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Personal
Information |
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Title: |
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First
name: |
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Last
Name: |
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Middle
Initial: |
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E-Mail
Address: |
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Re-enter
to confirm your E-mail: |
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Street
or dormitory: |
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City: |
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State: |
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ZIP: |
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Office
Phone: |
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Home
or Cell Phone: |
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Department: |
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Advisor(s): |
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Term
of Initial Enrollment: |
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Term
of Anticipated Graduation: |
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Term
of Advancement to Candidacy: |
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Residence
& Citizenship:
(Check all that apply.) |
Resident of Oregon
US Citizen
US National
Permanent Resident |
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Which
GK-12 Fellow did you shadow? |
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When? |
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Academic
History |
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University of Oregon
Coursework.
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Provide
a current U of O transcript (unofficial is acceptable). Take it to the MSI office 163 Willamette, put in Anae Rosenberg's mail box. |
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GPA
(A = 4.0): |
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Number
of Graded Credits: |
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Cumulative
Examinations or Qualifying Examinations |
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Physics: |
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Masters
Qualifer Term Passed: |
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Ph.D.
Qualifer Term Passed: |
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Chemistry: |
Cumulative Exam - List
All Taken |
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Term:
Area:
Grade:
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Honors:
List any Honors
you have received while at the University of Oregon. |
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References
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Two
references are required.
It is your responsibility to contact your references
and request that they endorse your application.
Direct individuals to http://materialscience.uoregon.edu/GK12/gk12reference.html to fill out and submit the online recommendation
form. Please ask your research advisor (if applicable)
to submit one of the letters on your behalf.
Note: Research advisors are strongly encouraged
to join and support Fellows in their K-12 partnership
activities as time allows (this commitment should
be included in the letter of support). |
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Reference #1:
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Name: |
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Email: |
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Phone: |
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Reference
#2:
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Name: |
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Email: |
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Phone: |
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Statement of Purpose |
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In
no more than three pages, please write a statement
of interest that summarizes your research, educational
and career objectives and why you should be considered
for a GK-12 scholarship. As a guide, please address
the questions listed below in your essay. Submit
the typed essay to Anae Rosenberg's mailbox, 163 Willamette. |
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- Why do you want to participate
in the GK-12 Fellows program?
- What qualities do you feel
you possess that make you a good resource
for K-12 teachers and students?
- Describe any experience you
have working in a k-12 setting.
- What do you see as some of
the challenges of effective k-12 science education?
- what specific disciplines
(e.g. environmental science, chemistry, geology,
physics, mathematics,etc.) do you feel most
qualfied to teach and provide expertise to
K-12 teachers and students?
- Discuss your experience shadowing
a current GK-12 fellow.
- Describe your research. Clearly
describe the goals of your research and your
plans/progress toward achieving your goals.
Wherever possible, indicate specific results/outcomes
of your research. Be as specific as possible,
but direct your presentationn to a general
science audience. More senior students should
focus their discussion on the results of their
research.
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