APPLICATION FORM RENEWABLE ENERGY Research Experience for Undergraduates (REU) May 31, 2010 to August 6, 2010 sponsored by the Renewable Energy Materials Research Science and Engineering Center REMRSEC at the Colorado School of Mines Golden, Colorado Complete all items on this form and send via USPS Mail, FedEx, or UPS to: Stephanie Pomponio Renewable Energy MRSEC REU 2010 Summer Program Colorado School of Mines 920 15 th Street, Hill Hall 311 Golden, CO 80401 Email: spomponi@mines.edu Telephone: (303) 273-3756 Website: http://remrsec.mines.edu Collect all of the information below and mail it in one complete REU Application Package: This Application Form (pages 1-6) Your Personal Statement (page 5) Two Letters of Recommendation from Reputable Faculty (pages 7/8 & 9/10) Official Copies of all of your College and/or University Academic Transcripts NOTE: Print this Application Form double-sided on five sheets of paper. Emailed or individually mailed Letters of Recommendation will not be considered. Clearly PRINT or TYPE all information; illegible applications will not be considered. Incomplete applications will not be considered; please provide thorough responses. Ms. Pomponio must receive your complete REU Application Package by March 1, 2010. Late packages will NOT be considered. Page 1 of 10
Part 1: Personal Information (Required) Name: First Middle Last Current Address: Street City State Zip Code Permanent Address: Street City State Zip Code Phone Number: E-Mail: Citizenship (Check one; only United States citizens or permanent residents may participate in this REU.) U.S. Citizen Permanent Resident; Registration Number: Country of Citizenship: Part 2: Preferred Research Area Please rank the Research Areas you are interested in working with (top choice = 1, followed by 2 and 3) Materials for Next-Generation Photovoltaics Advanced Membranes for Energy Applications Energy Storage in Clathrate Hydrate Materials Part 3: Letters of Recommendation Please provide the names of two faculty that will be submitting Letters of Recommendation. Name Title/Organization Relationship to Applicant Name Title/Organization Relationship to Applicant Page 2 of 10
Part 4: Education and Experience Current College or University: Name of Institution City State Major Program of Study: Current Class Rank (Fr, So, Jr, Sr): Credits Earned as of June 2010: Overall GPA (minimum 3.00 out of 4.00): Expected Graduation Date: Current Coursework (list the complete names of the courses you are currently taking): Honors and Awards (list relevant academic awards, honors, and scholarships received while in college): Employment (list employment experience, including employer, position & nature of work, and dates): Page 3 of 10
Part 4: Education and Experience (cont.) Describe any laboratory experience you have had while in college (as a course, research project, etc.). If you have had research experience, please comment on both the length of time and the research area. Describe any community service or outreach programs you have participated in while in college. Describe any mentoring programs or services you have participated in while in college. Do you intend to apply to graduate school? YES NO Undecided If YES, please indicate program: MS PhD If YES, what areas or fields interest you? Page 4 of 10
Part 5: Personal Statement On this page, clearly discuss why you would like to participate in the Renewable Energy MRSEC REU during the 2010 Summer Program. Explain how your experience in this program will support your research interests and knowledge, as well as your long-term career aspirations. Your Personal Statement must be strong, thoughtful, and well-articulated for you to be considered a serious candidate. Page 5 of 10
Part 6: Personal Information (Voluntary) The information in Part 6 is strictly voluntary, but will aid the Review Committee in selecting a diverse group of participants from all qualified applicants. Students from underrepresented groups and institutions are strongly encouraged to apply. Ethnic Origin (Check one) Not Hispanic or Latino (Spanish Origin) Hispanic or Latino (Spanish Origin) A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Racial Origin (Check one) American Indian or Alaska Native A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Asian A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Two or More Races All persons who identify with more than one of the above five races. Other (please specify: ) Gender (Check one) Female Male Date of Birth: Current Age (years): Part 7: Certification I certify that all information provided in this REU application is complete and accurate. Applicant s Signature: Date: Page 6 of 10
Letter of Recommendation Form (1 of 2) Instructions to Applicant Complete Part A, then give this form to your recommender to complete Part B. Remind your recommender to return the form to you in a sealed envelope, signed across the flap. Include your Letter of Recommendation forms and envelopes with your completed application. Part A: Applicant Information Applicant s Name: First Middle Last Under the Family Education Rights and Privacy Act of 1974, you may waive the right to review this recommendation by signing below. If you do not waive this right, you will have access to this recommendation should you become a participant in the Renewable Energy MRSEC REU Program at the Colorado School of Mines. I waive my right to review this Letter of Recommendation. Applicant s Signature: Date: Part B: Recommender Information The applicant named above is applying to the Renewable Energy MRSEC REU Program at the Colorado School of Mines. On the back of this form, please comment on the applicant s academic performance, scholarly potential, maturity, motivation, and ability to work independently in a summer research program. Specific examples of interactions are much stronger than generalities. Recommender s Name: First Middle Last Title: Organization: Current Address: Street City State Zip Code Phone Number: E-Mail: For how long and in what capacity do you know the applicant? Recommender s Signature: Date: Please return to the applicant in a sealed envelope, signed across the flap. Complete REU Application Packages must be received by March 1, 2010. Page 7 of 10
Letter of Recommendation (1 of 2) Please comment on the applicant s academic performance, scholarly potential, maturity, motivation, and ability to work independently in a summer research program. Specific examples of interactions are much stronger than generalities. Recommender s Signature: Date: Please return to the applicant in a sealed envelope, signed across the flap. Complete REU Application Packages must be received by March 1, 2010. Page 8 of 10
Letter of Recommendation Form (2 of 2) Instructions to Applicant Complete Part A, then give this form to your recommender to complete Part B. Remind your recommender to return the form to you in a sealed envelope, signed across the flap. Include your Letter of Recommendation forms and envelopes with your completed application. Part A: Applicant Information Applicant s Name: First Middle Last Under the Family Education Rights and Privacy Act of 1974, you may waive the right to review this recommendation by signing below. If you do not waive this right, you will have access to this recommendation should you become a participant in the Renewable Energy MRSEC REU Program at the Colorado School of Mines. I waive my right to review this Letter of Recommendation. Applicant s Signature: Date: Part B: Recommender Information The applicant named above is applying to the Renewable Energy MRSEC REU Program at the Colorado School of Mines. On the back of this form, please comment on the applicant s academic performance, scholarly potential, maturity, motivation, and ability to work independently in a summer research program. Specific examples of interactions are much stronger than generalities. Recommender s Name: First Middle Last Title: Organization: Current Address: Street City State Zip Code Phone Number: E-Mail: For how long and in what capacity do you know the applicant? Recommender s Signature: Date: Please return to the applicant in a sealed envelope, signed across the flap. Complete REU Application Packages must be received by March 1, 2010. Page 9 of 10
Letter of Recommendation (2 of 2) Please comment on the applicant s academic performance, scholarly potential, maturity, motivation, and ability to work independently in a summer research program. Specific examples of interactions are much stronger than generalities. Recommender s Signature: Date: Please return to the applicant in a sealed envelope, signed across the flap. Complete REU Application Packages must be received by March 1, 2010. Page 10 of 10