Name (First, Middle Initial, Last):
Permanent address (line 1):
Permanent address (line 2):
Permanent address (line 3):
Permanent address City, State, Zip Code:

Email Address:
Telephone Number:

College or university you are currently attending:
Current address (line 1):
Current address (line 2):
Current address (line 3):
Current address City, State, Zip Code:
Email Address:
Telephone Number:
Expected Date of Graduation:

US citizen (or permanent resident):

Please number your top three (1 - 2 - 3) choices for research in the subfields of Physics and Astronomy
represented in our department.

Astronomy/Astrophysics:
Atomic physics:
Biological physics:
Condensed matter physics:
Materials science:
Optical physics:
Plasma physics:


Please indicate your preference (1 - 2 - 3) for the type of research you are interested in doing.
Experimental/observational:
Computational:
Theoretical:

Please arrange for two letters of recommendation and your college transcript to be sent to me
at the address listed below:

Reference #1:
Name:
Address (line 1):
Address (line 2):
Address (line 3):
City, State, Zip Code:
Email Address:
Telephone Number:


Reference #2:
Name:
Address (line 1):
Address (line 2):
Address (line 3):
City, State, Zip Code:
Email Address:
Telephone Number:

Please have your letters of recommendation and the official transcript sent to:

Prof. Thomas Kvale, REU director
University of Toledo
Department of Physics & Astronomy, M/S 111
Toledo, OH 43606

Please paste into this email message a brief description of your computer skills,
apparatus/experimental/electronics skills, and other relevant information for us to consider.



In case you don't receive a message confirming the receipt of your submission within 48 hours,
please send an email message to tjk@physics.utoledo.edu or sal@physics.utoledo.edu. 
Also if you can't attend from June 03 - August 09, please indicate when you would be able to attend our program.

Thank you for your interest in our research program.