Application Form
   Research Experiences for Undergraduates in Distributed Rational Agents
                              Summer 2002

A. Personal Information:
1. Name: ______________________________ 
2. Social Security No.: _______________________
3. Date of Birth: ________________________ 
4. U.S. Citizen/Permanent Resident: Yes No 
5. Home Address: 
   ____________________________________________________________________________
   ____________________________________________________________________________
6. School Name and Address (include E-mail, if any):
   ____________________________________________________________________________
   ____________________________________________________________________________
7. Telephone numbers: 
   Home: ______________________ 
   School: _________________________
8. Names of References:
   ____________________________________________________________________________
   ____________________________________________________________________________
   ____________________________________________________________________________


B. Academic Background:
1. Current cumulative GPA: _______________ 
2. Major: ________________________________________
3. Number of credit hours completed: _______ 
4. Classification in Fall 2002 semester:   Sophomore   Junior   Senior
5. Academic and Extra-Curricular Accomplishments (including awards, prizes, 
   scholarships): _____________________________________________________________
   ____________________________________________________________________________
6. Briefly explain any team work or group project you have been involved with:
   ____________________________________________________________________________
   ____________________________________________________________________________
7. Computer Systems, Programming Languages, and Operating Systems Experience:
   ____________________________________________________________________________
   ____________________________________________________________________________


C. General:
1. Career Goals: ______________________________________________________________
   ____________________________________________________________________________
2. Memberships in clubs, groups, and societies:
   ____________________________________________________________________________
3. Please indicate any additional information which you consider to be helpful 
   for your application:
   ____________________________________________________________________________
   ____________________________________________________________________________