curf - Center for Undergraduate Research & Fellowships

Penn

I am submitting my project for the:

not sure? Rose Yardley

First Name:

Last Name:

Penn ID Number:

School (select all that apply using CTRL+click):

Primary Major:

Secondary Major:

Address 1:

Address 2:

City:

State:

Zip Code:

Local Phone Number:

Penn Email:

Project Title:

As per my rights under the Family Educational Rights and Privacy Act of 1974, it is my desire that this recommendation be:

I understand that my choice of confidentiality or non-confidentiality may be communicated to my recommender, and that I waive all rights of access to this reference if I choose confidentiality.

Faculty Recommender (first name):

Faculty Recommender (last name):

Faculty Recommender’s Department

Faculty Recommender’s primary school affiliation:


Faculty Recommender’s email:

Your Undergraduate Chair or Program Director:

Please prepare the following in a separate document, then copy and paste them into the appropriate fields. Keep in mind that special formatting will not be preserved.

Project Abstract

Please upload a .pdf copy of your project and Penn InTouch Transcript, with your PennKey name as the filename. It is vitally important that you save an unsecured version of your transcript! Please note our system cannot handle files larger than 10 mb. If your file cannot be reduced to that size, please instead upload an abstract (using the same naming conventions) and bring your full file directly to the CURF office on a CD or flash drive.

Is the project affiliated with a course or independent study? Please give course number:

By clicking “submit” I am acknowledging that my PennKey will act as my signature.


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