I would like to bring to your attention 3 short-term student ...
I would like to bring to your attention 3 short-term student ...
I would like to bring to your attention 3 short-term student ...
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cdt@uoregon.edu P.O. Box 1995, Newport, OR 97365<br />
Lough Hyne IRES Program<br />
1. Applicant's Details:<br />
Applicant Name: __________________________________________<br />
Gender: Female Male<br />
Institution: _______________________________________________<br />
Academic Department: __________________________________________<br />
Year in College/University: Sophomore Junior Senior MS Student PhD Student<br />
If you are a senior, please list graduate schools <strong>to</strong> which you have applied:_______________<br />
___________________________________________________________________________<br />
If graduate <strong>student</strong>, what year? 1st 2nd 3rd 4th 5th<br />
If you are a finishing MS <strong>student</strong>, please list graduate schools <strong>to</strong> which you have<br />
applied:_______________________________________________________________________<br />
Please confirm that you are a <strong>student</strong> a time of application and will be at time of participation: yes no<br />
Citizenship Status (check one): U.S. Citizen Permanent Resident<br />
2. Institutional Contact Information:<br />
Academic Department: __________________________________________<br />
Institution: ____________________________________________________<br />
Institutional Address:____________________________________________<br />
_____________________________________________________________<br />
Telephone: _______________________ Fax:____________________________<br />
E-mail: __________________________<br />
3. Home Contact Information (during the academic year):<br />
Home Address:_________________________________________________<br />
_____________________________________________________________<br />
Telephone:_______________________ Fax:____________________________<br />
E-mail:__________________________<br />
4. Permanent Home Contact Information: Same as above<br />
Home Address:_________________________________________________<br />
_____________________________________________________________<br />
Telephone:_______________________ Fax:____________________________<br />
E-mail:__________________________<br />
5. Academic Information:<br />
Academic Major: __________________________________________<br />
Degree Objective: B.A., B.S., M.S., Ph.D., Other_______<br />
Expected Graduation Date: ____________________________ (as MM/YYYY)<br />
Name of: Department Chair _______________________________________ or<br />
Major Advisor __________________________________________<br />
Grade Point Average (GPA): Overall GPA ________ Major GPA ________<br />
Please check all courses that have been taken or will be taken in spring or summer <strong>term</strong>:<br />
Invertebrate Biology Spring Summer<br />
Marine Botany (Phycology) Spring Summer<br />
Ecology Spring Summer<br />
Ecological Methods Spring Summer<br />
Statistics Spring Summer<br />
Scientific Writing Spring Summer<br />
Independent Research____________________________________________________<br />
U.S.-Ireland International Research Experiences for Students (IRES)