1. Name (last, first):
Phone:
E-mail:
Mailing address:
2. Education: (Year graduated and Institution)
Bachelors:
Masters:
3. Record in UT Grad School:
Semester of first enrollment:
Graduate credit hours completed:
current GPA:
Source(s) of financial support (RA/TA/Scholarship/Work/Self):
List all UT faculty that have supervised you and for what (EE 397,
thesis, RA, TA, etc.):
4. Projects: Give one-sentence description of any key project
that you may have completed.
5.
Test
scores:
GRE: Verbal __________ Quantitative __________ Analytical __________
TOEFL:
6. Work Experience: (starting with current employment if any):
7. Research Interests: Give a brief statement of your research
interests.
8. Research publications and academic honors
or awards :
9.
Coursework: Please list all courses that you have
taken or are currently taking as a graduate student at UT-ECE. Do not fill up
the rank information. The graduate student office will determine that
information. Only the ranks in graduate computer engineering (CE) courses are
used to determine the overall average percentile rank.
|
Course # |
Course Name |
Instructor |
Semester |
Grade |
Rank |
Average
Percentile Rank |
10.
Declaration: I hereby attest that the information provided by me in this
form is complete and correct to the best of my knowledge. I understand that
misrepresentation or withholding of information asked is grounds for penalizing
action that may include suspension from the CE graduate program.
Signature:__________________________________________Dated:
---Do not write below this line------------------FOR OFFICE USE
ONLY----------------
CE Ph.D. Coordinator's Signature:__________________________________________Dated: