Student Application Form

Please send this application through mail, fax, or E-mail by February 29th, 2008.  Send the application to:
 

Prof. Yves Idzerda
NSF REU Program
Dept. of Physics
Montana State University
Bozeman, MT  59717

Phone:  (406) 994-7838
Fax: (406) 994-4452
E-mail: Idzerda@physics.montana.edu


Application

1. Personal Information
 

Name: 

Mailing Address: 
 
 
 
In the event that you are selected to participate, is this the address to which you would like your last stipend check mailed? If not, provide that address below (this should be a permanent address, such as a parent or guardian). In addition, provide the name, address and telephone number of a parent or guardian that can be contacted in the event of an emergency.

Permanent Address:

 

Emergency Contact:

 

Date:  

Phone: 

Fax: 

E-mail: 

SSN: 

Date of Birth: 

US Citizen? 

Permanent Resident? 

*Note: Students who are neither US Citizens nor Permanent Residents are not eligible for this program.

Present College or University (full address):
 
 
 
 

 

Previous Colleges Attended (names):
 
 

Major: 

Class Year (2007-2008): 

Expected Graduation Date: 

Overall GPA: 

Major GPA: 

Briefly list any research experience:
 
 
 
 

 

2. Essay

On a seperate sheet of paper, write a short essay (maximum of 1 page) detailing your personal and professional goals and how you believe this program would assist in attaining them.

3. Recommendations

Please arrange for two recommendations to be sent to the above address.  These should be from faculty familiar with your academic record.  Please list the persons you have asked for recommendations below, along with their phone numbers and email addresses.

4. Transcript

A current transcript, including 2007 Fall grades, must accompany this application.   Copies are acceptable.

5. Research Interests

Which of the following research groups interest you the most?  Select three and order them according to your preference.

6. Additional Information

By what means would you prefer to travel to Bozeman (plane/car)?

Would you bring a car to Bozeman?

7. Optional Information

Please specify your sex, race and/or ethnic origin:

8. Outdoors Interests

If you have any interests in the outdoors, what are they?