2018 REMRSEC REU Application
Personal Information
First Name *
Your answer
Last Name *
Your answer
Permanent Address - Number and Street *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Email Address *
Your answer
Telephone Number *
Your answer
Date of Birth
The demographic information solicited on the REMRSEC REU application is collected for the sole purpose of providing data to be used for reporting done by the Center as requested by our program sponsors. This information is maintained in a separate database and is not used in the determination of your eligibility for the REU program. Providing this information is voluntary; however, we ask that you complete the forms so that we can continue to take affirmative steps towards ensuring a diverse educational experience at Mines. We thank you in advance for your cooperation.
Your answer
Gender *
Gender information is required for the purpose of making housing assignments during your stay at Mines. The information is maintained separately and is not used in the determination of your eligibility for the REU program.
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