1. Name (last, first):
Phone:
E-mail:
Mailing address:
2. UTEID:
3. Education: (Year graduated and Institution)
Bachelors:
Masters:
4. Record in UT Grad School:
Semester of first enrollment:
Graduate credit hours completed:
current GPA:
List all UT faculty that have supervised you and for what (EE 397,
thesis, RA, TA, etc.):
5. Ph. D advisor if any:
6. Coursework: Please list all courses that you have taken or are currently taking as a graduate student at UT-ECE.
|
Course # |
Course Name |
Instructor |
Semester |
7. List your topics of interest (eg: Computer Architecture, Programming
languages, Compilers, Operating Systems, Digital Design, Embedded Systems,
VLSI, Parallel Processing, Computer Arithmetic. Alternately you may list
courses of interest, eg: EE460N, EE319K, EE316, EE445L, ………)
8. 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 ECE
graduate program.
Signature:____________________________________Date:
Drop hard copy of the signed form to Dr. Lizy John’s office, ACES (POB) 3.114