Application Form
(Postmark Deadline: March 2, 2009)

UNIVERSITY OF ARKANSAS

Research Experience for Undergraduates Program

Instructions: Print out this form on your printer, fill it out, and mail or fax it to the address or phone number shown at the bottom of the page. Remember to follow the last 3 steps also shown at the bottom of the page. 
Name________________________________________________________  Date:_______________


Mailing Address: ________________________________________________

                 ________________________________________________
 
                 ________________________________________________


Phone:_______________________e-mail:______________________________________________

Social Security#:___________________________ Date of Birth: ______________________

Please note that US citizenship or permanent residency is required.
U.S. Citizen?_________ Permanent Resident?___________  Female/Male _______________

Ethnic Background (optional): 

         _______Native American/Alaska Native        _______Hispanic

         _______Asian American                       _______Pacific Islander

         _______African American/Black               _______White (non Hispanic)


Present College or University ____________________________________________________

Major____________________________________   Class year (2008-2009):  Fr Soph Jun Sen

  1. Attach a short statement of your research interests and experience.
  2. Send us a copy of your academic transcript.
  3. Ask two individuals familiar with your academic work to send us letters of reference. The form that you will need is available for print out here.

Apply by March 2, 2009 to: 

   Professor William 'Lin' Oliver
   Department of Physics                   Phone:   (479) 575-6571
   University of Arkansas                  Fax:     (479) 575-4580
   Fayetteville, AR 72701                  http://www.uark.edu/depts/physics/reu05
                                           E-mail: physicsREU@physics.uark.edu