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PSSI 2008  

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)

TEACHER #1
Name:

School:

Telephone Number:
E-mail Address:
TEACHER #2
Name:

School:

Telephone Number:
E-mail Address:

 

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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The Laboratory for Research on the Structure of Matter
University of Pennsylvania / 3231 Walnut Street / Philadelphia, PA 19104-6202, USA
tel: 215-898-5425 fax: 215-898-8296 info@lrsm.upenn.edu
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