undergraduate summer intern program 2000

Application Form**

Please complete this form and press the "Send Application" button at the bottom of this form. Your application will be e-mailed directly to the selection committee.

In addition to the application you submit electronically, you need to submit a hardcopy of the following via regular mail:

A 1-page personal Statement of Research Interest;
One Recommendation Form in a sealed envelope, and
An unofficial transcript.

Without the 3 items listed above, your application will be incomplete, and we will not be able to consider you as a candidate for the intern program.

Please mail your application materials to:

Allison Elliott Tew

Summer Intern Program Coordinator

College of Computing

Georgia Tech

Atlanta, GA 30332-0280

Personal Information

Name:
E-Mail:
Social Security #:
U.S. Citizen: Yes, No
Current Address:

Current Telephone:
Permanent Address:

Permanent Telephone:

School Information

University:
Major:
GPA:
I am a rising: Junior, Senior
Expected Graduation Date:
Honors and Awards:

Fields of Interest:

Please select areas which you have had prior experience(max of 3).

Miscellaneous:

Will you require assistance in locating housing? Yes No

If out-of-state candidate, will you require airfare assistance? Yes No

if out-of-state, enter departing airport

Will you require an on-campus parking permit? Yes No

Where did you hear about the program?