UNIVERSITY OF PENNSYLVANIA
MATERIALS RESEARCH SCIENCE
AND ENGINEERING CENTER
Research Experience for Teachers
Summer 2012
APPLICATION FORM
* following NSF Guidelines, this program is only
available to US citizens and permanent residents
1. GENERAL INFORMATION
REQUIRED Name:
High School:
Type of school:
Public District High/Junior High
Public Magnet High/Junior High
Private High/Junior High
Number of students enrolled in your school:
Subjects taught: (e.g., chemistry, physics,
etc...)
Number of years teaching:
Class level taught:
Introductory
Advanced
Introductory and Advanced
CURRENT CONTACT INFORMATION:
Home Address:
Telephone Number:
Personal e-mail Address:
SCHOOL CONTACT INFORMATION:
Address:
Telephone Number:
REQUIRED E-mail Address:
2. STATEMENT OF GOALS:
In the space provided below, state briefly how this program
would impact your teaching.
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 MATERIAL:
A. Arrange for a letter of recommendation, from your
department head or principal, to be sent to the address
below.
B. Include your Résumé or CV.
C. Please indicate your preference for the projects
above.
*APPLICATION MATERIALS MUST
BE RECEIVED NO LATER THAN MAY 1, 2012.
Send additional material to:
Dr. Andrew R. McGhie
Director, NSF-RET Program
Laboratory for Research on the Structure
of Matter
University of Pennsylvania
3231 Walnut Street
Philadelphia, PA 19104-6202
This RET program is supported by Penn's NSF-MRSEC grant
under Award Number:
DMR05-1120901
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