AERIM:Automotive and Energy research and industrial mentorshipProgram at Oakland University

Department of Mechanical Engineering

May 18-July 24, 2015

Application Deadline: Application review will begin on 3/15/15 and will continue until all slots are filled

Part I: Personal Information(Please type or print in ink)

Name: Last First Middle Initial

Current Address:

City StateZip Code

Permanent Address

City StateZip Code

Telephone number: Alternate Phone number______

E-mail Address: ______

Citizenship: US Citizen  Permanent Resident

(Note that only US citizens or permanent residents are eligible for the NSF REU program)

Gender: Male  FemaleDisabled: Yes  No

Ethnicity (optional):  African American Asian Hispanic, Native American

 Caucasian Other (please specify:)

How did you learn about this program?  Internet  Flyer  Professor  Other

Part II: Education and Experience (Provide official transcripts from each college and/or university attended.)

Current Undergraduate Institution______

Major: Expected Graduation Date: _ GPA:______

Class as of Fall2015: Freshman  Sophomore Junior Senior

Other undergraduate Institutions Attended______

______

Postgraduate plans: Work M.S. Ph.D.OtherUndecided

Have any of your engineering professors been of the same ethnicity as you?  Yes No

Have any of your engineering professors been of the same gender as you?  Yes No

List the courses that you are currently enrolled in.

______

______

______

List priorlaboratory or research experience (Statewhether this was part of a course or research project):

______

______

______

______

Relevant work experience:

Dates / Employer Location / Nature of Position

Honors, awards, engineering society memberships, extracurricular activities:

______

______

______

Programming or computer skills (list key software packages and programming languages and state level of proficiency):

______

______

______

List any hands-on experience (Note: Prior automotive or machine shop hands-on experience is not required for this program; this information is only needed to help us better design the projects)

______

______

______

______

Part IV: Personal Statement

On a separate sheet, write a 2+ paragraph personal statement that explains your motivation for participating in the REU program at Oakland University, why you feel you should be selected for this program and what you expect to get out of this REU experience. If there is any information that you feel is relevant to this program and that you would like to share with us, please feel free to include it here.

Part V: Letters of Recommendation

Provide the names of up to two persons who will be submitting letters of recommendation on your behalf.

Name Title/Company Relationship to applicant

Name Title/Company Relationship to applicant

Note: Ask each recommender to either return the letter of recommendation form to you in a sealed envelope, signed across the flap or to email it directly to the program director at .

Part VI: Certification

I certify that all information provided in this REU application is complete and accurate.

Signature of Applicant: Date:

APPLICATION MATERIALS MUST BE RECEIVEDBY MARCH 15, 2015TO ENSURE FULL CONSIDERATION.

Application Checklist – Please be sure you mail or email the following information to complete your application:

A copy of your transcript(s) (Official or non-official)

Up to two sealed letters of recommendation(mailed by applicant or emailed directly by recommenders to )

Complete all items and send or email the materials to:

Dr. Laila Guessous

Department of Mechanical Engineering

OaklandUniversity

2200 Squirrel Rd.

Rochester, MI48309-4478

For more information, please contact:

Dr. Laila Guessous, Program director

Tel: 248-370-2183,