K Senior Questionnaire – Heyl Scholarships

Name *

First Last

High School

What high school did you graduate from?

Major

What is your major or majors?

Minors

List any minors or concentrations

Internships

Describe and internships or externships

Heyl Summer Grant

Did you receive a Heyl Summer Research Grant?

With whom did you work?

Study Away

Did you study away domestically or internationally?

ICRP

If you did an ICRP please describe briefly

SIP

SIP Discipline

SIP Location

SIP City

City State / Province / Region Country

SIP Supervisor/PI

SIP Project Description

Post-graduation Plans

Comments

Please share any additional comments