Application for NOAO REU Research Assistantships at CTIO
If submitting in paper: send 1 copy, along with all supporting materials, to:
Human Resources Manager Attn: CTIO REU PROGRAM P.O. Box 26732 Tucson, AZ 85726-6732
Attention: CTIO REU Program
The deadline for receipt of this application and supporting material is October 5, 2008.
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2009 CTIO Research Experiences for Undergraduates Program
APPLICATION FORM
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Personal Information
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Name: __________________________________________________________________
Last First Middle
Mailing address as of October 5, 2008:
Street: ________________________________________________________________
City, State, Zip: ______________________________________________________
List telephone numbers and electronic mail addresses where you
can be reached between now and 31 December 2008. Include the
location (dorm, office, home, etc.)
(Area Code) Telephone # City & State Location
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Primary Email address: _______________________________
Alternate Email Address: _______________________________
Home/Permanent Address (if different from above)
Street: ________________________________________________________________
City, State, Zip: ______________________________________________________
Date of Birth: _______________________ Sex: F_____ M_____
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Educational Information
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School you presently attend: ___________________________________________
Location (City, State, Zip): ___________________________________________
Current Academic Status
____ Freshman ____ Sophomore ____ Junior ____ Senior
____ Other - Explain: __________________________________________________
Planned Status as of 17 January 2008
(Note that you MUST be an undergraduate student during the CTIO REU
program - you CANNOT have received your degree before the end of the program)
____ Freshman ____ Sophomore ____ Junior ____ Senior
____ Other - Explain: __________________________________________________
College Major: _________________________ Minor: ________________________
Grade Point Averages: (either letter grade or 4.0 pt scale):
Cumulative/Overall: _____
Science & Math courses: _____
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Experience
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SCIENTIFIC WORK EXPERIENCE SUMMARY:
List any scientific or related employment, including research
positions, which you have had since graduating from high school.
NOTE: On a separate sheet, provide a short description (not more
than one paragraph) of each job or project.
Dates: From - To Employer's Name Employer's Phone #
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
List other work experience:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
List experience with computers, operating systems, computer languages,
and major software systems (e.g., IRAF, AIPS, PROS, VISTA).
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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Other Information
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Please check one: ____ United States Citizen
____ Permanent Resident of the United States
Do you speak Spanish? (please check one)
(Note: knowledge of Spanish is NOT a requirement, but your answer
will help us plan the program.)
____ Fluently ____ Moderately well ____ A little ____ Not at all
How did you learn about the CTIO REU program?
____ Poster _____ Professor (or other school offical) ____ Web page
____ Other: _________________________________________________________
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Letters of Recommendation/References
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Indicate who will send letters of recommendation.
Name E-mail address Phone
Address City, State, Zip
1) ______________________________________________________________________
______________________________________________________________________
2) ______________________________________________________________________
______________________________________________________________________
3) ______________________________________________________________________
______________________________________________________________________
SIGNATURE: _________________________________________ DATE: _____________