Purdue University

Research Experience for Undergraduates in Mass Spectrometry

NAME______

Current AddressPermanent Address

______

______

______

______

Phone ( )______Phone ( )______

Email ______

College(s) or University(ies) attended, with dates

______

______

______

Current academic status (circle one) Freshman Sophomore Junior Senior(will not graduate)

List the chemistry courses (course number and name) you have taken besides General Chemistry

______

______

______

Citizenship:______If not US citizen, indicate US immigration status______

Gender* (circle one): MaleFemale

Race/Ethnicity* (circle one) African-American (non-Hispanic) Non-Hispanic White

HispanicAsian-American/Pacific IslanderNative American/Alaskan Native

Internationa l(non-US citizen)

Names and email addresses of two persons whom you have asked to write recommendations:

______

If you have a preference for which Professor you would like to work with, or for a specific area, list it here______

______

Send this application, along with a one-page statement of your career goals to Prof. Paul Wenthold, Purdue University. Materials, including letters of recommendation, can be sent electronically to

They can also be sent by regular mail to

Mass Spec REU

Prof. Paul Wenthold

Dept. of Chemistry, Purdue University

560 Oval Drive

West Lafayette, IN 47906

Also arrange to have your current transcripts sent to this address. The deadline for all materials is March 12, 2010.

For further information, contact Prof. Wenthold at the above address, by email at r by phone (765) 494-0475.

* Providing information on Gender, Race and Ethnicity is optional. Please note that information provided in this application may be used to report statistics to the National Science Foundation or other reporting agencies in an aggregate report. All information provided will remain confidential.

Purdue University is an Equal Opportunity/Equal Access/Affirmative Action employer fully committed to achieving a diverse work force. Women and minority applicants are encouraged to apply. In accordance with Purdue Policies, all persons have equal access to Purdue University's educational programs, services and activities, without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or status as a disabled or Vietnam-era veteran. For a more complete statement of Purdue's policies of equal access and equal opportunity, see If you have any questions or concerns regarding these policies, please contact the Office of the Vice President for Human Relations at or 765-494-5830.