UNIVERSITY OF PENNSYLVANIA
MATERIALS RESEARCH SCIENCE
AND ENGINEERING CENTER
PENN Summer Science Initiative for High School Students
Summer 2008
APPLICATION FORM
* following NSF Guidelines, this program is only
available to US citizens and permanent residents
1. GENERAL INFORMATION
REQUIRED Name:
Address:
Phone:
REQUIRED Email:
Year:
Freshman
Sophmore
Junior
CURRENT SCHOOL ATTENDED:
School:
Address:
School's Main Telephone Number:
TEACHER REFERENCES: (references from two of your teacher's,
sent to the address below, are required with this application)
2. STATEMENT OF GOALS:
In the space provided below, state briefly what your
near-future goals are (university, work,
)
3. STATISTICAL INFORMATION (OPTIONAL):
***The
following information is strictly confidential and
used for NSF statistical purposes only.
Gender:
Male
Female
Ethnic Group / Racial Background:
White (not of Hispanic origin)
African American / Black (not of Hispanic origin)
Native American or Alaskan Native
Hispanic
Asian
Pacific Islander
Special Needs:
4. ADDITIONAL MATERIALS:
A. Include a copy of your school transcript or arrange
to have it sent to the address below.
B. Arrange for two letters of recommendation, by teachers,
to be sent to the address below.
C. Include your Résumé or CV.
*APPLICATION MATERIALS MUST
BE POSTMARKED NO LATER THAN APRIL 30, 2008.
Send additional material to:
Dr. Andrew R. McGhie
Associate Director
Laboratory for Research on the Structure
of Matter
University of Pennsylvania
3231 Walnut Street
Philadelphia, PA 19104-6202
This program is supported by Penn's NSF-MRSEC grant:
DMR05-20020
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