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Application (Deadline: 09/23/15)


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Student Contact Information:

First Name:    

Middle Name: 

Last Name:    

UTEP ID(e.g 800123456):    

Primary Phone Number: 

Primary Email Address: 

Citizenship:  Due to the nature of the program, some internship placements may be offered within government agencies that may have citizenship or residency requirements. However, citizenship or residency status should not preclude interested students from applying, as many internship sites do not have such requirements.

U.S. Citizen 
U.S. Permanent Resident 
Mexican National 
Other Country 

Ethnicity:
White 
Hispanic 
Asian 
Native American 
Others 



Other Information

Are you involved in research at UTEP?

  Yes       No    

Do you have a mentor/advisor at UTEP?

  Yes    Name of your Advisor:
  No    

Do you receive any financial support at UTEP?

  Yes       No    

Major College:
Engineering
Liberal Arts
Education
Health Science
Business
Nursing
Science

Classification:
Freshman
Sophomore
Junior
Senior
MS student
PhD student
Other   

GPA:
≥3.0
2.75-2.99
2.50-2.74
2.00-2.49
<2.0

Previous experience related to : (mark all that apply)
Air Pollution
Environmental Justice
Public Health
K-12 Education
Environmental Engineering
Other