Name _________________________________________ Campus Mail ________________

Major ____________________________ Expected Month/Year of Graduation

_________

Current Standing (circle): Freshman Sophomore Junior Senior

Proposed Faculty Mentor (first choice):

___________________________________________

Proposed Faculty Mentor (second choice):

________________________________________

Signature: ___________________________________________ Date __________________

Submit:
 Personal Statement. This should answer: Why do you wish to participate
in this program? What are your career aspirations? How will your
participation in the program impact your career? Which projects do you
wish to pursue this summer and what you would bring to each project?
 Current Resume or Curriculum Vitae (CV)
 Current Academic Transcript (unofficial banner transcript is acceptable)
and list of courses for which you are currently enrolled (or expect to be
enrolled) for the Spring quarter along with any other courses or skills
that you have which are pertinent to the projects which do not appear on
your transcript
 References: Names of Rose-Hulman Faculty that can be contacted in
support of your application. This should include the faculty mentor(s) you
specified above sponsoring the research project that you want to pursue
over the summer.
___________________________________________________________________________

Applicants should submit their completed application as a single pdf

document to the RSURF Moodle page. The deadline for applications is
Wednesday, April 21, 2021.