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 2015

June 1 - August 7, 2015

APPLICATION FORM

1. CITIZENSHIP

REQUIRED I am a US citizen or permanent resident

2. GENERAL INFORMATION

REQUIRED Name:
Institution:

Major:

Cumulative GPA/scale (e.g., 3.2/4.0):

Birth date:

Current status:

Freshman
Sophmore
Junior
Senior (graduating after this program)

Expected graduation date (mm/dd/yyyy):

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

Are you a first-generation college student (i.e., you are in the first generation of your family to go to college)?

Yes       No

Will you require housing? (we subsidize the costs to ensure it's affordable)

Yes       No

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, 2015.

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

Comments/further explanation

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.

 

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
home | research | people | events | outreach | facilities | interaction | publications | patents | contact | Penn home