CRREL Application for the CRREL Science and Engineering Apprenticeship Program (SEAP) Date Last Name
First Name
Address State
Middle City
Zip Code
Home Phone
Cell Phone
E-Mail
US Citizen
High School
Yes
No
Public
General field(s) of science in which you are interested in learning more about and doing research in Environmental Sciences
Chemistry
Engineering
Physical Science
Physics
Earth Science
Computer Science
Interests, accomplishments, and honors received (in and out of school)
Major academic interests
Page 1 of 2
Briefly describe your participation in math and science activites (clubs, fairs, research)
Hobbies, interests, and significant experiences (work, volunteer, etc.)
Briefly explain your interest in math/science
Write a paragraph explaining why you want to partcipate in the apprenticeship program
Student signature E-mail completed application with teacher/guidance recommendation and school transcripts by March 17, 2017 to
[email protected]
