REU Program Application 2012

Cerro Tololo Interamerican Observatory (CTIO) P.O.Box 603 La Serena, IV Region, Chile 170-0000
Telephone: (56-51)205200 ctioreu@ctio.noao.edu

Note: It's important that you ensure that you have cookies turned on in your browser. Also, do not use (") in the texts of your application, as it may cause the scripts to fail.

Deadline for receipt of this application and supporting materials is October 1, 2011.

1. Name *

Enter your full name: Last - First -Middle

1.1. Social Security Number (optional)

2. Mailing Address *

City *

State *

Zip *

Telephone *

3. Home Address *

City *

State *

Zip *

Telephone *

4. E-mail address *

check one *

United States Citizen

Permanent Resident of the United States

5. How did you first learn that CTIO offered a paid internship program for undergratuates? Select one. *

Your advisor 6

Electronic Announcement or Website

Career Planning/Job Placement

College or department staff member

Friend or previous REU student

Announcement on a bulletin board

Scientific journal or other publication

Other

6.What is your current college level? *

Freshman (Year 1 of 4)

Sophmore (Year 2 of 4)

Junior (Year 3of 4, or 4 of 5)

7. Transcripts *

The applicant should arrange for official transcripts to be sent from the institutions listed below. A list of courses now in progress should be sent.

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REU Program Application 2012

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REU Program Application 2012