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Applications for the 2009 program must be received by Wednesday, November 12, 2008
Full name:
Current address:
Current phone number:
Permanent address:
Permanent phone number:
e-mail address:
Citizenship:
********
U.S. Citizen
U.S. Permanent Resident
Other Non-U.S. Citizen
Race or Ethnicity
Sex:
********
Female
Male
Class standing:
********
Sophomore
Junior
Senior
University:
Major:
This information is requested to assure that applicants qualify for the program as defined by the National Science Foundation.
Highest math:
Chemistry taken:
Biology courses taken:
Current courses:
Please provide a 1-2 page statement describing your general background, interests, and educational goals. You will probably want to write the statement in a word processing program and paste it below.
To complete your application, you must send 1) a current transcript (unofficial copy acceptable) and 2) a letter of recommendation from a faculty member familiar with your academic record. The materials should be sent to:
Dr. Brian Bingham
Shannon Point Marine Center
1900 Shannon Point Road
Anacortes, WA 98221