Intern Profile and Descriptive Abstract

Please provide the following information about yourself, your lab and your summer project. Ensure all information is correct before submission, as this will become your official record with us.
*
1. Last Name:
*
2. First Name:
*
3. MIT Email Address
*
4. Dorm Room (Entry and Room Number)
*
5. POD Number
*
6. In which department at MIT are you working?
7. Lab Name (if applicable)
*
8. Lab Location
*
9. Direct Supervisor Name
*
10. Direct Supervisor Email
*
11. Faculty Mentor Name
*
12. Faculty Mentor Email
*
13. Brief Biography: Write 3 - 4 sentences about yourself: where are you from, what is your major, what are your research interests, hobbies, goals, etc?
Descriptive Abstract
*
14. Title
*
15. Abstract
Powered by SurveyMonkey
Check out our sample surveys and create your own now!