SURF Boulder
Summer Undergraduate Research Fellowship Program
National Institute of Standards and Technology, Boulder, Colorado Student Application Form
(To be filled out by student applicant and included with completed Institutional Application package. DO NOT SEND SEPARATELY.)
Name E-mail address
Current address
Institution Phone number
Permanent address
Major/Minor
Current Class Standing (check only one) : Freshman Sophomore Junior Senior
Expected Graduation Date
Current Overall GPA
Current Major GPA
(To be eligible for the SURF program, your expected graduation date must not precede the summer program. This restriction does not apply to returning SURF NIST Boulder students.)
Have you previously participated in one of NIST’s SURF programs? Yes No
If Yes: Year
Location: Boulder Gaithersburg Mentor
If you were to return to Boulder, would you prefer to work with the same mentor? Yes No N/A
List (by reference number) the 6 research opportunities in which you are most interested, in order of preference.
Try to include opportunities from at least two different divisions. (Go to http://www.nist.gov/surfboulder for
the current list of Research Opportunities.)
1.
2.
3.
4.
5.
6.
Will you be able to be in Boulder from xx/xx/xxxx to xx/xx/xxxx (11 weeks)?
Yes No. I can be in Boulder as early as through as late as_ . (Total availability period should span at least 11 weeks.)
If accepted, what are your plans for housing?
Will room with other SURF students (recommended)
Will live with family in or near Boulder
Will find my own
How did you hear about the SURF NIST Boulder program? Are you also applying for the SURF program at NIST in Gaithersburg, Maryland? Yes No
Submit your completed Student Application Package to your school contact for inclusion with the Institutional Application Package. DO NOT SEND YOUR STUDENT APPLICATION SEPARATELY.
APPLICATION DEADLINE: February 15
Completed Institutional and Student Application Packages should be sent to: Cynthia Kotary, NIST - 104.00, Bldg.1, Room 4006B, 325 Broadway, Boulder, CO 80305
Phone: 303-497-3319, E-mail: cynthia.kotary@nist.gov, Website: http://www.nist.gov/surfboulder
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File Type | application/msword |
File Modified | 2012-11-16 |
File Created | 2012-11-16 |