REU Application - Summer 2017

Last Name (max. 20 characters):

First Name (max 20 characters):

Middle Name (max 20 characters):

Date of Birth(yyyy-mm-dd)

Gender:

E-mail :

Place of Birth:


City:

State:

Country:

Permanent Address:


Street:

City:

Zip Code:

Phone number:

Education:


College or University:

College Street Address:

College City:

College State:

College Zip Code:

Major:

If Major not listed above please Specify:*

GPA:

SAT or ACT scores:



Year of study:

Expected Graduation Date:

Residence Status:



Are you a US Citizen:
If No, Are you a Permanent Resident:

If you are a Permanent Resident, enter your Registration No:

Country of Citizenship(if not USA):


Research:



Do you plan to apply to a graduate degree program?

If Yes, please select one:

Describe:


Do you have any previous laboratory research experience?

If Yes, Describe Briefly (250 characters):

If yes, Length of time:


Research area (Choice #1)

Research area (Choice #2)

Research Project choice #1:

Research Project choice #2:

Research Project choice #3:


If our program dates conflict with your academic schedule of your institution, what dates would you be available?

Survey:



How did you find out about the UNM REU Program?

Ethnicity and Race are for Demographic Purposes Only

Ethnicity:

Race (Optional) - Check any that apply:






NOTE: Please ensure that the message: "Data Successfully Entered, Close this window. Please check your e-mail for confirmation of your application" is seen after you submit the application. This means that the application has gone through successfully, and you would receive an email confirmation to the email ID you gave in a couple of minutes (automated). If there are any glitches/errors that you notice while submitting the application, please contact reu@unm.edu

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