**General Eligibility Requirements to Apply**

1.  Applicants must have received a graduate degree within 3 years of
    the appointment dates.

2.  There are no citizenship requirements.

**Instructions**

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

1.  Complete the two-page application form. An application will not be
    processed unless it is complete.

2.  Attach the following:

    a.  Resume

    b.  Publication list, including thesis or dissertation title

    c.  Copies of reprints or abstracts, if available

    d.  Copy of Permanent Resident Alien (PRA) card, if applicable

3.  Have three persons (including your thesis or dissertation adviser,
    if applicable) who are familiar with your professional
    qualifications submit references to the address below. References
    from proposed facility research advisors will not be accepted unless
    that person is also the thesis or dissertation adviser.

4.  Have official graduate and undergraduate transcripts sent to the
    address below.

Note: The complete application and supporting materials will be
reproduced for submission to the National Energy Technology laboratory
for review. Incomplete applications will not be considered.

**Application, resume, publication list, abstracts, reference forms, and
official transcripts should be sent directly to the address below:**

Truly Ani

NETL Postgraduate Research Program

Oak Ridge Institute for Science and Education

Science Education Programs, MS 36

P.O. Box 117

Oak Ridge, TN 37831-0117

**Phone:** (865) 574-6912 **Fax:** (865) 574-2850 **E-mail:**
Truly.Ani@orau.org

**Overnight Express Delivery Address:**

ATTN: Truly Ani, MS-36, 1299 Bethel Valley Road, Building SC-200

Oak Ridge, TN 37830

**There are no deadlines for postgraduate applications.**

**Application**

  -------------------- ------------------------------------------------------
  **Highest degree:**       

  Date                      
  received/expected:   

  Degree discipline:        

  Desired starting          
  date:                
  -------------------- ------------------------------------------------------

**Desired NETL Division**

  ---------------- ------------------------------------------------------
  First choice     **     **

  Second choice    **     **
  ---------------- ------------------------------------------------------

  ---------------- ------------------------------------------------------
  **Name** (First, **     **
  Middle, Last)    

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

  ----------------- ----------- ----------- ----------- ----------- ----------- ----------- -------------- -------------- ----------- -------------
  **Work Mailing                            **     **                                                                                 
  Address**                                                                                                                           

                                            (Street                                                                                   
                                            Name,                                                                                     
                                            Apartment                                                                                 
                                            Number, or                                                                                
                                            P.O. Box)                                                                                 

  **     **                                                                     **     **                                             **     **

  City State Zip                                                                                                                      

  **Work Phone**    **     **                                                                              **Work Fax     **     **   
                                                                                                           Number**                   

  **Work E-mail                             **     **                                                                                 
  Address**                                                                                                                           

  **Home Mailing                            **     **                                                                                 
  Address**                                                                                                                           

                                            (Street                                                                                   
                                            Name,                                                                                     
                                            Apartment                                                                                 
                                            Number, or                                                                                
                                            P.O. Box)                                                                                 

  **     **                                                                     **     **                                             **     **

  City State Zip                                                                                                                      

  **Home Phone**                **     **                                                                  **Home Fax     **     **   
                                                                                                           Number**                   

  **Home E-mail                                         **     **                                                                     
  Address**                                                                                                                           

  **Citizenship**                                                   Yes No                  If no, Country                **     **   
  U.S. Citizen                                                                              of                                        
                                                                                            Citizenship:                              

  If no, Permanent                                                  Yes No                                                            
  Resident                                                                                                                            
  ----------------- ----------- ----------- ----------- ----------- ----------- ----------- -------------- -------------- ----------- -------------

Foreign nationals, please provide:

  -------- -------------------------- --------------- --------------------
  Visa                                Visa Expiration      
  Type                                Date            

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

**Do you have a driver's license valid in the United States?** Yes No

List your academic history (begin with current or most recent):

  -------------------- ------- ------- -------- ---------- -------------- -----------
  Institution/Campus   Date            Degree   Date       Major          Grade Point
                                                Awarded or                Average\*
                                                Expected                  

                       From    To                                         

                                                                               

                                                                               

                                                                               

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

\*(GPA basis: A=4, B=3, C=2, D=1. Attach explanation if your transcript
uses different basis.)

List three persons familiar with your professional qualifications and
who have been asked to submit reference forms directly to ORISE (include
thesis or dissertation advisor):

  ----------------------- ----------------------- -----------------------
  Name                    Position                Address

                                                       

                                                       

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

**Application, page 2**

List members of scientific staff at NETL who are willing to host you:

  ----------------------------------- -----------------------------------
  Name                                Division

                                           

                                           

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

List your academic honors:

  ----------------------- ----------------------- -----------------------
  Award                   Institution/Campus      Inclusive Dates

                                                       

                                                       

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

List your relevant employment record; begin with current (include
part-time and full-time, military, and summer).

