Application for Summer Undergraduate Research Program nsf research Experiences for Undergraduates (reu) – 2015 Please Print Clearly or Type

Download 11.98 Kb.
Date conversion02.02.2017
Size11.98 Kb.


Application for Summer Undergraduate Research Program

NSF Research Experiences for Undergraduates (REU) – 2015
Please Print Clearly or Type

Name: ________________________________________ Social Security Number: _____________________

Last First Middle

Current Street Address: ____________________________________________________________________

City: ___________________________________ State: ____________ Zip Code: _____________________

Phone: ________________________________ Email: ___________________________________________

Permanent Contact Information

Street Address: ___________________________________________________________________________

City:____________________________________ State:_______________ Zip Code:___________________

Phone: _____________________________ Email: _______________________________________________

Personal/Academic Information:

 U.S. Citizen  Permanent Resident

Ethnicity/Race:  Hispanic or Latino  Not Hispanic or Latino

Race (Select one or more):  American Indian or Alaska Native  Asian  Black or African American

 Native Hawaiian or Other Pacific Islander  White

College or University: _______________________________ Major: ________________________________

Current grade level: ________________________________ Present GPA: ___________________________

Expected Graduation Date: ________________ Academic Honors or Awards: ________________________

Which UND department is of most interest:

 Chemistry  Chemical Engineering

Which project is of most interest (see our web site for a description of REU projects)

First choice: _____________________________________________________________________________

Second choice: ___________________________________________________________________________

List at least one professional reference whom we can call for recommendation on your behalf

  1. Name__________________________________ (2) Name ______________________________________

Affiliation _________________________________ Affiliation ___________________________________

Phone: (_______)____________________________ Phone: (_______)______________________________

To apply to this program you must submit this application, a transcript of your academic record, and a brief narrative that discusses your interest in this program, and your long-term career goals. Please provide a feel for your background and your interest in research: what projects you have been involved with in the past if any; and if you prefer experimental or theoretical work.

I certify that all information (including transcripts) is valid and true to the best of my knowledge

Signature: _____________________________________________ Date: ____________________________

Send application materials to:

Dr. Yun Ji


241 Centennial Dr.

Grand Forks ND 58202-7101

Applications due by April 1, 2015.

Late applications will be considered if we have space remaining in the program.

The database is protected by copyright © 2016
send message

    Main page