Prairie View Solar Observatory REU Application

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Prairie View Solar Observatory
REU Application
Name (First, Last):
Personal Information:
Street:
City:
State:
Phone:
Cell:
Email:
URL:
Home/Permanent Address (if different from above):
Street:
City:
State:
Phone:
Cell:
Email:
URL:
US Citizen/Permanent Resident? Yes / No
Zip:
Fax:
Zip:
Fax:
Academic Information:
College/University you presently attend:
Location: City:
State:
Zip:
Major/Minor:
Cumulative Grade Point Average (GPA):
Technical classes taken (Science, Math, Engineering, Computer):
Number of years in degree program:
Your current year in program:
Estimated Graduation date:
Honors and Awards (opt):
Work experience
(Please list your research or related work experience; include an additional page if necessary)
Dates:
Site:
Phone:
Responsibilities:
Software/Hardware Experience:
Dates:
Responsibilities:
Site:
Phone:
Software/Hardware Experience:
Applications are due by April 1 (summer program) and July 15 (academic-year program)
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Name (First, Last):
Contacts for Letters of Recommendations/References
(Please have two letters sent directly to Prairie View Solar Observatory BEFORE the deadline
either by e-mail: sorin_pojoga@pvamu.edu or by mail: REU Program, Prairie View Solar
Observatory, Prairie View A&M University, PO Box 307, Prairie View, TX 77446).
Name:
Dept Address
Address (cont)
City:
Phone:
Relationship:
Name:
Dept Address
Address (cont)
City:
Phone:
Relationship:
Title:
State:
Fax:
Zip:
Email:
Title:
State:
Fax:
Zip:
Email:
Research Preferences (optional)
You may write a few short sentences giving your area of interest (e.g. solar physics, astronomy,
space science, engineering) and include if there is a specific person/project you wish to work on:
Please list any other information that you think we may need to know:
How did you first learn about the Prairie View REU program?
___ Faculty/Advisor ___ REU Poster/Flyer ___ Prairie View A&M Web Site
___ Friend
___ NSF Web site
___ AAS Web site/Meeting
___ Other (please specify):
Applications are due by April 1 (summer program) and July 15 (academic-year program)
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Name (First, Last):
Personal Confidential Information
This section is collected for the National Science Foundation who will use this information for
statistical analysis only. Whether or not you decide to provide the following information will
have no impact whatsoever on your application
I chose to provide some or all of the following: ___ Yes ___ No
Gender:
___ Male ___ Female
Ethnic/racial status (please choose the one that most closely reflects the person’s recognition in
the community).
___ American Indian or Alaskan Native
___ Asian
___ Black
___ Hispanic
___ Pacific Islander
___ White
Are you a veteran of the U.S. Military? ___ Yes ___ No
Do you have a disability that limits a major life activity? ___ Yes
If yes please explain:
___ No
Return all application BEFORE the deadline either by e-mail: eromashets@pvamu.edu or by
mail:
REU Program
Prairie View A&M University
P.O. Box 519, MS 2250
Prairie View, TX 77446
Applications are due by April 1 (summer program) and July 15 (academic-year program)
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