1

International Research Experience for Students (IRES) National University of Singapore and Michigan Technological University

Summer 2019

Instructions: To apply, complete this IRES Student Application Form below and supply your letter writers with the instructions found under “Apply” at iressingapore.mtu.edu. Please email completed application forms to iressingapore@mtu.edu with the student’s name as the subject line. Reference should also have the student’s name in the subject line.

If you have any questions during the application process, please contact us at iressingapore@mtu.edu, or visit the FAQ page at iressingapore.mtu.edu.

2

Student Information Last Name First Name M.I.

E-mail Address Cell Phone Number

Birth Date Today’s Date

Ethnicity (optional) � African American � Hispanic/Latino � Asian or Pacific Islander � Caucasian � Native American/

Alaskan � Middle Eastern � Other

Gender � Male � Female � Other

Citizenship � U.S. Citizen/U,S,

Permanent Resident � Non-U.S. Citizen

State Zip Code

Major

State Zip Code

Student Mailing Address Address

City

University Information Institution

City

Institution’s Spring 2019 Last Day of Classes

I nstitution's Fall 2019 First Day of Classes

3

Course Work In the space below, please list all current and past science and math courses taken at your institution.

Overall GPA Total Credit Hours

Check the box below to confirm transcripts are attached to the application. Unofficial transcripts are acceptable.

Because this research experience takes place in Singapore, check the box below to confirm a passport will be obtained so travel outside the United States is possible.

4

Past Research Experience Use the following text box to briefly (1/2 to 1 page) tell us about your past research experience. Include any research done during your undergraduate study, internships, and any resulting publications/presentations from your work. Also explain any laboratory techniques learned in the research setting, or laboratory techniques learned in a classroom setting.

5

Future Interests Use the following text box to tell us your future plans in your education and career path. Include how this IRES program will benefit your future plans. At the beginning of your essay, please state the professor in Singapore you would like to work with over the summer, why, and how working with this professor will benefit your future career plans.

6

Contacts for Letters of Recommendation Please list the name, job title, e-mail address, and phone number of your three references.

Name of first reference

Job title of first reference

E-mail address of first reference

Phone number of first reference

Name of second reference

Job title of second reference

E-mail address of second reference

Phone number of second reference

Name of third reference

Job title of third reference

E-mail address of third reference

Phone number of third reference

7

Final Electronic Signature By typing your full name in the box below, you certify the information provided in this application is correct to the best of your knowledge.