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Online Application

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Online Application Form

NOTE: Please make sure you have chosen which projects you are intrested in before filling out this application. Project descriptions are not listed below and leaving this page for a significant amount of time will cause it to time-out and lose your information.

Statement of Confidentiality: The information contained in this application is for the purpose of determining the applicant's eligibility for the Summer Research Program. Information received is treated confidentially.

Please respond to all questions below and make sure all information is complete by the application deadline: March 1st, 2010.

Student Information
Last Name	First Name	Middle Initial

E-mail Address

Mailing Address		City	State	Zip

Home Address		City	State	Zip

Telephone Number	Alternate Telephone Number (optional)

Citizenship	If "Other", please specify

If "Permanent Resident", alien registration number	If "Permanent Resident", date of issue (mm-dd-yyyy)

College or University Education
First Institution	Location

Field of Study	Dates Attended (mm-yyyy)	Credits Earned
	to

Second Institution	Location

Field of Study	Dates Attended (mm-yyyy)	Credits Earned
	to

Third Institution	Location

Field of Study	Dates Attended (mm-yyyy)	Credits Earned
	to

Fourth Institution	Location

Field of Study	Dates Attended (mm-yyyy)	Credits Earned
	to

Additional College or University Information
Degree	Expected date of graduation (mm-yyyy)

Cumulative GPA out of possible

Professional or Work Experience
First Employer	Location

Dates Employed (mm-yyyy)	Nature of Position
to

Second Employer	Location

Dates Employed (mm-yyyy)	Nature of Position
to

Third Employer	Location

Dates Employed (mm-yyyy)	Nature of Position
to

Fourth Employer	Location

Dates Employed (mm-yyyy)	Nature of Position
to

Graduate Record Examination (if available)
Test Date (mm-dd-yyyy)

Analytical Score (not percentile)	Quantitative Score (not percentile)	Verbal Score (not percentile)

Academic Honors, Prizes, Scholarships, or Honor Societies

Extracurricular Activities

Research Areas
Identify the three most interesting research areas in environmental sciences and engineering from the list below. Select in the order you would rank your choices.
First Area
Second Area
Third Area

Research Projects
Please review the list of research projects proposed for this year's summer program. Indicate the three projects that are the most interesting to you. Select only three, any additional selections will be disregarded.
	REU Project	Mentor	Department
	Multifunctional biocapsules for the efficient production of ethanol from cellulosic biomass	Dr. Silvana Andreescu (co-PI)	Chemistry andBiomolecular Science
	Improving the Efficiency of a Manure Digester through Co-digestion of High-Energy Containing Waste Products	Dr. Stefan Grimberg (former REU director)	Civil and Environmental Engineering
	Titania nanocomposites for photovoltaic applications	Dr. Devon Shipp	Biomolecular Science
	Small Wind Turbines Research	Dr. Kenneth D. Visser	Mechanical and Aeronautical Engineering
	Effects of Additives on the Viscosity of Room Temperature Ionic Liquids	Dr. Ruth Baltus	Biomolecular Engineering
	Development of Air Sampling Device for Indoor Air Quality Assessment OR Human Exposure Assessment	Dr. Alan Rossner	Environmental and Occupational Health
	Development of Novel Nanoparticle Tracers for Monitoring and Measurement of Air and Liquid Flows in the Environment	Dr. Igor Sokolov	Physics
	Ambient Measurements of Nanoparticle Population Distributions	Dr. Suresh Dhaniyala	Mechanical and Aeronautical Engineering
	Measurement of Mercury Deposition to Lakes and Rivers	Dr. Thomas Holson	Civil and Environmental Engineering
	Value of Wetland Restoration Incentive Programs on Privately Owned Land for Species of Greatest Conservation Need	Dr. Tom Langen (former REU director)	Biology
	Democratic Responses to Environmental Injustices	Dr. Christopher C. Robinson	Humanities and Social Sciences
	Phytoplankton Production in the St. Lawrence River	Dr. Michael R. Twiss	Biology
	Geothermal Energy Piles	Kerop Janoyan	Civil and Environmental Engineering

Voluntary Information
The following information is voluntary and used for statistical purposes only.
Gender	Date of Birth (mm-dd-yyyy)	Place of Birth

Ethnic Group
If other

Certification and Signature

I certify that the statements made in this application are true to the best of my knowledge. If admitted, I agree to abide by the rules and regulations of Clarkson and the National Science Foundation Environmental Sciences and Engineering Research for Undergraduates Program at Clarkson University. I understand that knowingly giving false information may result in my dismissal from the application process and the Program.

Note: By submitting this form I am giving my digital signature. A written signature may be requested by the Program Administrators. Unless otherwise noted, this signature is a valid signature.

Clarkson University is an equal opportunity / affirmative action educational institution.