Center for Undergraduate Research and Fellowships

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First Name:

Last Name:

Penn ID Number:

Local Phone Number:

Penn Email:

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

Current overall GPA:

Primary Major:

Secondary Major:

Graduation Year:

Pre-Major Advisor:

Are you planning to study abroad for one or more semesters during junior year? (If so, which semester?):

Please read the program description carefully before answering the questions below.

Describe your current level of technology skills. Which of the workshop topics listed do you feel comfortable with? Which topics would be new for you? (Maximum 250 words).
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How would you benefit from this program? Please be specific in your response. (Maximum 250 words).
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Describe your post-graduation plans. Include details about your career goals and any plans for graduate school (Maximum 250 words).
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