curf - Center for Undergraduate Research & Fellowships

Penn

The John Thouron Summer Research Prize

First Name:

Middle Name:

Last Name:

Penn ID Number:

Place of Birth:

Date of Birth (mm/dd/yyyy):

Citizenship

Contact Information

Permanent Address

Address 1:

Address 2:

City:

State:

Zip Code:

Home Phone Number:

Email:

Penn Address

Address 1:

Address 2:

City:

State:

Zip Code:

Local Phone Number:

Proposed Course of Study

Please list four courses that interest you (see the Pembroke/King’s Summer School web site):

Have you ever previously lived or studied abroad?

University Education

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

Current overall GPA:

Primary Major:

Secondary Major(if applicable):

Graduation Year

Please list the courses in which you are currently enrolled at Penn. Include the department, number, and full title of each course.

References

One person from whom you have requested a letter of reference:

First Name:

Last Name:

Position/Title:

Department and School or Business:

Email address:

Upload a high quality digital photograph of yourself, one that would be appropriate for a passport, in .jpg format. The file should be named [your pennkey_photo], and cannot be any larger than 10 mb in size.

Personal Statement: No more than 2 pages, double-spaces 1 inch margins, 12 pt type. Write us a brief essay that tells us who you are. What have you done, experienced or thought about that really matters to you? What are your plans/thoughts about your time at Penn and beyond? What do you hope to do at Cambridge and how does this fit in with the above?

In one .pdf, include your personal statement, resume, writing sample, and a scanned copy of your transcript from the Registrar’s office. The file should be named [your pennkey], and cannot be any larger than 10 mb in size.


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