Which semester are you applying for: required.
   
Contact Information
Last Name: required.
First Name: required.
Email Address: required.
Address during Academic Year
Street Address: required.
Address line 2:
City: required.
State: required.
Zip Code: required.
Country: required.
Permanent Address
Street Address: required.
Address line 2:
City: required.
State: required.
Zip Code: required.
Country: required.
   
Personal Details
Gender: Please select a valid item.Please select an item.
Date of Birth: required.
Place of Birth: required.
Country of Citizenship: What country is your passport from? (If you are a US citizen and don't yet have a passport, just write USA.) required.
If you are not a US citizen, do you have a green card? (Are you a US Permanent Resident?)
No
   
Education
Current Institution: required.
Location: required.
Dates of Attendance: required. to: required.
GPA: required.
Major Field of Study: required.
Expected Graduation Date: required.
 
Computer Skills:

What experience do you have with computer programming? Which programming languages do you know?

required.
 
Motivation:

Please explain why you would like to do research at CERN and what you hope to get out of this experience:

required.
 
References:

Please list names and contact information for the people writing your reference letters.

required.