Scientific Association for the Study of Time in Physics and Cosmology

The University of Arizona
and
Pima Community College

Student Application Form

Please fill out and submit the application form. Students should specify their desired course of study in the final block. Applicants for Student Research Assistant positions should use the final block to discuss their interests, reason for applying, and time availability. All fields maked with a * are required.

Position *

	First Name *	MI	Last Name *

Major *	Class *

Email *

University / Institution *

Address Line 1 *

Address Line 2

City *	State / Country *	Zip Code *

Phone Number

Math / Physics / Astronomy Background *

Proposed Course of Study *