Previous colleges or universities attended (list most recent first)

Academic and career objectives

Honors, awards, recognitions

(Practical experience in research laboratories, academic instructional labs, electronics, computer interfacing, automotive repair, construction, design, etc.)

(Please describe your level of computer skills and programming experience)

(Specific areas of interest for REU program, if preferences exist)

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right to inspect the recommendations given by the respondents listed above with the understanding that it will be used only for purposes of consideration for participation in an undergraduate summer research program.

NOTE: A participant must be a citizen or a permanent resident of the United States. Clicking the box below certifies that you meet this requirement.

YES, I meet the United States citizen/permanent resident requirement.

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions Definition.

Gender

Male     Female     I choose not to answer    

Are you Hispanic or Latino/Latina?

Yes     No     I choose not to answer    

Ethnic Origin?

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
I choose not to answer

Are you the first generation in your family to attend college?

Yes     No     I choose not to answer    

Do you come from a family with an annual income below established low-income thresholds?

Yes     No     I choose not to answer    

The Current Poverty Guidelines for the 48 Contiguous States and the District of Columbia.

Persons in Family	Poverty Guideline
1	$11,880
2	$16,020
3	$20,160
4	$24,300
5	$28,440
6	$32,580
7	$36,730
8	$40,890
For families with more than 8 persons, add $4,160 for each additional person. For additional information see guidelines at Department of Health and Human Services.