# NCTR Summer Student Research Program

**General Instructions**

1\. Read eligibility requirements.

2\. All documents must be in English or include an official English
translation.

3\. Complete the application form, and attach a résumé or curriculum
vitae, including academic history, employment history, and relevant
experiences.

4\. Request references from **two** persons who are familiar with your
professional or educational qualifications.

5\. Send college/university transcript(s) to the address below
(unofficial copy is acceptable).

6\. It is your responsibility to ensure that all documents are received
by the deadline.

**Eligibility Requirements to Apply**

1.  Student in good standing at an accredited U.S. college or
    university, or accepted as an entering graduate student at an
    accredited U.S. college or university.

2.  Cumulative grade point average of 2.50 or higher (based on a 4.0
    scale).

3.  U.S. citizenship.

4.  At least 18 years of age at the time of application.

5.  Participants are required to provide proof of coverage under a
    health insurance plan PRIOR to beginning an appointment.

***Fax or mail documents to:** (**DO NOT** mail originals, if they have
been faxed or e-mailed*.)

  ----------------------------------- -----------------------------------
  Oak Ridge Institute for Science and *For Overnight Delivery:\
  Education\                          *Oak Ridge Institute for Science
  NCTR Summer Student Research        and Education\
  Program\                            NCTR Summer Student Research
  Attn: Sherry Foster\                Program\
  P.O. Box 117, M.S. 36\              Attn: Sherry Foster\
  Oak Ridge, TN 37831-0117            1299 Bethel Valley Road, SC-200\
                                      Oak Ridge, TN 37830

                                      

  Fax: (865) 241-5219 -- Attn: NCTR   
  Summer Student Research Program     

                                      

  E-mail: Sherry.Foster@orau.org      
  ----------------------------------- -----------------------------------

+-----------------------------------------------------------------------+
| The 2009 deadline for the\                                            |
| NCTR Summer Student\                                                  |
| Research Program is\                                                  |
| **March 23, 2009**.                                                   |
|                                                                       |
| The appointment period will be                                        |
|                                                                       |
| May 26 -- July 31, 2009.                                              |
+-----------------------------------------------------------------------+

Instructions

# NCTR Summer Student Research Program

**Application**

Please read the General Instructions before completing this application.
Type or print clearly and return the completed application form and
**[all]{.underline}** supporting materials to the Oak Ridge Institute
for Science and Education.

  -------------------------- ---- ----------------- ---- ---------- ---- -------
  **Current Academic         \[   Undergraduate     \[   Graduate   \[   Other
  Status:**                  \]   Student           \]              \]   

  -------------------------- ---- ----------------- ---- ---------- ---- -------

  -------- ----------- ---------------------- -------------------- -----------------
  **1.**   **Name:**                                               

                       *(Last)*               *(First)*            *(Middle)*
  -------- ----------- ---------------------- -------------------- -----------------

  -------- -------------------------------------------------------------------
  **2.**   **Current Mailing Address:** *(for overnight delivery)*

  -------- -------------------------------------------------------------------

  ------------ ----------------------------------------------------------
  Address:     

               

  City:        

  State:       

  Zip:         

  Phone:       

  E-mail:      
  ------------ ----------------------------------------------------------

  -------- --------------------------- --------------------------------------
  **3.**   **Country of Citizenship:** 

  -------- --------------------------- --------------------------------------

  -------- ----------------------------- -------------------------------------
  **4.**   **College or University       
           Currently Attending:**        

  -------- ----------------------------- -------------------------------------

  -------- --------------------------- ---------------------------------------
  **5.**   **Expected Degree and       
           Graduation Date:**          

  -------- --------------------------- ---------------------------------------

  -------- ------------ ------------------------ --- ----------- ----------------
  **6.**   **Current                                 **Current   
           Major:**                                  GPA:**      

  -------- ------------ ------------------------ --- ----------- ----------------

  -------- ---------------------------- --------------------------------------
  **7.**   **Academic Honors or Awards  
           Received:**                  

  -------- ---------------------------- --------------------------------------

  -------- -------------------------------------------------------------------
  **8.**   **List members of NCTR scientific staff with whom you have had
           contact.**

  -------- -------------------------------------------------------------------

  ----------------------- ----------------------------- ------------------
  **Name**                **Address**                   **Phone**

                                                        

                                                        

                                                        
  ----------------------- ----------------------------- ------------------

Application 1 of 2

+----------------------------------------+------+----------------------+
| # NCTR Summer Student Research Program | # N  | #                    |
|                                        | ame: |                      |
+----------------------------------------+------+----------------------+

# 

**Application** *(continued)*

  -------- -------------------------------------------------------------------
  **9.**   **Describe your areas of interest and what type of research
           activities you would like to be involved with at NCTR.**

