U.S. Bose Scholars Program Application

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This will allow you to return at a later date to finalize your application.
 

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Note: To be eligible to participate in a study abroad program, you must be enrolled in an undergraduate or graduate degree program at the time of application and during the entire study abroad program.

Personal Info
Academic Info
Recommendations

A letter of recommendation from a faculty member, advisor or lab supervisor.

Passport Info

If you do not have a passport, apply for one now! Please include a scanned copy of your passport with your application.

Please include a scanned copy of your passport with your application.
Additional Information
Technical background—courses, lab work, techniques exposed to and past lab experience. Including a description of extracurricular activities, such as volunteer, employment, student organizations.
A statement of what you hope to gain from the experience, with attention to both scientific and cultural experiences. Project ideas of what you would like to work on and suggestions of Indian institutions that you might like to work at (A list of partner institutions in India is available on the Khorana website).
Agreement

I affirm that the information I have given on this application is correct to the best of my knowledge. I also affirm that I meet the following eligibility requirements of a Study Abroad Program 1. I am in good academic standing (not on probation) and meeting the quality of work standards for cumulative GPA as defined by my school or college. 2. I am enrolled in an undergraduate or graduate degree program at the time of application and also during the study abroad program I am applying for. 3. I agree to enroll and participate in any program requirements (e.g. course work, research, papers, etc.) prior to or following the internship experience. 4. I understand and agree, that at the time of my departure, if I fail to meet any of the requirements, as stated above, that I will be declared ineligible and will not be allowed to participate in the program. 5. I authorize the university to release an unofficial transcript, which includes grades from the most current semester completed before my study abroad departure date to Khorana Program administrators to confirm my continued academic eligibility. 6. I understand and accept responsibility that if I purchase my airline ticket and then am declared ineligible to participate in the study abroad program, I may lose the value of that ticket. 7. I understand that my application may be shared with partner institutions in India during the student selection process.

Type name to certify.
Waiver of Right for Pictures
Health and Wellness Information

Please note: Study Abroad Programs do not require a physical for going abroad. However, it may be required for admission by certain universities or by certain countries/visas. We do recommend that you check with your physician for required/suggested immunizations as well as have a dental check-up before departure.

Emergency Contact

Please provide three emergency contacts, with complete names, addresses and telephone numbers (day and night).

Contact 1
Contact 2
Contact 3
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