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Summer of Applied Geophysical Experience (SAGE)

Application Form

A complete application includes:
  • An on-line application
  • Letter of Interest
  • two (2) references (download reference form in PDF or Word format). Referee must submit by email to georgia@lanl.gov or fax to: 505-663-5225
  • proof of health insurance
  • complete transcripts (unofficial is acceptable)
  • Foreign students, please contact Georgia Sanchez at georgia@lanl.gov regarding your application.
  • Cost is $600, $100.00 is due with the application. Please mail deposit with a copy of your application to:

SAGE
IGPPS, MS-T001
Los Alamos National Laboratory
Los Alamos, NM 87545 USA
Email: georgia@lanl.gov
Voice: 505-663-5291

Note: Course credit may be possible by prior arrangement with your university (please check with your advisor) but cannot be awarded directly by SAGE. A complete application must be received by 5:00 PM US Mountain Daylight time, Friday, March 28. Deadline is FIRM, as evaluations begin immediately after March 28.


First Name:
Last Name:

Male Female

Citizenship:

Contact Phone Number:


Current Mailing Address (where you can be reached until SAGE):

Street Address:

City: State: Zip:

Country:


Email Address (valid until SAGE begins):

Your email address will only be used by summer school staff to contact you and will not be distributed or displayed publicly.

Major Medical Insurer (proof required: copy of contract or ID card):


University in which enrolled or enrolling and address (if different from above):



Check Appropriate:
Student level: USA Undergraduate I qualify as an REU undergraduate* (See below)
USA Graduate Foreign Undergraduate Foreign Graduate


If student:

Name of Faculty Advisor:


Phone:

Email:


If professional, who is your employer? (not currently registered as a student):



Emergency Contact Information:

Name:


Phone:

Address:

City: State: Zip:

Country:


Upload Letter of Interest:


Upload transcript:


Upload Proof of Insurance:


Please answer the following question for form validation.
2 + 2 =

-or- Back to Summer School website


*REU (National Science Foundation-supported Research Experience for Undergraduates program, http://www.nsf.gov/crssprgm/reu/): Restricted to US Citizens or Permanent Residents who are currently undergraduates. Includes those students who will graduate in the summer or Fall term and who are not yet enrolled in graduate school.
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