  -------- -------------------------------------------------------------------

  --------- -------------------------------------------------------------------
  **10.**   **Describe the educational and professional goals you expect to
            achieve as a result of participating in this program.**

  --------- -------------------------------------------------------------------

  --------- ---------------------------- --------------------------------------
  **11.**   **How did you learn about    
            this program?**              

  --------- ---------------------------- --------------------------------------

  --------- --------------------------- ---- ----- ---- ---- --------------------------
  **12.**   **Do you have current       \[   Yes   \[   No   *(If yes, attach copy of
            health insurance?**         \]         \]        insurance card.)*

  --------- --------------------------- ---- ----- ---- ---- --------------------------

  --------- -------------------------------------------------------------------
  **13.**   **Attach résumé or curriculum vitae. *MUST*** *include the
            following information:**.***

  --------- -------------------------------------------------------------------

*Academic history (institution, dates, degree, major, GPA)*

*Employment history (current employer, salary, dates, part-time or
full-time)*

*Relevant research experiences*

  --------- -------------------------------------------------------------------
  **14.**   **Remember to send transcripts and references to address below.**

  --------- -------------------------------------------------------------------

***Fax or mail documents to:** (**DO NOT*** mail originals, if they have
been faxed.)

  ----------------------------------- -----------------------------------
  Oak Ridge Institute for Science and *For Overnight Delivery:\
  Education\                          *Oak Ridge Institute for Science
  NCTR Summer Student Research        and Education\
  Program\                            NCTR Summer Student Research
  Attn: Sherry Foster\                Program\
  P.O. Box 117, M.S. 36\              Attn: Sherry Foster\
  Oak Ridge, TN 37831-0117            1299 Bethel Valley Road, SC-200\
                                      Oak Ridge, TN 37830

                                      

  Fax: (865) 241-5219 -- Attn: NCTR   
  Summer Student Research Program     

                                      

  E-mail: Sherry.Foster@orau.org      
  ----------------------------------- -----------------------------------

Application 2 of 2

**NCTR Summer Student Research Program**

**Reference** *(A letter may be substituted, if more convenient.)*

  ------------- -------------------- ------------------- -----------------
  **Applicant                                            
  Name:**                                                

                *(Last)*             *(First)*           *(Middle)*
  ------------- -------------------- ------------------- -----------------

  -----------------------------------------------------------------------
  **How long and in what association have you known the applicant?\
  **

  -----------------------------------------------------------------------

In a group of 100 science and math students of comparable age and
experience, how would you rate the applicant with respect to the
following **PERSONAL CHARACTERISTICS**?

  --------------------------- ----------- ----------- ----------- --------------- ------------ ---------------
                              **Below     **\         **Above     **\             **\          **Inadequate
                              Average**   Average**   Average**   Outstanding**   Superior**   Observation**

  Motivation toward a                                                                          
  productive career                                                                            

  Growth during total period                                                                   
  observed                                                                                     

  Imagination and originality                                                                  
  of thought                                                                                   

  Emotional maturity and                                                                       
  stability                                                                                    

  Ability to work with others                                                                  

  Independence and                                                                             
  self-reliance                                                                                

  Leadership potential                                                                         
  --------------------------- ----------- ----------- ----------- --------------- ------------ ---------------

In a group of 100 science and math students of comparable age and
experience, how would you rate the applicant with respect to the
following **SCIENTIFIC CAPABILITIES**?

  --------------------------- ----------- ----------- ----------- --------------- ------------ ---------------
                              **Below     **\         **Above     **\             **\          **Inadequate
                              Average**   Average**   Average**   Outstanding**   Superior**   Observation**

  Mastery of fundamental                                                                       
  knowledge in field                                                                           

  Skill/originality of                                                                         
  research project design                                                                      

  Laboratory skill and                                                                         
  technique                                                                                    

  Ability to communicate                                                                       
  (written/oral)                                                                               
  --------------------------- ----------- ----------- ----------- --------------- ------------ ---------------

Add any descriptive comments that will assist in providing a complete
picture of the applicant's character, attitude, abilities, and potential
for research. Please comment on both the applicant's weak and strong
points. Use additional sheets if necessary.

  ------------------------------------------- ---------------------------
  **COMMENTS:**                               

  Signature:                                  Date:

  Typed/Printed Name:                         Title:

  Address:                                    Phone:
  ------------------------------------------- ---------------------------

**Fax or mail documents to:** *(**DO NOT** mail originals, if they have
been faxed or e-mailed.)\
*Oak Ridge Institute for Science and Education, NCTR Summer Student
Research Program, Attn: Sherry Foster, P.O. Box 117, M.S. 36, Oak Ridge,
TN 37831-0117, Fax: (865) 241-5219 -- Attn: NCTR Summer Student Research
Program, E-mail: <Sherry.Foster@orau.org>.