NRT Trainee Application Form NRT Fellowship and Trainee Application combined Name* First Last Email* I am* Applying to join the NRT program NRT trainee, at the end of my second or third year and applying for a Fellowship I am currently* First Year PhD Student Second Year PhD Student First Year MD/PhD Student Second Year MD/PhD Student I am currently* Second Year PhD Student Third Year PhD Student Second Year MD/PhD Student Third Year MD/PhD Student Semester and year you started the PhD program* Are you a* post bachelor PhD post master's PhD What is your current cumulative GPA (out of 4.0)?* I am a* US Citizen Permanent Resident International Student Please indicate your ethnicity* American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Please indicate your race* Hispanic or Latino Not Hispanic or Latino Please provide your race/ethnicity if not indicated above Gender* Please indicate the department from which you will receive your PhD* GPN Biophysics Program in Biomedical Sciences (PiBS) Biology Biomedical Engineering Mechanical Engineering Electrical and Computer Engineering Psychological and Brain Sciences Pathology Other - if your department is not listed above, please provide it below If your department was not in the above list, please provide it here In 250 words or less, please summarize how your PhD research will be advancing photonics methods to understanding the brain. This can involve the development and/or adoption of novel photonics methods. We understand if your plans change. Here, we just want to understand your current thinking.* Tell us who is your primary and secondary mentor. Note that NRT trainees are expected to have a secondary mentor that complements the primary mentor such that one covers neuroscience and the other photonics. Please ask your mentors to prepare a letter of recommendation for the fellowship and sent to nrt@bu.edu.* Please indicate all faculty members and their home department in whose laboratories you have already completed rotations or are planning to complete rotations.* If you have already matched with a PI, please indicate their name and home department. If you are still completing rotations, please indicate when a match will be made. Note that NRT trainees are expected to have a secondary mentor that complements the primary mentor such that one covers neuroscience and the other photonics.* Please attach a copy of your Resume or CV.* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB. Please attach a copy of your unofficial transcript for graduate coursework* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.