June 1 - August 7, 2015
REQUIRED I am a US citizen or permanent resident
2. GENERAL INFORMATION
Cumulative GPA/scale (e.g., 3.2/4.0):
Senior (graduating after this program)
Expected graduation date (mm/dd/yyyy):
CURRENT CONTACT INFORMATION:
REQUIRED E-mail Address:
PERMANENT CONTACT INFORMATION (after current school year):
How did you hear about this program? (Check all that apply)
Previous program participant
Student group or professional society
Are you a first-generation college student (i.e., you are in the first generation of your family to go to college)?
Will you require housing? (we subsidize the costs to ensure it's affordable)
3. STATEMENT OF GOALS (5 sentences or less):
In the space provided below, state briefly what your near-future goals are (graduate school, work, )
4. STATISTICAL INFORMATION (OPTIONAL):
Ethnic Group / Racial Background:
White (not of Hispanic origin)
African American / Black (not of Hispanic origin)
Native American or Alaskan Native
5. INTERESTS (5 sentences or less):
What areas of science are you most interested in?
6. Include your Résumé or CV.
7. ADDITIONAL MATERIALS:
A. Include an official copy of your transcript:
or email to: firstname.lastname@example.org
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, 2015.
Send additional material to:
Associate Director, NSF-REU Program
Laboratory for Research on the Structure of Matter
University of Pennsylvania
3231 Walnut Street
Philadelphia, PA 19104-6202
If there are any parts of this form for which you feel that the available responses on the form do not fit your particular situation, please provide (brief) further explanation.