2021 Summer Undergraduate Research Program – Internal Application 2022 SUNY Poly Undergraduate Research Program - Internal Name * Required First Last Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone * RequiredEmail *Please use your official university email address * Required Do you have the legal right to accept employment in the United States? * Required Yes No Where are you currently a SUNY Poly student? * Required Albany Campus Utica Campus Major or area of study at SUNY Poly: * Required Current GPA: * Required Anticipated graduation date (year, month): * Required • Have you participated in the SUNY Poly SURP program previously? * Required Yes No If you are not provided a paid SURP position, are you interested in research for credit? * Required Yes No If you are not provided a paid SURP position, are you interested in volunteering? * Required Yes No SURP Position InformationPlease indicate your top three SURP position choices below. Available positions can be found online at: https://sunypoly.edu/sites/default/files/2022-02/2022-SURP-Research-Descriptions-for-Students-V2-CR.pdf First choice position (last name of faculty advisor, project number): Second choice position (last name of faculty advisor, project number): Third choice position (last name of faculty advisor, project number): Which campus would you like to be located at for the internship? * Required Albany Utica Either Remote only Are you interested in housing during the internship program? * Required Yes No Research Experience (list prior research internships, research projects or laboratory experience): * RequiredRelevant Coursework (list relevant college-level coursework): * RequiredPlease list two references, including the phone number and email address for each reference: * RequiredAttachmentsPlease note for the attachments below: When submitting the attachments listed, please put your first initial and last name in the filename of all attachments ex: JSmith_Transcript.pdfStatement of Interest (should be at least 100 words)Accepted file types: docx, doc, pdf, txt, Max. file size: 50 MB.Please put your name in filename ResumeAccepted file types: docx, doc, pdf, txt, Max. file size: 50 MB.Please put your name in filenameUnofficial TranscriptAccepted file types: docx, doc, pdf, txt, Max. file size: 50 MB.Please put your name in filenameCaptcha
