Summer Undergraduate Research Diversity (SURD) Program - Interest Form 
This interest for is for undergraduate students interested in applying to UC Berkeley's College of Chemistry - Summer Undergraduate Research Diversity (SURD) program. This program will run for 9 weeks from June 10 - August 10, 2024. It includes a $5500 stipend plus an allowance to cover housing, food and travel to and from UC Berkeley. 
Email *
First Name  *
Last Name  *
Email  *
I am currently enrolled in a *
Current undergraduate institution  *
Are you a current or former Dow Sure Scholar?  *
Major (in school), for example, Chemistry, Chemical Engineering, etc.  *
Year in school  *
Anticipated year of graduation  *
Are you currently considering going to graduate school?  *
Are you planning to apply for graduate school this fall? (by Dec 1, 2023) 
Clear selection
Undergraduate GPA (optional) 
Gender *
Have you done undergraduate research prior? (please note, no prior experience is necessary and we highly encourage those who do not have undergrad research experience to apply!)  *
Do any of these apply to you? (please check all that apply and note that these are not required to qualify for our program)  *
Required
If you consider yourself from an underrepresented group, please select any of the following that apply to you - these are groups that are traditionally underrepresented in STEM.  *
Required
I confirm that I am 18 and over (this is a requirement to participate in the program)  *
What kind of support would you be interested in to prepare for the summer internship application? *
How did you find out about this program?  *
Please write 1-2 sentences about why you are interested in applying to this program.  *
Please direct questions to Coc_diversity@berkeley.edu or leave us a note here with any additional questions you may have!

Please note, the application for this program will open December 1, 2023 and is due by February 15, 2024. By filling out this interest form, you will be notified via email when the application opens!  *
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