National Science Foundation Research Experience for Undergraduates Program Archaeological and Laboratory Investigations at New Philadelphia, Illinois Summer 2008 Student Information: (please type or print carefully)
Name: ______________________________________________________ Date of Birth: ___________ US Citizen: □ Yes SSN ______-____-______
□ No
Sex: □ Male
□ Female
Address During Academic Year:
Street Address:___________________________________________________ City, State, Zip Code: _____________________________________________ Phone: hm:____________________wk:_______________________________ E-mail address: __________________________________________________
Permanent Address:
Street Address:___________________________________________________ City, State, Zip Code: _____________________________________________ Phone: hm:____________________wk:_______________________________ E-mail address: __________________________________________________
Parent(s) or Guardian(s) Information:
Name(s): ________________________________________________________ Street Address:___________________________________________________ City, State, and Zip Code: __________________________________________ Phone: hm:____________________wk:_______________________________ E-mail address: __________________________________________________
Race (select one or more)
Demographic data allows NSF to gauge whether its programs in science and technology are reaching and benefiting everyone regardless of demographic category and to ensure that those in under-represented groups have the same knowledge of and access to programs.
□ American Indian or Native Alaskan □ African American □ White, non Hispanic
□ Native Hawaiian or Other Pacific Islander □ Asian American □ Hispanic
EDUCATION INFORMATION:
Name of Your Undergraduate Institution: _____________________________________ Current Status (circle one): Soph, Jr., Sr. Enrollment (check one): Graduation Date: ___________
□ Full time
□ Part time
Cumulative GPA:____
Major:______________________________________ Have you previously participated in an NSF REU program If yes, where and when?
Name of faculty members sending a letter of recommendation 1) _________________________________________ 2) _________________________________________ Have you arranged for a transcript to be sent? __________ Note: Applications are not complete until we receive transcripts and two letters of recommendation.
□ Yes
□ No
HEALTH PROFILE
Students may be exposed to extreme heat and humidity and are expected to perform demanding physical labor, during the first part of this REU program -- such as shoveling, screening, and lifting heavy buckets. You will also be expected to adapt to unusual living conditions such as group-oriented living, and outdoor toilets. Please list any known allergies that you have and provide us any information that may prohibit you from participating in physical activities listed above.
Also, please list any dietary restrictions.
COURSEWORK
List any coursework experience you have in anthropology, history, or related fields.
List any archaeological field or laboratory experience, including short-term volunteer activities.
FOR BEST CONSIDERATION APPLICATIONS ARE DUE BY: MARCH 21, 2008
All application must include the following in one packet:
□ This application. □ A one-paragraph statement of interest in the “New Philadelphia
Archaeology Program.” Describe your educational and professional goals and state how this program will help meet your goals (not to exceed 250 words).
□ The Faculty Reference Form completed by two faculty member at your
institution. The references should be in a sealed envelope and signed across the flap by your professor.
□ Unofficial copy of your transcript
Applicants must not be graduating seniors and must fulfill NSF US citizenship requirements. Applicants from traditionally underrepresented backgrounds are strongly encouraged to apply. Send your completed application to: Dr. Christopher Fennell NSF-REU program Department of Anthropology University of Illinois 109 Davenport Hall, MC-148 607 S. Mathews Ave. Urbana, Illinois 61801
National Science Foundation Research Experience for Undergraduates Program Archaeological and Laboratory Investigations at New Philadelphia, Illinois Faculty reference form
Student Information: Name:__________________________________________________________ Last First MI Faculty Referee Information Name:___________________________________________________________ Title: ____________________________________________________________ Institution: ______________________________________________________ Phone: __________________________________________________________ Email: ___________________________________________________________ RATING: please rate the applicant on the attributes listed below Top 1-2% 5% 10% 25% Intellectual Ability Academic Preparation Maturity And Judgment Self Motivation Oral Communication Written Communication Overall, what is your assessment of the applicant’s qualifications and abilities for this NSF-REU program? (additional sheets or letter may be added)
50%
Bottom 50%
No Basis
____________________________________________________________________________ Signature Date Please return this form in a sealed envelope with your name signed across the flap
National Science Foundation Research Experience for Undergraduates Program Archaeological and Laboratory Investigations at New Philadelphia, Illinois Faculty reference form
Student Information: Name:__________________________________________________________ Last First MI Faculty Referee Information Name:___________________________________________________________ Title: ____________________________________________________________ Institution: ______________________________________________________ Phone: __________________________________________________________ Email: ___________________________________________________________ RATING: please rate the applicant on the attributes listed below Top 1-2% 5% 10% 25% Intellectual Ability Academic Preparation Maturity And Judgment Self Motivation Oral Communication Written Communication Overall, what is your assessment of the applicant’s qualifications and abilities for this NSF-REU program? (additional sheets or letter may be added)
50%
Bottom 50%
No Basis
____________________________________________________________________________ Signature Date Please return this form in a sealed envelope with your name signed across the flap