Date: E-mail address:
GRE verbal score: GRE quantitative: GRE analytical: GRE Total:
(for international students) TOEFL:

Name:
Present street address:
City: State/Country: Zip:
Telephone:

Social Security Number or ID Number:
Place of Birth: Date of Birth:
Citizenship: Sex: male female

Research Interests:

Undergraduate Colleges attended, date, degrees, majors and minors:

Undergrad GPA:

Graduate Colleges attended, date, degrees, majors and minors:

Graduate GPA: Computer Science GPA:

Scholarships/Honors:

Computer systems used significantly (e.g. Suns, PCs):

Any significant parallel processing experience? Describe:

Significant operating system familiarity:

Significant programming language familiarity:

Any UNIX SysAdmin skills? If so, describe:

Any significant networking/network admin skills?

Other computer experience:

Math, Computer Science, and Electrical Engineering Courses:

Student organizations:

Teaching experience:

Work/Research experience:

For applications for research assistantships: You need to have been discussing this wih a faculty member with grant/research funds. We do not have money set aside for general GRA positions.
Which Professor? Discussed with when?

Relevant experience that might help this professor evaluate your potential:

Please give the names and addresses of three persons well acquainted with you and your work whom you are asking to write recommendation letters on your behalf:

Is there any additional information that you would like to provide that might help us better evaluate your potential for the position you are applying for, such as, teaching ability?

If you have ideas about research interests you would like to pursue and/or faculty members you might like to work with, please indicate below:

Other comments/notes: