APPLICATION FOR A POSITION IN THE UNIVERSITY OF CHICAGO VIGRE UNDEGRADUATE REU PROGRAM June 22, 2009-August 14, 2009 Please print or type Name_________________________________________________________________________ Year in School 2008—09 ________________________________________________________ Major or intended major _________________________________________________________ Local Address (Spring Quarter) ____________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Local Phone___________________________________________________________________ Email Address__________________________________________________________________ Home Address__________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Social Security Number__________________________________________________________ UC ID#_______________________________________________________________________ Mathematics, Physics, Computer Science courses that you have taken. Please list by course number and give grades or indicate that you are now enrolled in the course. Also, please give the name of the instructor for any math courses. ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ Describe any research experiences you have had: Would you prefer the full or the apprentice program? If the full program, would you prefer to work in SESAME or YSP? Describe any counseling or tutoring experience with pre-college or college students: Explain briefly why you want this position: RETURN APPLICATIONS TO RYERSON 350 BY FRIDAY, MARCH 13.