application

ONLINE APPLICATION FORM FOR OAK CREST REU

NAME:

Last Name

First Name

COMMUNITY COLLEGE INFORMATION:

Community College Name

Contact Name

Contact Email Address

YOUR CONTACT INFORMATION:

Street Address

City

State

ZIP

Phone

Alternate Phone

Email Address

APPLYING FOR FULL-TIME OR HALF-TIME OPTION?

Full-time (40 hrs/wk)

Half-time (20 hrs/wk)

ACADEMICS:

Major

Expected Graduation Date

Math and Science GPA

Overall GPA

LIST BELOW ALL SCIENCE OR MATH COURSES YOU HAVE TAKEN (OR ARE TAKING), ALONG WITH THE GRADES YOU HAVE EARNED IN THESE COURSES. Please list the course name, not just the number (i.e. General Chemisrty I).

1.	2.
3.	4.
5.	6.
7.	8.
9.	10.
11.	12.
13.	14.

CITIZENSHIP (NSF requires that all REU students be citizens or permanent residents):

US Citizen

Permanent Resident

DEMOGRAPHICS (optional):

Male	Female
Ethnicity:

African-American

Asian

Caucasian

Hispanic

Native-American

Other:

WHAT ARE YOUR FUTURE CAREER PLANS? (150 words or less)

PLEASE DESCRIBE YOUR PREVIOUS SCIENCE OR RESEARCH EXPERIENCE, IF ANY (150 words or less)

WHY ARE YOU INTERESTED IN GAINING RESEARCH EXPERIENCE, AND HOW DO YOU IMAGINE THIS EXPERIENCE WILL IMPACT YOUR LIFE OR CAREER? (150 words or less)

RECOMMENDATION LETTER AND TRANSCRIPT:

Name of Recommending Professor

Department

In addition to a letter of recommendation, an official transcript is required. Request that your school forward a copy of your transcript to the address below:

Sherry Tsai

Oak Crest Institute of Science

2275 E. Foothill Blvd.

Pasadena, CA 91107

RESEARCH PREFERENCES:

Please select and prioritize three Oak Crest REU projects you would be interested in working on:

THANK YOU FOR APPLYING TO OAK CREST'S REU PROGRAM!

NOTE: Some web browsers may not support electronic submission of this recommendation form. If you encounter any difficulties submitting this form, copy and paste your application into a Microsoft Word file and email the file as an attachment to:
reu@oak-crest.org