Brandeis REU Program Application


To begin the application process to the REU Program, please complete this form either online or in hardcopy. To complete your application, the following items must also be submitted by March 1, 2012

  • A short statement explaining why you want to participate in the Brandeis REU Program.
  • An official sealed transcript from your current college or university.
  • Two sealed letters of recommendation from faculty.
  • Your resume (one page).
  • You may apply online (below) or hardcopy  (pdf file).

All material should be mailed to:

 REU Program
 Physics Department, MS 057
 Brandeis University
 415 South Street
 Waltham, MA 02453-2728

Contact Information

Note: * Indicates a required field.

*First Name  
*Last Name  
Middle Name  
*Mailing Address
Country  
Address  
City  
State /Province  
Zip/Postal  Code  
Home Address
Country  
Address  
City  
State /Province  
Zip/Postal Code  
*Email  
*Phone  

Demographic Information

*Gender Female: Male:
Date of Birth (mm/dd/yyyy)
*Check one: U.S. Citizen U.S. Permanent Resident
Other
Check if applicable (optional):
African-American
Asian Pacific Islander
Hispanic
Native American
White
Decline to identify

Academic Information

College(s) and University(ies) attended, with dates:
Department/Major  
Minor  
Expected graduation   (mm/yy)
Overall GPA  
Physics GPA  
List physics/biology/chemistry and other math and science courses taken in college and grades earned. (Please indicate those you are presently taking):
 Name   Grade  
 Name   Grade  
 Name   Grade  
 Name   Grade  
 Name   Grade  
List three mentors with whom you would like to work with in order of preference (review project descriptions for more information):
 1. 
 2. 
 3. 
Plans for graduate/professional degree:
M.S. Ph.D. M.D. Other Undecided

   

Email comments or questions to: kosinski@brandeis.edu