*Last name:

*First or Middle Name:

email address:

College or University:

Year of Graduation: 2010 2011 2012 2013

If you are graduating in 2010, please indicate the month you will be graduating:

Birthdate (mm/dd/yy):

Social Security Number (optional):

Your Address at College:

Your Telephone Number at College:

Home Address:

Home phone:

Dates of Your College's Spring Break (for purposes of contacting you):

Please indicate from the list below the order of your preferences regarding your areas of interest. Insert preference number into box. (1 - highest preference). [If you do not have a strong preference concerning research area, please check the appropriate box below. You may still number research areas by relative interest if you check the "no strong preference" box. However, if you do not check the box, you will only be considered for positions in those research areas for which you have indicated a preference number.]

If you do not have a strong preference concerning research area, check box.

Solid State - Experiment

Solid State - Theory

Statistical and Fluids - Experiment

Statistical and Fluids - Theory

Atomic and Molecular - Experiment

Atomic and Molecular - Theory

Plasma - Experiment

Plasma - Theory

Nuclear - Theory

Astrophysics - Theory

Biophysics - Experiment

Biophysics - Theory

Photonics and Nonlinear Optics - Experiment

Electrical Engineering

Materials Science - Experiment

Materials Science - Theory

Very Important!  Are you a citizen or permanent resident of the United States? (If so check box.)
(Funding for certain positions is restricted to U.S. citizens and permanent residents.  If you don't
check the box, we have to assume you are not a U.S. citizen or permanent resident.)

If not, please enter your country of residence.

Lehigh University is an equal opportunity/affirmative action employer. In an effort to help us abide by these principles, we ask that you answer the following optional questions regarding race and gender. Check all the boxes that apply to you:

Racial Heritage:

Black

White

American Indian

Hispanic

Asian

Other

Please indicate your gender: Female Male

Are you interested in Campus Housing? Yes No

Comments:

Please send a short resume and include the names of two professors whom you will ask to send a letter recommending you for this program. All application materials, including recommendations and transcripts, must be received by March 8, 2010.

Return to:

Research Participation Program
Physics Department
16 Memorial Drive East
Lehigh University
Bethlehem, PA 18015

e-mail address: jph7@lehigh.edu>
phone number: 610-758-3926

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