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Philomena Parsons
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1 Basic Info ICRA 2015 Travel Scholarship Current Status Selection Educational History Interests in Robotics References Essay Career Goals Future Plans Travel Information Electronic Signature and Statement of Honor The application does not have an overall submit button. Instead, each component (e.g., basic information, statements, etc.) is submitted separately by clicking on the appropriate buttons. Required components of the application are indicated by red stars. No confirmation messages are sent by the system when your application is submitted or when it is complete. You can check on the status of your application at any time by following the status links on the application homepage. First Name*: Basic Information * indicates required information Middle Name: Last Name*: Prefix: Suffix: Nickname: *: Primary Affiliation: URL: tapia@cs.unm.edu Institution: University of New Mex Select an Institution

2 Street: City: State/Province: Permanent Contact Info*: Zip/Postal Code: Country: Permanent Phone: Permanent Cell Phone: Permanent Fax: Gender*: Ethnicity*: Citizenship: Female Black/African American Native American/Alaskan Native Asian/Pacific Islander White Hispanic Unknown United States Not provided None Visually Impaired Disability Here*: Hearing Impaired Mobility Impaired Other (Enter Description): Submit Basic Information

3 ICRA 2015 Travel Scholarship* Have you or will you apply for an ICRA 2015 Travel Scholarship Yes Submit Scholarship Information Current Status Selection* Please select your current status Applicant Status: Undergraduate - Freshman If Other, please specify: Submit Current Status Selection Educational History* Please provide information about all post-secondary (after high school) institutions that you have attended or are currently attending, including at least dates of attendance, GPA, and indicate whether a degree was awarded. Note that the rank is NOT required (it refers to your rank in your class). Add Entry Institution Degree Major GPA Major GPA First Attended Last Attended or Expected Graduation (if currently attending) Degree Awarded Rank Advisor Edit Delete Interests in Robotics* What is your primary interest(s) in robotics? Manufacturing Robots

4 Human Robot Interaction Intelligent Robotics Aerial Robots Biology Inspired Robots Motion Planning Grasping Nanorobotics Localization and Mapping Swarm robotics Field robotics Submit Interests References Lydia Tapia was deleted as a reference. Please provide one reference letter from an advisor or course professor. Letters should: verify student status, focus on your experience and interest in robotics, and explain why you should participate. First Name*: Middle Name: Last Name*: Title: Affiliation: Select an Institution *: Phone: Add Reference

5 Essay* In 500 words or less (flexible), please describe your experience with robotics including classes taken, research, volunteer experience, publications, etc. Acceptable formats are plain text (.txt), Adobe (.pdf), or postscript (.ps) format. Doc Type Doc Name Action Upload Date Notes Essay Browse No file selected. Submit Essay Career Goals* What are your future career goals? Short term and long term goals should be described (250 words or less). Acceptable formats are plain text (.txt), Adobe (.pdf), or postscript (.ps) format. Doc Type Doc Name Action Upload Date Notes Prompt Browse No file selected. Submit Career Goals Future Plans Please denote your current plans for after you graduate. You plan to pursue full-time a doctoral degree in a robotics-related field Submit Future Plans Travel Information* Please provide the following travel information. Where would will you be traveling from? :

6 If flying, please indicate an airport: Submit Travel Information Electronic Signature and Statement of Honor* Please check the box below to attest that you have completed the application truthfully and honestly. Your application will not be considered without this verification on your part. By checking this box, I hereby attest that all information in my application, including my essay is my own work, factually true and honestly presented: Submit Electronic Signature and Statement of Honor For questions or information about Becoming a Robot Guru Workshop please contact: rmw@cs.unm.edu (mailto:rmw@cs.unm.edu) For technical problems or questions about this on-line system, please contact: icra.brgwebhelp@gmail.com (mailto:icra.brgwebhelp@gmail.com)

RN-to-BSN PROGRAM APPLICATION

RN-to-BSN PROGRAM APPLICATION Personal Information Please provide your legal name below Middle Social Security Number Date of Birth Email Gender Religious Preference I am applying for the term beginning: