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
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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
NSF IREC REU Program UND
241 Centennial Dr.
Grand Forks ND 58202-7101
und.chem_REU_IREC@ad.ndus.edu
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Applications due by April 1, 2015.
Late applications will be considered if we have space remaining in the program.
http://arts-sciences.und.edu/chemistry/outreach/reu.cfm
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