The Laboratory for Research on the Structure of Matter (LRSM)

REU APPLICATION FORM

UNIVERSITY OF PENNSYLVANIA
MATERIALS RESEARCH SCIENCE & ENGINEERING CENTER

Research Experience for Undergraduates Summer 2014

June 2 - August 8, 2014

APPLICATION FORM

1. CITIZENSHIP

REQUIRED I am a US citizen or permanent resident

2. GENERAL INFORMATION

REQUIRED Name:
Institution:

Department:

Chemistry
Physics
Engineering
Other

Year:

Freshman
Sophmore
Junior
Senior (graduating after this program)

CURRENT CONTACT INFORMATION:

Address:

Telephone Number:

REQUIRED E-mail Address:

PERMANENT CONTACT INFORMATION (after current school year):

Address:

Telephone Number:

E-mail Address:

How did you hear about this program? (Check all that apply)

Previous program participant
Peer/friend
Your advisor/department/program
Listserv/mailing
Web search/website

If you answered "Web search/website" can you please elaborate on how you arrived on our outreach webpage?
Student group or professional society
Flyer
Other

 

3. STATEMENT OF GOALS:
In the space provided below, state briefly what your near-future goals are (graduate school, work,… )

 

4. 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:

5. INTERESTS:
What areas of science are you most interested in?

6. Include your Résumé or CV.


***Only *.txt, *.pdf, *.doc, and *.docx file types can be uploaded

7. ADDITIONAL MATERIALS:

A. Include an official copy of your transcript:
***Only *.txt, *.pdf, *.doc, and *.docx file types can be uploaded
or email to: mlicurse@seas.upenn.edu
or arrange to have it sent to the address below.

B. Arrange for a letter of recommendation to be uploaded at the following link:
[ www.lrsm.upenn.edu/outreach/letterofrec.html ].
* For faster processing, using the on-line form for uploading the letter of recommendation is recommended.

 

* APPLICATION MATERIALS MUST BE POSTMARKED NO LATER THAN MARCH 1, 2014.

Send additional material to:

Mark Licurse
Associate Director, NSF-REU Program
Laboratory for Research on the Structure of Matter
University of Pennsylvania
3231 Walnut Street
Philadelphia, PA 19104-6202

 

 

This REU program is supported by Penn's NSF-MRSEC grant
under Award Number: DMR-1120901
 
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
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