Compass Application Name(Required) First Last What are your preferred pronouns?(Required)UID(Required)Preferred Email address:(Required)What race/ethnicity do you identify with? (You may select all that apply by holding down ‘Ctrl’ and clicking more than one option)(Required)Indigenous/Native American/Alaskan IndianBlack/African American/ AfricanChicanx/Latinx/HispanicAsian IndianCambodianChineseFilipinoJapaneseKoreanLaotianVietnameseOther AsianGumanianHawaiianSamoanTahitianOther Pacific IslanderOther: (include other racial social identities not listed above)OtherWhat gender do you identify with?(Required)Do you identify as a first-gen student?YesNoCurrent academic year (ex: Continuing 2nd Year, 1st Year Transfer, etc.)(Required)Current major:(Required)If you are a continuing 2nd Year Student, have you taken any Stem Cell courses at UCLA if so, please list them below? (ex: MCDB50, MCDB 90 , MCDB 168, MCDB 191)YesNoStem Cell coursesAre you currently in a UCLA research lab?YesNoIf you selected yes to the previous question, please include your Principal Investigator’s name here.Please describe your previous research experience, if applicable. If you do not have research experience, please enter N/A below. (500 word max)Personal Statement. Please describe why you are interested in stem cell research. Discuss how COMPASS can support your research, professional, and career goals? (500 word max)Have you experienced any barriers/challenges that have impacted your ability to thrive at UCLA, so far? (Barriers include, but are not limited to, academic challenges, commuting, financial difficulties, family obligations, transferring to UCLA, other extenuating circumstances) (250 word max)From the list of COMPASS faculty mentors, please list the top 5 mentors you would be interested in working with. You can find the list of all COMPASS mentors and their research interest in the program description. List them in order of preference and provide one sentence about why you are interested in that lab. (ex: the first name listed is your top choice).Are you a member of another undergraduate research program? (Select all that apply by holding down ‘Ctrl’ and clicking more than one option) Please note: If you are in a research program that forbids extramural funding, you may need to consult Financial Aid about how accepting a new award will affect your overall award package.PathwaysMARCCAREBiomedical Research MinorPEERSLife Sciences Dean AwardUC LEADSCAMPOther: (include name)Other research programPlease select your current future plans?Masters Degree in SciencePhD in ScienceMD DegreeMD/PhD Degree (dual degree)Industry/Pharmaceutical/BiotechDental School/Pharmacy SchoolPublic HealthDegree outside of ScienceUndecided
