Pre-Application Form

CONTACT INFORMATION
Name:

E-Mail:

Phone Number:

Current university or company:

Current status (student, engineer, etc.):

Address 1:

Address 2:

Address 3:

City:

State / Province:

Postal Code / ZIP:

Country:

EDUCATIONAL BACKGROUND
Degree School Year GPA

B.S.

M.S.

Ph.D.

GRE / TOEFL SCORES
Verbal

Quantitative

Analytical

TOEFL

IF SCORES ARE NOT AVAILABLE, PLEASE INDICATE DATE OF AVAILABILITY
GRE

TOEFL

RESEARCH INTERESTS (SELECT ALL THAT APPLY)
Nanoelectronics

Solid State Materials

Optoelectronics

Microelectronics

High Speed Electronics

Systems Science

Communications

Image Processing

Intelligent Systems, Control, and Automation

DEGREE SOUGHT, FINANCIAL SUPPORT AND STARTING DATE
What degree to you seek?

Do you need financial support?

When would you like to start?

Other Comments
Awards, Honors

Publications

Anything else?

How did you hear about Notre Dame?

THANKS!
Dept. of Electrical Engineering
University of Notre Dame
Notre Dame, IN 46556, USA
Email us.

**CONTACT INFORMATION**
Name:
E-Mail:
Phone Number:
Current university or company:
Current status (student, engineer, etc.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / ZIP:
Country:

**GRE / TOEFL SCORES**
Verbal
Quantitative
Analytical
TOEFL

**IF SCORES ARE NOT AVAILABLE, PLEASE INDICATE DATE OF AVAILABILITY**
GRE
TOEFL

**RESEARCH INTERESTS (SELECT ALL THAT APPLY)**
	Nanoelectronics
	Solid State Materials
	Optoelectronics
	Microelectronics
	High Speed Electronics
	Systems Science
	Communications
	Image Processing
	Intelligent Systems, Control, and Automation

What degree to you seek?
Do you need financial support?
When would you like to start?