SELECT PROGRAM IN ENGINEERING
application form for 
Juniors and Seniors

 
     
DUE: 
September 19, 2003

Name__________________________________________    E-mail________________

Major__________________________________________    Year________

Courses beyond those required for the B.S. Degree

Required Course or Approved Substitute

Date when completed

Anticipated completion
e.g., spring ‘04

Grade

 Ethics, ENAS 335      
 Environmental Engineering, CENG 120      
 Economics, ECON 115      
 Accounting, ACCT 170      
 Design/Project Requirement
semester 1
semester 2
     
     

Seniors:
Your last internship was at  (company) __________________________dates: _______________

Your Contact at the company (name and e-mail address):________________________________

Please describe how you found your internship and what kind of work you did at the company:

 

 


n Fill out this application form  n Get a copy of your transcript  n Bring the completed application form and the copy of your  transcript to the Select Program office in Dunham Lab, Room 224

                   
DUS Comment: 
Student is/is not making appropriate progress toward the B.S.  degree in ___________________

Signature ____________________________________date: _________