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First Name:   |
Last Name:   |
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College/University Address: |
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Address:    |
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City:    |
State:    |
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Country:    |
Zip Code:    |
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Telephone Number (xxx)xxx-xxx:    |
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University attended:   |
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Anticipated Academic Year after this Summer:
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Freshman Sophomore Junior Senior Graduate |
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Permanent Address: |
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Address:     |
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City:     |
State:     |
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Country:     |
Zip Code:     |
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Telephone Number (xxx)xxx-xxx:    |
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E-mail Address:     |
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Date Available to Begin:
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Desired Length of Internship:     |
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Transcripts, REU Experience, and Essays: |
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Summary of Academic and Work History
Please include any information that will help
assess your ability to work in a group and take directions,
your technical and computer skills, and other talents and
experiences which will contribute to a successful research
experience.
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Why do you want to work for WIRO and
what is your interest in astrophysics?
This essay is quite important. Since
many candidates are equally strong academically,
this essay is used to differentiate these applicants |
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Transcript:
You may list a history of your courses and grades received at
this time in the space provided. However, you must submit an
official transcript to complete your application. |
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Past REU Experience:
Please list your past REU esperiences. Please give the program,
the name of your mentor, and the dates attended. |
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Personal Information: Mandatory
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U.S. Citizen?: Yes
No |
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Permenant Resident: Yes No |
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Personal Information: Voluntary
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| Due to the nature of this NSF-REU program it would be
helpful o use the information below for statistical analysis purposes
only, with the proviso that no personal information will be released
to anyone besides those few, qualified researchers doing the
statistical analysis and that these researchers will only
report/publish aggregate statistics. Your willingness to
participate in this statistical survey may help ensure the
continued growth and vitality of this Federally sponsored program.
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I hereby grant use of this information: Yes No |
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Gender?: Female
Male |
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Ethnicity or Race?:
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Which on of these categories best describes your ethnic/racial status?
(If more than one category applies, use the category that most closely
reflects the person's recognition in the community.)
American Indian or Alaskan Native
Asian American African American, not of Hispanic Origin
Native Hawaiian or
Pacific Islander
Hispanic
White, Not of Hispanic Origin |
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Physical or Mental difficulties:
If you have any physical/mental difficulties or handicaps
that may affect your job performance, please explain here:
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Final Note: Before the deadline (February 15, 2008),
two letters of reference must be sent directly to:
Ron Canterna, SURAP Director
Wyoming Infrared Observatory, University of Wyoming
1000 E. University Ave
Department 3905
Laramie, WY 82071
or
email to:
canterna@uwyo.edu |
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