ID NUMBER

Applicant ID Number

To correctly link all documents associated with this submission, record a unique number or character string to serve as your ID NUMBER. Application ID must meet the following requirements:

Contain at least one letter (upper or lower case)
Contain at least one number (0, 1, 2, 3, 4, 5, 6, 7, 8, or 9)
Contain at least one special character ($, *, @, %, #, +, or !)

You must use this same ID NUMBER on all application documents (application form, cover letter, transcripts, letters of recommendation) and all additional materials linked to this submission.

Beginning: 27 May 2006  |  Concluding: 5 August 2006

If you can not be in full attendance during the entire time the program is in-session, record dates missed and reason here:

NAME

Last name:

First name:

Middle name:

CURRENT MAILING ADDRESS

Street address:

City:

State:

Zip code:

Country:

NOTE: At this location until:
Record format as: day / month / year (e.g. 15 / September / 2006) - or - PERMANENT

CURRENT CONTACT INFORMATION

Day/cell telephone number:

Evening/other telephone number:

Fax number:

E-mail address:

GENDER

PERMANENT ADDRESS (if different from current)

Street address:

City:

State:

Zip code:

Country:

CURRENT ACADEMIC AFFILIATION

Name of school currently attending:

City:

State:

Country:

ACADEMIC ADVISOR

Name:

Telephone number:

E-mail address:

CITIZENSHIP

United States

If US citizen, record your STATE of residence:

Foreign

If not a US citizen record your COUNTRY of citizenship:

CURRENT ACADEMIC LEVEL

Community College
(any level)

College-level Freshman
(first undergraduate year)

College-level Sophomore
(second undergraduate year)

College-level Junior
(third undergraduate year)

Non-graduating College Senior
(fourth undergraduate year)

Graduating College Senior
(final stage of undergraduate education)

Anticipated month of your graduation:

Anticipated year of your undergraduate graduation:

Graduated
(completed undergraduate degree)

Year graduated:

Other, (please specify)

ACADEMIC MAJOR(S) / MINOR(S)

Academic major:

Second major:

Academic minor:

Second minor:

GRADE POINT AVERAGE (GPA)

Overall college GPA:

based on a scale of:

Freshman/Sophomores

High School GPA:
based on a scale of:

Juniors/Seniors/Others

GPA in Major:
based on a scale of:

Students at schools not issuing grades, or at institutions whose system does not fit this reporting scheme, are encouraged to offer a short descriptive of their institutions grading scheme.

NATURAL HISTORY SCIENCE UNIT

Select the one natural history discipline that best categorizes your research interests and background.

Anthropology
Botany
Entomology
Invertebrate Zoology
Mineral Science & Geology
Paleobiology
Vertebrate Zoology - Amphibians & Reptiles
Vertebrate Zoology - Birds
Vertebrate Zoology - Fish
Vertebrate Zoology - Mammals

ADVISOR / SUPERVISOR SELECTION

Record the name of the Smithsonian advisor/supervisor with whom you most want to work with as a participant in this internship program.

Preferred Advisor

Will you accept a position working with someone other than the person identified as your first choice?

If yes, list three alternate advisors/supervisors whose research also interests you as a topic for this program.

Second choice:

Third choice:

Fourth choice:

CAREER GOALS
Briefly state your career goals including education, research, and job/career aspirations. Limit your answer to no more than four sentences.

SKILLS
List your computer, technical, equipment, laboratory, field, and language skills and techniques. Limit your listing to no more than 15 entries.

ACADEMIC ACHIEVEMENTS
List your academic achievements, honors, and awards. Limit your listing to no more than 10 entries.

COURSES and GRADES
Send separately a copy of your transcripts - OR - list here all courses taken, and grades earned, that are relevant to this application.

EXPERIENCE / BACKGROUND
Record your relevant experience such as previous internships, volunteer appointments, organization memberships, independent research experience(s), etc.

ADDITIONAL INFORMATION
OPTIONAL: List here specific details not already addressed, relevant to the review of your application.

FIRST REFERENCE

NAME

Last name:

First name:

Middle name:

MAILING ADDRESS

Street address:

City:

State:

Zip code:

Country:

CONTACT INFORMATION

Day/cell telephone number:

Fax number:

E-mail address:

PROFESSION

University/College Professor
Science Educator
Administration
Other, please specify:

RELATIONSHIP TO APPLICANT

Academic Advisor
Teacher
Employer
Personal Friend
Other, please specify:

NAME

Last name:

First name:

Middle name:

MAILING ADDRESS

Street address:

City:

State:

Zip code:

Country:

CONTACT INFORMATION

Day/cell telephone number:

Fax number:

E-mail address:

PROFESSION

University/College Professor
Science Educator
Administration
Other, please specify:

RELATIONSHIP TO APPLICANT

Academic Advisor
Teacher
Employer
Personal Friend
Other, please specify:

1. Do you consider yourself disabled or having an impairment?

If yes, select one:

Hearing Impairment
Visual Impairment
Mobility Impairment
Other

You can also define or qualify your answer here:

2. Do you consider yourself a US ethnic minority?

If yes, select one:

Alaskan Native American
African American
Asian American
Hispanic American
Native American
Native Hawaiian
Other *You can also specify your tribal affiliation or otherwise qualify your answer here:

3. How did you find out about this program?

Check all that apply

Heard about it from a friend
Heard about if from RTP alumni
Heard about it from a professor
Saw the paper recruitment poster
Saw the listing in SORS booklet or SORS web posting
Found it on the NSF web posting of REU sites
Found it on another web listing
Found it on a web search

4. If we can't place you in our program this year would you like us to share your interest in a summer research program, and your contact information, with other programs seeking interns for this summer?

How to Submit

E-MAIL TO: sangreym@si.edu

FAX TO: 202-786-0153

MAIL TO: Research Training Program 10th Street & Constitution Ave., NW NHB MRC 106, Room 59A PO Box 37012 Smithsonian Institution Washington, D.C. 20013-7012 U.S.A

Submission Notes   |    |  Special RTP '06 Update If you have questions, contact Mary: Phone: 202-633-4548  |  E-mail: sangreym@si.edu

Research Training Program
INFORMATION  |  APPLICATION PROCEDURES  |  HIGHLIGHTS  |  ALUMNI PAGES