Personal Information

Name

       (LastName)                       (First Name)                            (Middle Initial)

          Social Security Number  

Permanent Address

Street      City 

State    Zip    Home Phone 

Campus Address

Street      City 

State     Zip    Campus  Phone 

E-mail Address 

Correspondence should be sent to:  Permanent Address  Campus Address

Name of University you currently attend 

Department      

Major    Expected Date of Graduation (MM/YY) 

Gender          Male           Female

Citizenship    US Citizen   Permanent Resident

Disabled        Yes            No

Postgraduate plans  M.S.       M.D.       Ph.D.       Work

How did you learn about this program at OU ?

Internet       Flyer       Professor       Other

Ethnicity (optional):  

	African American	Asian	Hispanic, Native American
	Caucasian	Other

Please answer the three following questions in a total of 250 words or less. 1. Why are you interested in participating in the University of Oklahoma’s Industrial Engineering REU program? Include qualifications such as coursework in metrology or quality and/or previous internships (if any).

2. Education is a building block upon which we grow. Describe your current and/or previous educational experiences and how they would relate to participating in this program. Also, briefly discuss any research experiences currently possible at your institution.

3. What do you expect to gain from participating in the University of Oklahoma’s Industrial Engineering REU program? How would you plan to achieve those goals? Also, discuss your expectations or sentiments concerning the program.