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PERSONAL INFORMATION

Application for
Program
First Name
Last Name
Middle Name
Gender
Date of Birth (mm/dd/yy)

To help the university comply with a commitment to the U.S. Department of Health, Education, and Welfare, you are urged to identify your ethnic background. You may decline to do so without prejudicing the action taken on your application.

 

CITIZENSHIP INFORMATION

Country of Residency
Nation of Citizenship
Native Language
Type of Visa

CONTACT INFORMATION

ADDRESS: Present
Street Address
City
State
Province
Zip/Postal Code
Country
Phone

Email Address
Permanent
Street Address
City
State
Province
Zip/Postal Code
Country
Phone

 

 

RECOMMENDATION WAIVER

I expressly waive any rights I have to access faculty recommendations under the Family Educational Rights and Privacy Act of 1974, the University of Oregon Student Record Policy, or any other law, regulation or policy. I understand that the University of Oregon does not require this waiver and is willing to review my application whether or not I waive these rights.

I do not waive my rights to access faculty recommendations. We will notify recommenders if you decide not to waive your access to their recommendations.

RECOMMENDATIONS

People you have asked to send a recommendation letter on your behalf:

Recommendation #1

First Name
Last Name
Position
Institution/Company
Street Address
City, State, Zip
Country
Phone
Email

Recommendation #2

First Name
Last Name
Position
Institution/Company
Street Address
City, State, Zip
Country
Phone
Email

Recommendation #3

First Name
Last Name
Position
Institution/Company
Street Address
City, State, Zip
Country
Phone
Email

 

UNDERGRADUATE & GRADUATE INSTITUTIONS ATTENDED
List institutions attended in reverse chronological order. Enter anticipated degrees and dates.

Institution #1

Name of Institution
City & State
Dates Attended
Degree/Year Completed

Institution #2

Name of Institution
City & State
Dates Attended
Degree/Year Completed

Institution #3

Name of Institution
City & State
Dates Attended
Degree/Year Completed

Institution #4

Name of Institution
City & State
Dates Attended
Degree/Year Completed

Institution #5

Name of Institution
City & State
Dates Attended
Degree/Year Completed

 

GRADE POINT AVERAGE (A=4, ignore +/-)

UNDERGRADUATE

Overall
Freshman
Sophomore
Junior
Senior (to date)
Science & Math

GRADUATE

Overall

GRADUATE RECORD EXAM

Verbal Percentile  Verbal Raw Score
Quantitative Percentile Quantitative Raw Score
Analytical Percentile Analytical Raw Score
Subject Test Area
Subject Percentile Subject Raw Score

 

LANGUAGE TESTS (Non-native speakers only)

TOEFL
Required, 620 minimum
SPEAK
TSE

 

RESEARCH EXPERIENCE

Project #1

Project Title
Supervisor
Institution
Project Dates

Project #2

Project Title
Supervisor
Institution
Project Dates

Project #3

Project Title
Supervisor
Institution
Project Dates

 

PLANS FOR GRADUATE STUDY

Areas of Interest (select all that apply). Review research areas.
Macintosh users, hold down apple key to select more than one. PC users, hold down the control key.

Other

Faculty Members Whose Work Interests You - Rank in Order of Interest
Review faculty interests.

1.

2.

3.

4.

5.

6.

 

STATEMENT OF PURPOSE

In approximately 500 words, please describe your past work in the intended field of study, your plans for graduate study, your career goals, and any additional information you would like the selection committee to consider.

You may copy and paste your statement into the text field from another program. If you choose to mail your statement in, please make a note to that effect in the text block below.

Other comments or concerns

How did you learn about our program?
Select all that apply.

I would also like to be considered for the Master's Internship Program if I am not admitted into the general Ph.D. program. Students who successfully complete the Master's Internship Program with a GPA of 3.75 or higher will be given priority for admission into the following year's Ph.D. class. Learn more about this program at http://materialscience.uoregon.edu/Grad/Masters/Overview.html. You do not need to provide a separate application to be considered. Just check the box above.

 

 

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