SMU School of Engineering

Students » Professional Experience Programs » Industry Scholars Intern Program

Incoming First-Year Students Application

Thank you for your interest in the Industry Scholar Intern Program at SMU. This form is for incoming students only.

Application Deadline: April 15 of your high school senior year

*These fields are necessary.

*First Name:

*Last Name:

Middle Name

*Sex:

Male Female

Race/Ethnic Origin:

*Mailing Address:

*Day Phone:

Evening Phone:

*Email:

*Date of Birth (mm/dd/yyyy):

*US Citizen:

Yes: No: If no,

*Permanent Resident:

Yes: No:

*Texas Resident:

Yes: No:

*Intended Major/field of study:

*Name of High School

*Date of Graduation (mm/yy)

Approximate number of students in your graduating class:

Class Rank:

*List your most recent:
SAT scores:
or

V M Total

ACT scores:

V M Composite

*Have you applied to SMU?

Yes: No:

Semester you plan to enter SMU:

i.e., Fa04 or Sp04

If you answered yes, do you intend to live on campus?

Yes: No:

*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:

Please state your career interests.

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.

Applicants Signature:

Date (mm/dd/yyyy)

L – R, seated Taplin Moore, Dean Geoffrey Orsak, Al Zinkand
L – R, standing Ryan Sermas, Daniel Liu, Anne Brownstein, Brian Walker

For more information call or e-mail:

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

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