* 1. Legal Name (Last, First, Middle Initial)

* 2. UM Student ID Number:

* 3. UM Uniqname:

* 4. Street Address:

* 5. City:

* 6. State:

* 7. Zip Code:

* 8. Home Phone:

* 9. Student Cell Phone:

* 10. Current Email Address (Non-UM):

* 11. Gender:

* 12. Please indicate the highest level of education you expect to achieve in your lifetime:

* 13. Please explain why you are interested in participating in the M-Bio Program. Please include how you would benefit from the program and what contributions you would make to the M-Bio community (Please limit response to 250 words or less).

* 14. Briefly describe your experience in your high school biology course(s). How well do you think these courses have prepared you for the academic rigor of Michigan's undergraduate biology courses?

* 15. Which of the following areas of biology are you considering as your concentration? You may check more than one.

* 16. Briefly (1-2 paragraphs) tell us about your academic, research, and career interests.

* 17. Please indicate your current plans regarding participation in other UM programs. We realize you may not be familiar with some of these programs. You should check "No Plans to Apply" if you are unfamiliar with certain programs, though we realize you may later change your mind once you learn more about them:

  No Plans to Apply Plan to Apply Applied Will Participate, if Accepted
Comprehensive Studies Program (CSP)
Health Science Scholars Program (HSSP)
Honors Program
Douglass Houghton Scholars Program (DHSP)
Leaders and Best Program (LAB)
Lloyd Hall Scholars Program (LHSP)
Mentorship Program
Michigan Community Scholars Program (MCSP)
Residential College (RC)
Michigan Research Community (MRC)
Women in Science & Engineering (WISE) or WISE – RP (Residential Program)

* 18. The M-Bio Summer Program is designed as an intense seven-week academic boot camp. It is a highly structured program, including nightly curfews, restricted campus boundaries, group meals, mandatory activities, close staff supervision, etc. Generally M-Bio students will spend their days and evenings with other M-Bio students in classes, study sessions, and extracurricular activities. Please discuss what you perceive as the benefits and challenges of such an intense, structured experience.