ࡱ>   bjbj ݇݇ Vaa841MMMMM0222222$o"FV;;^VaaMMkXaMa8M00PxMPph0p"aR"x"xVV" ':  Name SS or ID# _ Last First MI Mailing Address _ ( ) City State Zip Phone Permanent Address ( ) City State Zip Phone E-Mail Address Primary Other College or University Major _ _______ Cumulative GPA: Expected Graduation Date: Month __ Year_____ Do you plan to attend graduate school? M.S.__ Ph.D.__ Other_____ None Unsure Academic Honors or Awards__________ U.S. Citizenship or Permanent Residency is required. Applicants checklist: This application Official transcript of your academic record, sent directly to above address Two reference letters Brief narrative that discusses your interest in this program, and your long-term career goals (Please attach a brief essay about your background and your interest in research -- what projects have you been involved with in the past, if any; and do you prefer experimental or theoretical work.) Optional: Ethnicity Gender Applications from students who are members of underrepresented groups are strongly encouraged. I certify that all information is valid and true to the best of my knowledge. ________ Signature of Applicant Date Please print and mail to: Dr. Padmaja Guggilla Department of Physics, Chambers Building, VMC 123 4900 Meridian Street 51AV A&M University Normal, AL. 35762       51AV A&M University Application Form for Summer Undergraduate Research Program Pcl  # G _  ` a # $ % 6 x " : l m   @ H R d i t ۴۴陣۴z۴۴ h3h3CJOJPJQJaJh3CJOJPJQJaJh\\OJPJQJ h|h3CJOJPJQJaJ h|h3CJOJPJQJaJh\\>*OJPJQJh3>*OJPJQJh|h3>*OJPJQJh|h3OJPJQJhzOJPJQJ0 a $ % m . & FdP^`gd3 ddP[$gd3 ddx[$gd\\ ddx[$gd3 dgd3t -.=Rx/[cȽও$h|h356>*OJPJQJ],h3h356>*CJOJPJQJ]aJh\\>*OJPJQJh3>*OJPJQJh|h3OJPJQJ h|h3CJOJPJQJaJh|h3>*OJPJQJ2HI^_\]^5=CDɼɼɼɼɞoeSHh\\>*OJPJQJ#h3h3>*CJOJPJQJaJh3OJPJQJhzhz56OJPJQJ&hzhz56CJOJPJQJaJhz>*OJPJQJh|h3>*OJPJQJh|h35OJPJQJ\h|h3OJPJQJ h|h3CJOJPJQJaJ$h|h356OJPJQJ\]#h|h35CJOJPJQJaJI_DW dgd?$d@&a$gd3 dgd3 $da$gd3 & FdP^`gd3DW%:<зr\B(3h_h/5B*CJKH$OJPJQJ\aJph3h_h35B*CJKH$OJPJQJ\aJph*h_h35CJKH$OJPJQJ\aJ *h_h35CJKH$OJPJQJ\aJ*h_56CJKH$OJPJQJ\]aJ0h_h356CJKH$OJPJQJ\]aJ0h_hz56CJKH$OJPJQJ\]aJ h|h3CJOJPJQJaJ h|h3CJOJPJQJaJh\\CJOJPJQJaJ <OVkl贞qaPL>LjhXi;UmHnHuhXi; jhc\hUMUmHnHujhUMUmHnHtHujhUMUmHnHuhhhA1)jhA1)Uh_hCJaJ*h_h35CJKH$OJPJQJ\aJ3h_h35B*CJKH$OJPJQJ\aJph3h_h/5B*CJKH$OJPJQJ\aJph-h5B*CJKH$OJPJQJ\aJph  $d@&a$gd3$d@&a$gd3 dgdXi;0^0gd? $0^0a$gdXi;  ߶|xmh_hCJaJh]HhXi;&h3h35CJOJPJQJ\aJ h5CJ OJPJQJ\aJ h35CJ OJPJQJ\aJ &h|h35CJ OJPJQJ\aJ (hUMh35B* CJDOJQJaJDph(hUMhXi;5B* CJDOJQJaJDphhA1)hh21h:p\\/ =!8"8#$% FաsibJFIF,,LEAD Technologies Inc. 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