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REU Application

Application Deadline: February 15, 2010

I AM APPLYING FOR: 

  ASPIRE REU (American Student Placements in Rehabilitation Engineering)

QoLT REU (Quality of Life Technology)

CONTACT INFORMATION

Applicant Name:   

Last:          First:            

Permanent Address:        

Street:             

City:                State:       

Zip Code:               

Campus Address:

Street:                 

City:                    State:       

Zip Code:               

Home Phone:                Cell:      

Email:   

HOME UNIVERSITY OR COLLEGE INFORMATION 

Name of University/College:             

Major:               

Minor (if applicable):   

Current Year:      Freshman      Sophomore      Junior      Senior

Cumulative Grade Point Average:           

Expected Graduation Date (mm/yy):    /   

RESEARCH INTERESTS

Have you previously participated in an NSF REU program?:      Yes      No 

Have you engaged in one semester or more of research?:      Yes      No

If you replied "yes" to either of the two previous questions, please describe your research experience, including approximate dates:

 

Your ideal summer research project would involve (check all that apply):

  Software development      Survey design and development                                    Human subject data collection and analysis                                                                       Prototype design and development      Electronics circuitry and schematic design  

Do you have familiarity with any of the following (check all that apply)?:

  Access or other database software      C/C++      Electronics      HTML        Java      Linux/Unix      Matlab      MediaWiki      OpenGL      PostGres      SolidWorks    SQL      Visual Basic      Other:     

I am most interested in working on the following projects (project information included on projects link):

Top Choice     

Second Choice     

Third Choice 

Information you choose to provide with respect to factors such as gender, race/ethnicity, disability status, age, or national origin is optional and will remain confidential. This information is, however, of value to us and to the National Science Foundation in tracking the participation of various groups in the programs it funds. Please check all categories that apply to you. You may clarify your responses in your statement of interest or in a separate e-mail message.

DEMOGRAPHIC INFORMATION:   

Gender:      Male      Female

Race/Ethnicity:                                   

  African American      Asian      Caucasian                                                                  Hawaiian Native/Pacific Islander      Hispanic/Latin                                                     Native American/Alaskan Native      Other:   

Disability Status:

  Hearing Impairment      Visual Impairment      Mobility/Orthopedic Impairment     Other:   

Are you a citizen or permanent resident of the US?:      Yes      No

At this time you should email Mary Goldberg your resume, personal statement*, and letter of recommendation. 

*Your personal statement should include:

  1. Why you are interested in participating in the REU program;
  2. What specific research area you are interested in and why;
  3. A brief description of any relevant courses you are taking or have taken;
  4. What you will contribute to the REU program;
  5. An explanation of any relevant volunteer experience;
  6. Your career objectives

 

How did you hear about our program (check all that apply)?

  Brochure      Direct Mailing      Instructor/Faculty   

  Human Engineering Research Labs Website      NSF Website   

  Online Internship Clearinghouse      Quality of Life Technology Website

  Student      Other: 

Thank you for completing the application form!