Computer Science Graduate Application Form

Please be sure to fill out all fields that apply. Fields marked with an asterisk (*) are REQUIRED.
You will be using Name and Birthdate to review application status.

Personal Information

                Name:*                                                                                                                                                

                    First Middle  Last      

                Permanent Address:*

                    Street   

                      City    State    Zip   

               Country

                Mailing Address:*

                    Street   

                      City State   Zip   

               Country

                      Email Address:*                               Phone Number:*                          

                Birthdate(MM/DD/YYYY):* 

                     Gender:*                         Ethnicity:*                                                                                         

                      M F                            American Indian/Alaskian Native Asian or Pacific Islander Black, Non-Hispanic Hispanic Other White, Non-Hispanic                    

                    AZ Residence:*             Country of Citizenship:*

                     Yes No                    

                                                                    Education Background*

                               Degree Name                Major                        Institution               University GPA                    Date Received 

                                                                                                                                                                                        (MM/DD/YYYY)

                                                                            Exam History

                           TOEFL

                                      Date                      Score               TWE Score      TSE/Speech Score

                            (MM/DD/YYYY) 

                         GRE

                               Verbal Score             Quantitative Score        Analytical Score          CS Subject Score             Date 

                                                                                                                                                                                    (MM/DD/YYYY)

                                                    Admission Information

                                    Program*    PhD MS   

                                 Entry Year*    Entry Term*  Spring Fall     

                          Aid Required?*  Yes No

                          Research Interest Areas:*

                                            1   

                                            2   

                                            3