Perlman Symposium

Opportunities in Engineering Conference Application

Please fill in all of the fields. You will also need to provide an unofficial copy of your transcript (transcripts must be in English), and one letter of recommendation. Letters of recommendation may come in the form of email, but must come directly from the reference. References and transcripts should be sent via email to oppconf@engr.wisc.edu.

For further information, contact Kelly Burton at kelly.burton@wisc.edu or (608) 263-4583.

First Name

Last Name

Phone

Email

Gender

Citizenship

Permanent Resident Number

Permanent Resident Number is required for all Permanent Resident applicants.

Race/Ethnicity

Race/Ethnicity Specify

Current Institution

Current Major

Academic Level
Freshman, Sophomore, Junior, or Senior

Year in School

Anticipated Graduation Date

GPA

GPA Scale

Please select your three departments of interest in rank order.

Departments of Interest 1

Departments of Interest 2

Departments of Interest 3

Statement of Research Interest

Reference Name

Reference Email

Reference Phone

Transcripts
Please e-mail your transcript to Kelly Burton (kelly.burton@wisc.edu)

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Graduate Engineering Research Scholars
© 2017. Board of Regents of the University of Wisconsin System.

Graduate Student Service Coordinator
Kelly Burton
E-mail: gers@engr.wisc.edu
Phone: 608-263-4583

GERS Committee Chair
Gregory Nellis
E-mail: gers@engr.wisc.edu
Phone: 608-265-6626

Support the Graduate Engineering Research Scholars Program by making a gift to the University of Wisconsin Foundation.

You can help support the Graduate Engineering Research Scholars Program by making a gift to the University of Wisconsin Foundation