Sample Host Scholar Profile

U.S.-[FOREIGN SITE] Research Experience for Undergraduates (REU)
Department of ABC
XYZ University

Host Scholar Name:	_____________________________________________
Academic Rank:	_____________________________________________
Department:	_____________________________________________
Institution:	_____________________________________________
Field of Study:	_____________________________________________

I will be available as a mentor during the Program period of [DATE RANGE].
_____ YES _____ NO If no, dates of availability: _____________________

Possible Student Research Topics:
(1) ____________________________________________________________
_______________________________________________________________
(2) ____________________________________________________________
_______________________________________________________________
(3) ____________________________________________________________
_______________________________________________________________

Contact Information:
Office/Laboratory Address	_______________________________________
	_______________________________________
	_______________________________________
Telephone	____________________________
Fax	____________________________
E-mail	____________________________
Web Site URL	http:// _______________________________________
Laboratory Personnel Profile:
_____ Faculty Associates	_____ Postdoctoral Scholars
_____ Graduates Students	_____ Undergraduate Students

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Last updated April, 2002 by Joan Marler