Harvard University

Materials Research Science & Engineering Center
Nanoscale Science and Engineering Center

Research Experience for Teachers
2005 Summer Application

Applicant Information

Address (school):

City: ST: AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MA MD MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY PR AS ZIP:

Phone: Email:

Address (home):

City: ST: AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MA MD MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY PR AS ZIP:

Phone: Email:

Courses:

Please list the courses you teach, as well as the number of students in each class.

What attracted you to this program?

Other relevant experience :

Please list research, education, or other information you would like us to consider.

Name two references:

Please include the name, address, telephone number, and email address of the persons who are writing letters of recommendation for you.

Kathryn Hollar, PhD
Director of Educational Programs
Division of Engineering & Applied Sciences
Harvard University
206A Pierce Hall
29 Oxford Street
Cambridge, MA 02138

Application Deadline: Friday, April 15, 2005.