Center for Integrated Access Networks: A National Science Foundation Gen-III Engineering Research Center led by The University of Arizona College of Optical Sciences

Personal Information:

 

First Name
Last Name
Organization
  Address:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
  Permanent Address:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
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Citizenship: (Only US citizens & permanent residents are eligible)

 

Letter of Reference
Please give the following information for the faculty member who will be completing your reference form.

Letter of Reference

First Name
Last Name
Home Phone
E-mail

Please indicate a brief rationale for choosing this faculty member. (Max 200 words)

Personal Statement
Please submit a personal statement describing your background and interest in our program. Your statement should include:
  • What interests you about  the research being performed at CIAN.
  • What you hope to learn, or how you hope to benefit from the program.
  • Specific skills (computer, technical, and academic skills).
  • Previous laboratory or research experience (note: previous experience is NOT a prerequisite for this program).
  • Any constraints that limit your participation to a specific campus.

You may copy and paste text into the area below. Please limit your statement to the equivalent of two double spaced pages, or about 3500 characters including spaces.

Research Interests

Select the research program that most interests you. Provide a brief summary of why you would like to work with these faculty.

Research Program Choice:


Explanation: (Max 100 words)

Demographic Information

The purpose of this section is to collect demographic information for the granting agency (the National Science Foundation). Completion is voluntary. Failure to complete this section of the application will not adversely affect your application to this program.

Gender:

Female
Male
Decline to State

Ethnicity/Race

Not Known  American Indian/Alaskan Native  African American    
Hispanic       White           Asian                 Hispanic or Latino                Other           Decline to State               

Are you disabled?

Yes         No         Decline to State

Mother's Education Level

Occupation:      Decline

Father's Education Level

Occupation:      Decline

 

Other
How did you hear about this research opportunity?       Major Area of Study

                                     

GPA                   Current School                                 Year(s) in School

                

 

Disclosure Agreement

Do you give us permission to share your application, including your transcripts and letter of recommendation, with faculty members affiliated with this program?
I Agree * I Disagree *

* - Required Field

 

 

 

 

 

 

 
Technology Management Group.
Copyright © 2008 [CIAN]. All rights reserved.
Revised: 01/05/10