| First Name: | |
| Last Name: | |
| Mailing Address (Street, Apt #, City, State, Zip) | |
| Email Address: | |
| Telephone: | |
| Attending Institution | |
| Expected Degree and Major Program of Study (i.e. B.S. in Mechanical Engineering) | |
| Current Year in School: | |
| Cumulative GPA: | |
Gender
| Female
Male
Do not wish to report
|
Race (please check all that apply)
| Alaska Native
Asian
Black or African American
Native American
Native Hawaiian or Other Pacific Islander
White
Unknown
Do not wish to report
|
Ethnicity
| Hispanic or Latino
NOT Hispanic or Latino
Do not wish to report
|
Disability Status
| Hearing Impairment
Visual Impairment
Mobility or Orthopedic Impairment
None
Other
Do not wish to report
|
Citizenship
| U.S. Citizen
Permanent Resident
Temporary Resident
|
| Upload your resume (PDF only) | |
| Experiences and/or Interests in Hydraulics and Pneumatics | |
| Briefly discuss your interest in an internship with the fluid power industry (this is not to substitute for your Statement of Purpose). | |
| Statement of Purpose | |
| Unofficial Transcript | |
| If you are selected to be a Fluid Power Scholar, do you agree to attend the Fluid Power Boot Camp at Milwaukee School of Engineering, June 1-3, 2010, as well as accept any internship position that is assigned to you? | |
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