UNIVERSITY OF PENNSYLVANIA
MATERIALS RESEARCH SCIENCE
AND ENGINEERING CENTER
Research Experience for Undergraduates
Summer 2012
APPLICATION FORM
* following NSF Guidelines, this program is only
available to US citizens and permanent residents
1. GENERAL INFORMATION
REQUIRED Name:
Institution:
Department:
Chemistry
Physics
Engineering
Other
Year:
Freshman
Sophmore
Junior
Senior (graduating Fall of '12 or later)
CURRENT CONTACT INFORMATION:
Address:
Telephone Number:
REQUIRED E-mail Address:
PERMANENT CONTACT INFORMATION (after 06/2012 school
year):
Address:
Telephone Number:
E-mail Address:
2. STATEMENT OF GOALS:
In the space provided below, state briefly what your
near-future goals are (graduate school, 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 an official copy of your transcript or
arrange to have it sent to the address below.
B. Arrange for a letter of recommendation to be sent
to the address below.
C. Include your Résumé or CV.
* APPLICATION MATERIALS MUST
BE POSTMARKED NO LATER THAN MARCH 1, 2012.
Send additional material to:
Dr. Andrew R. McGhie
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:
DMR05-1120901
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