Baylor University || The Center for Astrophysics, Space Physics, and Engineering Research (CASPER)

2013 RET Application Form.

Thank you for your interest in the NSF RET Program. Please fill out the application form as completely as possible. If you have any questions, please contact us at research@baylor.edu.

Contact Information
Family (Last) Name:
Middle Initial:
First Name:
Email Address:
Mailing Address:
Work Information
School Name:
School Address:
Home Phone:
Work Phone:

Status Information
Gender:	Male Female
U.S. Citizen/Permanent Resident:	Yes No
Official Residence State:
Ethnicity:
(required by U.S. Dept of H.E.W. under Title IV of the Civil Rights Act)

Academic Information
List all colleges and universities attended: (Include enrollment at Baylor) Institution, City and State, Attendance Dates, Graduation, (degree, date, major)

If Other, explain:	If Graduate, please list degree in other field
Major:
Area of Interest:

Program Information

Have you ever applied to a Baylor Summer Research Program before?:

Yes No If so, When

Earliest available date for reporting to work:

List any other information you would like us to consider when processing your application:

Recommendations

* indicates a required field

Please give the following information for the three people who will provide your letters of recommendation. The request for the recommendation letters will be initiated electronically by Baylor University upon the submission of your application. Please advise these individuals that a request will be forthcoming.

Individual Name*
Title*
Email*
Phone*

Individual Name*
Title*
Email*
Phone*

Individual Name*
Title*
Email*
Phone*