IRES: UT Arlington – Spain Collaborative Research on Hazard Mitigation of Civil Infrastructure Funded by the National Science Foundation’s International Research Experiences for Students (IRES) Program. 2016 Program Application – Undergraduate Researcher Please type or print all information. Last Name, First Name Phone Mailing Address City State E-mail Address Zip Citizenship Status: U.S. Citizen U.S. Permanent Resident Spanish Language Competency: Excellent Good International Fair None University/College Expected Graduation Date Major or Intended Major Cumulative GPA Classification: Freshman Sophomore Junior Senior Race/Ethnicity (Select one or more): White (Non-Hispanic) African American Native Hawaiian or Other Pacific Islander Asian Hispanic or Latino Native American Other: _____________________ Disability Status (Select one or more): None Hearing Impairment Mobility/Orthopedic Impairment Veteran Status: Yes Visual Impairment (other than minor correction) Other:_______________________ Gender: No Male Female Are you available to attend the IRES Spain Summer Program during June 3 - July 16, 2016? Yes NO Will you have at least $1,500 in cash or credit personally available for your expenses while living in Spain? Yes NO NOTE: All meals, housing and travel expenses will be paid by the IRES project upon return from Spain. However, it may take up to three months after your return to receive the reimbursements. Is this acceptable? Yes NO Do you have a valid passport for Spain Travel with at least one year expiration date from June 2016? Yes NO Page 1 of 4 Summer Research projects to be held in Valencia, Spain, are listed below. Please indicate your interest in order of preference (#1 indicating highest preference). Project Hazard Type Durability of concrete under flood conditions Flood Nano-coatings for nuclear meltdown containment Nuclear Meltdown Behaviour of precast concrete claddings in extreme wind loads Wind Fire resistance of building elements Fire Worker fall protection from temporary construction equipment Construction Non-destructive testing and wireless monitoring for seismic risk reduction Earthquake Rank Please answer the following questions in the space provided (Do not exceed the boxed spaces). Why would you like to participate in the IRES program? What benefits do you believe you will gain from the IRES project? What are your future plans after graduation? Page 2 of 4 The following items must also be submitted in order for your application to be complete: • Official Transcript o An official transcript is required; please submit an unofficial copy with your application. o Please do not forget to request an official transcript from your college/university. • STEM Faculty Member Recommendation (form provided on page), to be submitted by March 31, 2016. Extensive information about the http://www.uta.edu/ce/ires/index.html. UT Arlington IRES Project may be found at: Information on Polytechnic University of Valencia, Spain (where the summer research training will be held) may be found at: https://www.upv.es/index-en.html. The 2016 IRES Program will commence on June 6 and end on July 15, 2016. Applications must be received no later than 5:00 p.m. on March 21, 2016. Applications and supporting materials should be sent to the following addresses: For UT Arlington or Colleges in the DFW Metro Area: E-mail to: Alvin Malaikal at Alvin.malaikal@mavs.uta.edu, or mail to: Alvin Malaikal, Dept. of Civil Engineering, Box 19308, University of Texas at Arlington, Arlington, TX 76019. For Prairie View A&M University or Colleges in the Greater Houston area: E-mail to: Dr. Lisa K. Thompson, lkthompson@pvamu.edu, or mail to: Dr. Lisa K. Thompson, Prairie View A&M University, P. O. Box 519 - MS 2420, Prairie View, TX 77446. These are security-sensitive positions and a criminal background check will be conducted on the selected students. Page 3 of 4 UT Arlington IRES Site for Hazard Mitigation of Civil Infrastructure Funded by the National Science Foundation’s International Research Experiences for Students (IRES) Program FACULTY RECOMMENDATION FORM Instructions to Applicant: Please complete the upper portion of the evaluation form before submitting it to the evaluator. The evaluator must be an engineering/science/mathematics professor who has taught you in one or more 2000-level or higher courses. Applicant Last Name First Name Major MI Evaluator’s Name In accordance with the Family Education Right and Privacy Act of 1974, you may waive your right to inspect this recommendation by signing the statement below. Should you decide not to waive the right, you will have access to the recommendation if you enroll at The University of Texas at Arlington. Student Initial I hereby waive my right of access to this recommendation. Student Signature: Date: Instructions to the Evaluator: Please rate the applicant with others of similar age and academic level by selecting the response (1-5) that comes closest to your judgment from the following scale. 1-Excellent 2-Good 3-Satisfactory 1 4-Poor 2 5-Unable to Judge 3 4 5 Knowledge of Field Intellectual Ability Motivation to Conduct Research Writing Ability Oral Expression Emotional Expression Working with Others Analytical Ability Punctuality Class Attendance Comments: Use a separate letter if desired. The applicant has taken: None of my classes One of my classes Two or more of my classes Evaluator Signature E-mail Address Office Phone University/College Department ________________________________________ Please enclose your recommendation in a signed and sealed envelope, and return it to the applicant. Thanks a lot for your assistance. Page 4 of 4