Applicant's Signature______________________________________________________

Information on Faculty Advisor (to be filled out by advisor).....................................................................

Name______________________________________________________________________________

Address___________________________________________________________________________

__________________________________________________________________________________

___________________________________Telephone______________________________________

Education_________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Current Position__________________________________________________________________

ASHRAE Member:_______Yes _________No

Grade_____________________________ Length of Membership___________________________

ASHRAE Positions Held_____________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Involvement with ASHRAE related research:

__________________________________________________________________________________

__________________________________________________________________________________

Advisor's assessment of applicants qualifications: (Keep to space allocated below) ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... .....................................................................

Advisor's Signature_______________________________________________

Mail completed application to: William Seaton, Manager of Research, ASHRAE, 1791 Tullie Circle, NE, Atlanta, GA 30329-2305