Deadline for Application is February 13th, 2004.*
Please read each section carefully. Click
here for help.
Personal
Information:
Name: required
First:
Middle:
Last:
Date of Birth: required
Month/Day/Year:ex:
05/08/1979 / /
Current Address: required
Line 1:
Line 2:
Line 3:
City: State:
Zip Code: (if available)
Country:
Citizenship Information:
*Applications from non US citizens currently residing outside of the United States must be submitted no later than January 15, 2004.
Citizenship:
required
U.S. Citizen
Other
U.S. Permanent Resident
If you are a U.S. Citizen or Permanent Resident:
How would you best describe yourself?
Caucasian, Non-hispanic
American/Alaskan Indian
Asian/Pacific Islander
Black, Non-Hispanic
Puerto Rican
Mexican American
Latin American
Other Hispanic
Other
None of the above
If you are NOT a U.S. Citizen, please fill out the following!
required
What is your present occupation or position in your country?
Place of Birth:
City:
Country:
Please indicate Country of Citizenship:
If you are a foreign national now residing in the U.S., what is your status?
Permanent U.S. Resident
A-1
AAS
F-1
F-2
G
H-1
J-1
K-1
K-2
NAT
O-1
OSA
Other
PRV
REF
T-N
TPS
Online
Information:
E-Mail address: required
user@yourschool.edu:
Webpage Address: optional
http://myschool.edu/~me/:
Academic
Information:
Current University: required
Name:
State:
Country:
Date of Graduation:
Faculty Nominator: required
Name:
E-Mail:
Academia: required
Declared Major:
Current GPA:
Input must be numeric. The format is your GPA
over the maximum achievable gpa. (Example: 3.75/4.00)
Class Rank:
Input must be numeric and represents your
percentage rank within your graduating class. (Example: A rank of 95% indicates completion above ninety-five percent of
your class.)
Verbal SAT Score: required (if taken)
Quantitative SAT Score: required (if taken)
OR SAT/ACT Not
Taken: check if applicable
Interests and
Skills:
Areas of Interest: required
Please list the Workshop 2004 projects that
interest you most, ranked in order of preference (i.e. 1 for most wanted, 3 for least wanted, with 2 in between).
The projects are:
Computer Skills: required
Please describe your computer skills, including
languages known:
Please
double-check all information before submitting!!!