SMU School of Engineering

Industry » Professional Experience Programs » Industry Scholars Intern Program

Application For Current Students

*These fields are necessary.

*First Name:

*Last Name:

Middle Name

*SS# (without dashes):

*SMU ID# (without dashes):

*Mailing Address:

Phone:

Cell Phone:

*Email:

*US Citizen:

Yes

If no,

*Permanent Resident:

Yes

*Intended Major/field of study:

*Year at SMU

*Current GPA

Cumulative Hours:

Expected Graduation Date:

Campus Address:

Campus Phone:

*Extracurricular Activities
List all sororities, clubs, work experience, volunteer efforts, hobbies, etc. Please note your leadership role in each of these activities - memberships, societies, clubs, community service, etc:

*Work Experience:

*Hobbies:

I certify that the information is correct, and hereby grant permission to Southern Methodist University to release all of my student records to potential scholarship sponsors.

*Applicant's Signature:

*Date (mm/dd/yyyy):

2003-2004 Industry Scholars (l-r) with Dean Stephen Szygenda: Richard Moore, Kelli Johnson, Ann Brownstein, Austin Curry, Kevin Schubert, Mackenzie Britton, Charles Taylor and Farah Charania.

For more information call or e-mail:

Kathy Hubbard
SMU School of Engineering
enrollment@engr.smu.edu
214-768-3041

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