  ------- ------- ------------------------------ -------------------------
  From    To      Employer                       Type of Work

                                                      

                                                      

                                                      

                                                      

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

Describe any relevant research experiences; include any patents you have
received or for which you have applied. Use additional sheets as
necessary.

     

Describe the educational and professional goals you expect to achieve as
a result of participating in this program. Use additional sheets as
necessary.

     

  --------------- ----------------------------------------------- ---------- -----------
  **Signature**                                                   **Date**   

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

**APPLICATION WILL NOT BE ACCEPTED WITHOUT SIGNATURE**

+-----------------------------------------------------------------------+
| **Return to:** Truly Ani, ORISE, MS 36, P.O. Box 117, Oak Ridge, TN   |
| 37831-0117                                                            |
|                                                                       |
| **Phone:** (865) 574-6912 **Fax:** (865) 574-2850 **E-mail:**         |
| Truly.Ani@orau.org                                                    |
+-----------------------------------------------------------------------+

**Application**

**Release and Certification of Accuracy** (Please print and sign.)

I understand that the information in the application and the references
will be provided to the respective staff involved in the selection
process, and that the demographic data will not be used for selection
purposes.

I certify that all of the information I have provided in this
application is true and accurate to the best of my knowledge. I
understand that any falsification will render me ineligible for
participation and, if found after participation has begun, will require
me to reimburse any funds received.

-   Yes, I have read the above statements and certify that the
    information in my application is accurate.

  ------------- ---------------------------------------------------------
  Date          
  Certified:    

  Applicant     
  Signature:    
  ------------- ---------------------------------------------------------

+-----------------------------------------------------------------------+
| **Return to:** Truly Ani, ORISE, MS 36, P.O. Box 117, Oak Ridge, TN   |
| 37831-0117                                                            |
|                                                                       |
| **Phone:** (865) 574-6912 **Fax:** (865) 574-2850 **E-mail:**         |
| Truly.Ani@orau.org                                                    |
+-----------------------------------------------------------------------+

Reference Form

  ------------- ---------------------------- --------------------------------
  Applicant                                  
  Name                                       

  How long and                                    
  in what                                    
  association                                
  have you                                   
  known this                                 
  applicant?                                 

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

In a group of 100 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Personal                | **B | *  | **A | **Out | **S | **Inad |
| Characteristics**         | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Capabilities**          | **B | *  | **A | **Out | **S | **Inad |
|                           | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Mastery of fundamentals   |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Skill/originality of      |     |    |     |       |     |        |
| special projects          |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Laboratory skills and     |     |    |     |       |     |        |
| techniques                |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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. Use additional sheets as necessary.      

+--------------+------------------------------+----+-------------------+
| Signature    |                              | De |                   |
|              |                              | pt |                   |
+--------------+------------------------------+----+-------------------+
| T            |                              |    |                   |
| yped/Printed |                              |    |                   |
| Name         |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| Address      |                              |    |                   |
+--------------+------------------------------+----+-------------------+
|              |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| **Return     |                              |    |                   |
| to:** Truly  |                              |    |                   |
| Ani, ORISE,  |                              |    |                   |
| MS 36, P.O.  |                              |    |                   |
| Box 117, Oak |                              |    |                   |
| Ridge, TN    |                              |    |                   |
| 37831-0117   |                              |    |                   |
|              |                              |    |                   |
| **Phone:**   |                              |    |                   |
| (865)        |                              |    |                   |
| 574-6912     |                              |    |                   |
| **Fax:**     |                              |    |                   |
| (865)        |                              |    |                   |
| 574-2850     |                              |    |                   |
| **E-mail:**  |                              |    |                   |
| Truly.       |                              |    |                   |
| Ani@orau.org |                              |    |                   |
+--------------+------------------------------+----+-------------------+

**Reference Form**

  ------------- ---------------------------- --------------------------------
  Applicant                                  
  Name                                       

  How long and                                    
  in what                                    
  association                                
  have you                                   
  known this                                 
  applicant?                                 

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

In a group of 100 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Personal                | **B | *  | **A | **Out | **S | **Inad |
| Characteristics**         | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Capabilities**          | **B | *  | **A | **Out | **S | **Inad |
|                           | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Mastery of fundamentals   |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Skill/originality of      |     |    |     |       |     |        |
| special projects          |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Laboratory skills and     |     |    |     |       |     |        |
| techniques                |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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. Use additional sheets as necessary.      

