| Last Name |
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| First Name, MI |
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| Email Address: |
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| Address (Street, City, State, Zip) |
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| Cell Number (Area code + 7 digits) |
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| If you provided your cell phone number, may we use text / SMS messages to share important programmatic information? |
Yes
No |
| Undergraduate College / University |
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| Current major |
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| Current year in school |
Freshman
Sophomore
Junior
Senior |
| Expected Graduation Date |
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| Overall GPA |
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| What is your gender? |
Female
Male
Non-binary/third gender
Do not wish to report |
| What is your ethnicity? |
Hispanic or Latino
NOT Hispanic or Latino
Do not wish to report |
| What is your 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 |
| Please indicate your disability status. |
Hearing Impairment
Visual Impairment
Mobility or Orthopedic Impairment
None
Other
Do not wish to report |
| Are you in the military or a recent war veteran? |
Yes
No
Do not wish to report |
Citizenship
Note: You must be a citizen or permanent resident of the US to be eligible for the CCEFP REU Program. |
U.S. Citizen
Permanent Resident
Temporary Resident |
Are you part of an LSAMP Program at your home institution? LSAMP is the NSF Funded Louis’ Stokes Alliance for Minority Participation.
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Yes, LSAMP Participant
No |
| Are you a student member of any of the following student or professional organizations? |
American Indian Science and Engineering Society (AISES)
National Society of Black Engineers (NSBE)
Society for Advancing Chicano/Latinos and Native Americans in Science (SACNAS)
Society for Hispanic Professional Engineers (SHPE)
Society of Women Engineers (SWE)
American Society of Mechanical Engineers (ASME)
Other |
| Plans for industry employment, internship, or entrepreneurship |
Eventually
Immediately
Industry internship
Aim to start my own company
Have not decided
Other |
| Plans for graduate / professional degree |
None
MS
PhD
MD
Other |
| Specific area of interest in graduate / professional school (e.g. ME) |
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| Have you previously conducted research with a faculty member at the Center for Compact and Efficient Fluid Power, if so, who? |
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| Have you previously conducted research with a faculty member at another academic institution? If so, who and where and what was your research topic? |
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| Are there any other factors that should be considered when placing you in a specific laboratory or research experience? |
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| What CCEFP and fluid power research topics interest you the most? (You may select more than one). |
Additive manufacturing
Biodegradable fluids
Energy efficiency
Emissions
Wind power
Sensors
Coatings
Robotics
Orthosis/prosthesis
Exoskeleton
Composites
Metrology |
| Please submit a one-page Statement of Purpose indicating your interest in fluid power – why you should be selected to participate in the CCEFP REU Program. |
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| Please submit a current one-page resume |
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| If it is available, please submit your unofficial school issued transcript. If you do not upload it here, make sure to email it to Alyssa Burger at alyssa@umn.edu |
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| Please list the names, titles and email addresses of your references. As a reminder, you are required to submit TWO letters of recommendation / reference. Please ask your letter writers to submit their letters of recommendation to Alyssa Burger at alyssa@umn.edu. |
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| Are you currently enrolled in a program in which you are paid a stipend or issued an award in which you are not permitted to accept support by any other federal funds? |
No
Yes
I don’t know |
| I understand I am submitting an application to the REU Program administered by the Center for Compact and Efficient Fluid Power (CCEFP). If I am offered an REU position, and accept, I agree to participate in the REU Program May 28 – August 9, 2019. I also confirm that I have read and understand the application materials including the eligibility criteria. Finally, I confirm I will ask my two references to email letters of recommendation to Ms. Alyssa Burger. |
Yes, I agree
No, I disagree |
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