative GPA(*)
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Expected Graduation Date: MM/DD/YYYY (include / symbol)(*)
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Do you plan to attend graduate school?(*)
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LIST ACADEMIC HONORS OR AWARDS YOU HAVE RECEIVED
List your honors or awards.
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CURRENT OR PREVIOUS JOBS/WORK EXPERIENCE
List your current or previous jobs/work experience(*)
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EXTRACURRICULAR AND/OR SERVICE BASED
Please describe any involvement in extracurricular and/or service based organization or activities.(*)
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TECHNICAL OR COMPUTER SKILLS/TRAINING
Please list any specialized technical or computer skills and/or training.(*)
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Personal Statement
Instructions:
This is your opportunity to tell us about yourself. Please provide your answers to the following two questions (Microsoft Word, 12 point font, single spaced).

1). What are your research interests and your particular interests in science and aging (1 page maximum)?

2). How will your involvement in this undergraduate research program fit within your academic and career goals (1 page maximum)?
Research Interests:Upload your essay (Word or pdf only).(*)
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Academic and Career Goals: Upload your essay (Word or pdf only).(*)
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Upload your unofficial transcript (Word or pdf Only)(*)
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Upload your resume (Word or pdf Only)(*)
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REFERENCES (LETTER OF RECOMMENDATION).
Letter of recommendation (must be an academic recommendation, commenting on motivation and aptitude for research and work ethic).
Email address of person for Letter of Recommendation(*)
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The information on this application is true to the best of my knowledge. Should I furnish any false information on this application or on any supporting document, reference, or material, I understand that this act shall constitute cause for denial of my application or termination from the program.
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Agreement(*)
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For questions about the application process, please contact your HBCU coordinator or USC contacts, listed below:

Allen University
Dr. Oluwole Aiyo-oariyo@allenuniversity.edu

Benedict College
Dr. Hong Jiang- hong.jiang@benedict.edu

Claflin University
Dr. Omar Bagasra-obagasra@claflin.edu

Voorhees College
Dr. Alexandra Proctor -aproctor@voorhees.edu

South Carolina State University
Dr. Judith Salley-djdsalley@scsu.edu