ECSU-NAM 2002 STUDENT RESEARCH INSTITUTE
IN COMPUTATIONAL SCIENCE-SCIENTIFIC VISUALIZATION
May 13, 2002 - May 25, 2002
STUDENT APPLICATION
NOTE: Funding guidelines require participants to be U.S. citizens or permanent residents.
This Institute is designed for rising seniors and graduating seniors who plan to do an internship
during the summer of 2002 and who plan to attend graduate school after graduation.
To apply, you should be at least a junior (2001-2002 Academic year) with a GPA of 3.0 or higher:
(a) complete this form
(b) briefly describe (on the back) your mathematics/computer science interests and career goals,
(c) send a copy of your current college transcript (unofficial copy is acceptable),
(d) include one (1) letter of reference (from a mathematics / science professor) with your application.
The complete application, along with required materials, should be sent by April 8, 2002 to:
The CSSV Center
Elizabeth City State University
Box 959
Elizabeth City, North Carolina 27909
Name ___________________________________________________________________________
Social Security #__________________________Birth Date ___________________
Expected date of graduation_________________________
Major_______________________________________Minor___________________________________
Name of your institution ____________________________________________________________
College address ___________________________________________________
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College Telephone #_________________________________________________
Home address:______________________________________________________
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Home Telephone # ___________________________________________________
E-mail Address ___________________________________________________
2002-2003 Fall Semester classification_______________________________; # of hours earned by May 2002 ______
Name, address and phone number of person writing reference (should be a college mathematics/science professor who has taught you).
Name:_____________________________________________________________
Phone: ( ) _________________________
Institution: _____________________________________________________
Address: _________________________________________________________________
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Please provide the following information (applicant):
____Male____Female
(Check One):____African American;____Hispanic American
____Native American____Asian American____Caucasian_____Other________________
Deadline: April 8, 2002
Page 2, Student Application
I. Classes Completed: Give titles of college mathematics/computer science courses completed by 5/15/02.
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II. Career Goals: Briefly describe your mathematics / science interests and career goals.
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III. 2002 Summer Plans: What are your plans for the summer of 2002 between 6/1/02 & 8/15/02?
IV. Do you plan to do a 2002-2003 academic year project?
V. What discipline area do you plan to study in graduate school?___________________________
Signature ______________________________________ Date ________________________________