+--------------+------------------------------+----+-------------------+
| Signature    |                              | De |                   |
|              |                              | pt |                   |
+--------------+------------------------------+----+-------------------+
| T            |                              |    |                   |
| yped/Printed |                              |    |                   |
| Name         |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| Address      |                              |    |                   |
+--------------+------------------------------+----+-------------------+
|              |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| **Return     |                              |    |                   |
| to:** Truly  |                              |    |                   |
| Ani, ORISE,  |                              |    |                   |
| MS 36, P.O.  |                              |    |                   |
| Box 117, Oak |                              |    |                   |
| Ridge, TN    |                              |    |                   |
| 37831-0117   |                              |    |                   |
|              |                              |    |                   |
| **Phone:**   |                              |    |                   |
| (865)        |                              |    |                   |
| 574-6912     |                              |    |                   |
| **Fax:**     |                              |    |                   |
| (865)        |                              |    |                   |
| 574-2850     |                              |    |                   |
| **E-mail:**  |                              |    |                   |
| Truly.       |                              |    |                   |
| Ani@orau.org |                              |    |                   |
+--------------+------------------------------+----+-------------------+

Reference Form

  ------------- ---------------------------- --------------------------------
  Applicant                                  
  Name                                       

  How long and                                    
  in what                                    
  association                                
  have you                                   
  known this                                 
  applicant?                                 

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

In a group of 100 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Personal                | **B | *  | **A | **Out | **S | **Inad |
| Characteristics**         | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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 other students of comparable age and experience, rate
the applicant with respect to the following:

+---------------------------+-----+----+-----+-------+-----+--------+
| **Capabilities**          | **B | *  | **A | **Out | **S | **Inad |
|                           | elo | *A | bov | stand | upe | equate |
|                           | w** | ve | e** | ing** | rio | O      |
|                           |     | ra |     |       | r** | bserva |
|                           | **  | ge | **  |       |     | tion** |
|                           | Ave | ** | Ave |       |     |        |
|                           | rag |    | rag |       |     |        |
|                           | e** |    | e** |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Mastery of fundamentals   |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Skill/originality of      |     |    |     |       |     |        |
| special projects          |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| Laboratory skills and     |     |    |     |       |     |        |
| techniques                |     |    |     |       |     |        |
+---------------------------+-----+----+-----+-------+-----+--------+
| 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. Use additional sheets as necessary.      

+--------------+------------------------------+----+-------------------+
| Signature    |                              | De |                   |
|              |                              | pt |                   |
+--------------+------------------------------+----+-------------------+
| T            |                              |    |                   |
| yped/Printed |                              |    |                   |
| Name         |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| Address      |                              |    |                   |
+--------------+------------------------------+----+-------------------+
|              |                              |    |                   |
+--------------+------------------------------+----+-------------------+
| **Return     |                              |    |                   |
| to:** Truly  |                              |    |                   |
| Ani, ORISE,  |                              |    |                   |
| MS 36, P.O.  |                              |    |                   |
| Box 117, Oak |                              |    |                   |
| Ridge, TN    |                              |    |                   |
| 37831-0117   |                              |    |                   |
|              |                              |    |                   |
| **Phone:**   |                              |    |                   |
| (865)        |                              |    |                   |
| 574-6912     |                              |    |                   |
| **Fax:**     |                              |    |                   |
| (865)        |                              |    |                   |
| 574-2850     |                              |    |                   |
| **E-mail:**  |                              |    |                   |
| Truly.       |                              |    |                   |
| Ani@orau.org |                              |    |                   |
+--------------+------------------------------+----+-------------------+

**Applicant Data**

Applicant data is important in assessing the effectiveness of our
efforts to solicit applications from a diverse population. Your
completion and submission of this form will assist us in this regard.
Providing this information is voluntary. If you decline to give this
information, it will in no way affect consideration of your application.

  ------ ----------------------------------------- ------ ------------------
  Name                                             Date        

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

Race

Caucasian (Having origins in any one of the original peoples of Europe,
North Africa, or the Middle East)

African-American (Having origins in any Black racial groups of Africa)

Hispanic (of Mexican, Puerto Rican, Cuban, Central/South American or
other Spanish culture of origin, regardless of race)

American Indian (Having origins in any of the original peoples of North
America, and maintaining cultural identification through tribal
affiliation of community recognition)

Asian or Pacific Islander (Having origins in any of the original peoples
of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific
Islands --- for example, India, China, Japan, Korea, Philippine Islands,
and Samoa)

  ------- -----------------------------------------------------------------
  Other        

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

Gender

Female Male

  -------- --------------------------------------------------------------
  Birth         
  Date     

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

Physical/mental handicap (physical or mental impairment that
substantially limits one or more major life activities, for example,
blindness, deafness, or mobility impairment) Yes No

+-----------------------------------------------------------------------+
| **Return to:** Truly Ani, ORISE, MS 36, P.O. Box 117, Oak Ridge, TN   |
| 37831-0117                                                            |
|                                                                       |
| **Phone:** (865) 574-6912 **Fax:** (865) 574-2850 **E-mail:**         |
| Truly.Ani@orau.org                                                    |
+-----------------------------------------------------------------------+