|
Please complete this form so that your qualifications for graduate studies in
Chemical Engineering may be reviewed.
This is a pre-admission application only. The primary purpose is to
match your interests with faculty while your formal appliation is being prepared or is in transit.
Submission of this application in no
way replaces a formal application and does not guarantee that a formal offer
for admission will be forthcoming.
Please provide as much information on this form
as possible to ensure proper consideration. An asterisk (*) denotes a required
field.
|
| |
 |
| |
Comments/Message
for ChE Graduate Admissions: |
|
| |
Last
Name*: |
|
 |
First
Name*: |
|
| |
Middle
Name: |
|
| |
Gender*: |
Female
Male |
| |
Citizenship*: |
U.S.
U.S. Permanent Resident
Non-U.S. Resident - Country of Citizenship:
|
| |
Email*: |
|
| |
Address: |
|
| |
City: |
|
| |
State: |
Zip:
|
| |
Country: |
|
| |
Phone: |
|
 |
 |
| |
Date
Seeking Admission*: |
|
| |
Degree
Program*: |
|
| |
Area(s) of
Research*: |
|
 |
 |
| |
Academic
Data - Please list all educational institutions attended
since completion of secondary school, including the school
you are currently attending. List the most recent institution
first (all parts must be completed for each institution
attended): |
| |
College
/ University*: |
|
| |
Country: |
|
| |
Dates
Attended: |
|
| |
Major*: |
|
| |
Degree
/ Diploma*: |
|
| |
Date
Awarded / Expected*: |
|
| |
Division
/ Classification / GPA*: |
|
| |
Approximate
Class Ranking in Major (e.g., 2nd out of 25): |
|
 |
|
|
| |
College
/ University: |
|
| |
Country: |
|
| |
Dates
Attended: |
|
| |
Major: |
|
| |
Degree
/ Diploma: |
|
| |
Date
Awarded / Expected: |
|
| |
Division
/ Classification / GPA: |
|
| |
Approximate
Class Ranking in Major (e.g., 2nd out of 25): |
|
 |
|
|
| |
Overall
undergraduate GPA*: |
|
 |
 |
| |
Test
Scores - Please fill in test scores, if results are
available at this time as these will assist in a more complete evaluation.
Otherwise, leave blank. |
| |
TOEFL: |
Paper-based
Computer-based
Score:
Date:
Minimum required score is 560 (paper-based) / 220 (computer-based)
|
| |
GRE: |
Date:
Enter both raw score and percentage (e.g., 700/89%)
|
 |
 |
| |
Financial
Support - Indicate your intended source of funding
and the amount. Foreign students are not eligible for federal
financial aid. Department funds may be available for students
with very superior academic records. |
| |
Personal
Funds: |
$
|
| |
Scholarship
award and/or sponsoring agency: |
|
| |
Other: |
$
|
 |
 |
| |
|
 |