Session: Summer 2008 (Mid-May through Mid-July)
Last Name/Family Name (as it will appear on your passport) *
First and Middle Names *
Date of Birth * Month January February March April May June July August September October November December
* Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year of Birth * year (yyyy)
Place of Birth (City and Country) *
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Social Security Number or ITIN Number (U.S. Citizen Only)
Do you have a driver's license? * Yes No
If so, what is your driver's license number?
If so, city and country of driver's license issued?
Marital Status * Single Married
If married, spouse's Last Name/Family Name (as it will appear on their passport)
If married, spouse's First and Middle Names
This is a secure site. Your SSN is safe with us.
If married, spouse's Social Security Number or ITIN Number (U.S. Citizen Only)
If married, does your spouse have a driver's license? Yes No
If so, what is your spouse's driver's license number?
If so, city and Country of spouse's driver's license issued?
SEVIS
Citizen Status * US Citizen US Legal Permanent Resident Not a US citizen
If not US citizen, indicate country of citizenship:
E-mail Address *
Alternate E-mail Address
Current School Name *
Address *
City *
State *
Zip Code/Pin Code *
Country *
Phone Number *
Permanent/Home Address *
City *
State *
Zip Code/Pin Code *
Country *
Phone Number *
Provide address where correspondence (Visa, forms, etc.) can be sent. Address * (No PO boxes, please)
City *
State *
Zipcode *
Country *
Gender * Male Female
Physical Challenges or
Special Needs, etc.
Major(s) *
GPA * (two decimal places)
International Students: please indicate grading scale used. (i.e. 0-10, 0-100)
Expected Graduation Date * (mm/yyyy)
GRE Scores (If available, list individual section scores, not combined score.)
Awards and Honors
Please list any awards or honors you have received in this box.
Relevant Course Work
Please list all college level science, engineering, and math courses you have taken or are planning to complete before attending the internship along with the corresponding grade you received.
Work Experience
Describe your previous work experience (including any research experience other than laboratory coursework).
Please refer to the project descriptions and list the names of your top four project choices (offered by 3 different professors) who you are interested in working with along with the project number. Please see project descriptions on our website.
1st Choice: Calibration of core and log measurements Pore pressure prediction from seismic velocities
2nd Choice: Calibration of core and log measurements Pore pressure prediction from seismic velocities
3rd Choice: Calibration of core and log measurements Pore pressure prediction from seismic velocities
4th Choice: Calibration of core and log measurements Pore pressure prediction from seismic velocities
Explanation of Choices
Explain why you have selected each of these projects.
TOEFL Score (if available, list which version taken)
Indicate Date Taken (mm/dd/yyyy)
State Alternative Proof of English Proficiency
If you cannot be at OU on the beginning date of the session, state why and when would you be able to join.
List three references (professors) that can provide information about your academic standing and your interest in science/engineering. At least one reference should be able to comment on your laboratory skills.
REFERENCE 1
Name and Title *
Company/Institution *
Address *
City *
State *
Zip Code/Pin Code *
Country *
Phone *
E-mail *
REFERENCE 2
Name and Title *
Company/Institution *
Address *
City *
State *
Zip Code/Pin Code *
Country *
Phone *
E-mail *
REFERENCE 3
Name and Title *
Company/Institution *
Address *
City *
State *
Zip Code/Pin Code *
Country *
Phone *
E-mail *
The Family Educational Rights and Privacy Act of 1974 opens many college records for the student's inspection. The law also permits the student to sign a waiver relinquishing his or her rights to inspect letters of recommendation. Do you agree to waive your rights above to inspect letters of recommendation?
*
I hereby certify that all information provided on this application is true and complete to the best of my knowledge. If accepted, I understand that providing false information is grounds for dismissal from the internship program. (The following is your electronic "signature" and is considered binding.)
Initials *
Date * (mm/dd/yyyy)
Full Name *
OU has my permission to copy all parts of my application (application, letters of reference, transcripts) for internal distribution to members affiliated with the MPGE department during the selection process.
*
How did you hear about the internship program? OU Website Professor (Who?) E-mail Other (What?)
Please use this space for clarifications.