UCLA SEE-LA GK-12 Graduate Fellow Application

Dear UCLA Science or Engineering Graduate Student,

Please fill in the following information to apply for a GK-12 Fellowship with the UCLA/NSF GK-12 SEE-LA program.

PLEASE NOTE: Along with this on-line application, it is REQUIRED that you print-out and give the following letter to your graduate advisor. Your graduate advisor, must sign and FAX or send an email to the GK12 Director (mmoldwin@ucla.edu) stating that they approve of the graduate fellowship application, understand what the program's goals are, and are supportive of your participation in the NSF GK-12 SEE-LA program. ("Dear Advisor Letter")

1) Name

2) Graduate Program

3) Advanced to Candidacy? yes no

4) Year of Graduate Study (i.e., 3rd year)

5) Expected date (month/year) of graduation

6) Advisor's name and email

7) List Teaching Experience

8) e-mail address

9) phone number

10) Grade Level Preference Elementary Middle High School

11) Class interest (i.e., Earth Science, Physics, Chemistry etc.)

12) Undergraduate institution and major

13) Briefly describe your vision of how your research area can be integrated into the pre-college science classroom.