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Application for the 2009 Purdue Summer Research Opportunities Program
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To apply, complete and submit the application form, ask the Registrar(s) of universities you are attending and have previously attended to send us a copy of your transcript(s), and contact two faculty members to send us letters of recommendation for you. Since the program fills quickly, application materials should be sent as soon as possible. We will begin making decisions early in the spring and will continue until our positions have been filled. Priority consideration will be given to applications received by April 1, 2009. Application materials may be submitted electronically or by mail services to:

Purdue University
The Graduate School
Attn:  Purdue SROP
Ernest C. Young Hall 170
302 Wood Street
West Lafayette , IN 47907-2108

E-mail: srop@purdue.edu
Telephone: 765-494-2600
Fax: 765-494-0136

A completed application will include this form and transcript(s) which you have asked Registrars at your current college or university (and others you have attended) to send to us, and two letters of recommendation you have requested from faculty.

Name:
Last First Middle


University:
Other Universities Attended:

Semesters Completed by June 2009:
Expected Graduation Date: GPA:
Major Field:
Academic Advisor:

Ethnicity:

Did you graduate from a U.S. high school?
If yes, please enter the name and address of your high school:

Are you now in the MARC Program?
Or RISE/MBRS Program?:
If yes, Name of Program Director:

Career Goal:

Are you interested in cancer research? Yes No
(Purdue Cancer Center sponsors students in the SROP Program)

Address:
Local:
Street Address City State Zip
Phone:
Cell Phone:
E-mail:
Date After which Mail should be sent to home address:
       
Home:
Street Address City State Zip
Phone:

Parent or Guardian:
Their Address:
(If different)

Name and e-mail address of two faculty members you have asked to send us a recommendation:
(1)Name:
     Email:

(2)Name:
     Email:


Has your present college or university declared you eligible for financial aid for the 2009-20010 school year under any of the following government programs?

1) Federal (Subsidized) Stafford Loan?
2) Federal College Work Study?
3) Federal Perkins Loan?
4) Federal Supplemental Educational Opportunity Grant (SEOG)?
5) Federal Pell Grant?

Will you or your brother(s) or sister(s) be the first college graduates in your immediate family? (That is, your parents are not college graduates.)

In the space below (500 words or less), please tell us your career goals, your reasons for wishing to join the Purdue SROP program and what you believe you might contribute to the goals of this program. This essay provides an important component in our selection process.

* *

If I become a Purdue-SROP Program participant, I grant permission for the program to contact registrar(s) of universities that I attend in order to update the program's records on my subsequent academic career.

Yes No




 
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