Application Form UIC Biomedical Engineering Experience for Science Teachers 2025 Application Copy link Part 1:Background InformationName * Required First Last Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email * Required Phone * RequiredYears Teaching * Required Sex * Required Male Female Race * Required American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Choose not to respond Ethnicity * Required Hispanic or Latino Not Hispanic or Latino Choose not to respond Current School Employment * Required What courses do you anticipate teaching in the upcoming academic year? * RequiredHave you participated in a Research Experience for Teachers (RET) program in the past? * Required Yes No If so, indicate name of program, attendance dates, and location. * RequiredPart 2: Supporting DocumentsDescribe your reasons for wanting to participate in this summer research program. How will this program and the integration of engineering into your curriculum impact your teaching practice? Consider how this professional development will contribute to both your learning and your students' learning. (minimum 800 words/maximum 1000) * RequiredAttach the following documents: * Required Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 15 MB. 1) Current resume 2) One letter of recommendation from someone at your current school who can speak about your qualifications for participating and how this program would impact our classroom/school. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.Part 3: Biomedical Engineering Research Experiences1 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston2 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston3 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston4 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. Thomas RoystonDr. James Patton5 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston6 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston7 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas Royston8 * RequiredDr. Kamran AvanakiDr. David EddingtonDr. John FinanDr. Salman KhetaniDr. Irena LevitanDr. Mathew MathewDr. James PattonDr. Thomas RoystonTop Choice: Describe why this is your top choice and how you might connect this lab experience to your classroom curriculum. * Required Second Choice: Describe why this is one of your top choices and how you might connect this lab experience to your classroom curriculum. * RequiredThird Choice: Describe why this is one of your top choices and how you might connect this lab experience to your classroom curriculum. * Required