© 2006 Arizona Board of Regents.
Northern Arizona University, South San Francisco Street, Flagstaff, Arizona 86011
Research Experience for Undergraduates
2007 Application Form
Name:___________________________________________________________________
Street/P.O. Box:___________________________________________________________
City, State Zip:________________________, _______________ ____________________
Phone and Email:________________________ __________________________________
Spring Break Dates:________________________________________________
Your College or University:___________________________________________________
Circle any of the groups to which you belong (OPTIONAL):
Women / Hispanics / Blacks / American Indians / Native Alaskans / Native Pacific Islanders
© 2006 Arizona Board of Regents.
Northern Arizona University, South San Francisco Street, Flagstaff, Arizona 86011