APPLICATION for REU In Computer Vision



1.Name:

3.Are you a U.S. Citizen or Permanent Resident?:
Yes
No


4.Date of Birth: 5.Sex: Male Female

6.Home Address:

7.Phone No. at Home: 8.Phone No. at School:

9. Name of School:

10.Present School Address:

11.Current Cumulative GPA: 12.Major Intended:

13.E-mail Address:

14.Fall 2009 will be :
Soph
Jr
Sr


15.Date your current semester ends:
(here, we roughly want to know when you can leave for Orlando, Fl.):

16.Date of start of FALL 2009 Semester:

17.Clubs, groups, teams at college:


18.Awards, prizes, scholarships


19.Plans for your future


20.Programming Languages you know


21.Computer Science classes taken


22.Math classes taken


23.Any Research Experience


24.Possible Name/s of Mentor/s after you return to your school,


25.Any other information you think is pertinent