Preliminary Information Form

If you feel that your interests are reflected in the Department's curriculum, we encourage you to complete the preliminary information form. When the preliminary information form is submitted it goes only to the Physics Department and we are sure the faculty would be pleased to evaluate your interests and qualifications before we receive the official graduate school application (which usually takes longer to complete).

 

Required field are indicated by a star ( * ), other fields are optional.
* First Name:
* Last Name:
Mailing Address line 1:
Mailing Address line 2:
City:
State, province or region:
Zip or postal code:
Country:	Please Select: ------- United StatesUnited KingdomCanadaGermanyJapanFranceRussian FederationAustraliaItalyAustriaSwitzerlandSpainNetherlandsBelgiumDenmarkSwedenNorwayBrazilPortugalFinlandSouth KoreaChinaHong KongTaiwanSingapore------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote d 'IvoireCroatiaCubaCyprusCzech RepublicDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelJamaicaJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPuerto RicoQatarReunionRomaniaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Sandwich IslandsSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSyriaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
Phone:
* E-mail address:
Degree objective:	Please Select: ------- Ph.D.M.S.
Area of Interest (check one or more areas that most closely matches your interests):   For information click here: Research Areas	Astrophysics  Condensed Matter Physics  High Energy Physics  Relativistic Heavy-Ion Physics  Nucleon Spin Physics  Geophysics  Planetary Physics  Environmental Physics  Other  Experimental  Theoretical
Other Interest:
Desired Admittance Quarter:	Please Select: ------- FallWinterSpring
Desired Admittance Year:	Please Select: ------- 200820092010201120122013
B.S. or M.S. Institution:
Year or anticipated year of graduation:	Please Select: ------- 200820092010201120122013
Month or anticipated month of graduation:	Please Select: ------- JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Estimated Junior/Senior Year GPA:
If you know your GENERAL GRE score please report
Verbal GRE:
Verbal GRE percentile:
Quantitative GRE:
Quantitative GRE percentile:
If you know your SUBJECT GRE score please report
Subject GRE:
Subject GRE percentile:
Do you have experience as a Teaching Assistant?:	Please Select: ------- YesNo
If Yes, list course(s):
Country of Citizenship:	Please Select: ------- United StatesUnited KingdomCanadaGermanyJapanFranceRussian FederationAustraliaItalyAustriaSwitzerlandSpainNetherlandsBelgiumDenmarkSwedenNorwayBrazilPortugalFinlandSouth KoreaChinaHong KongTaiwanSingapore------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote d 'IvoireCroatiaCubaCyprusCzech RepublicDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelJamaicaJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPuerto RicoQatarReunionRomaniaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Sandwich IslandsSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSyriaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
US Residency Status:	Please Select: ------- U.S. CitizenPermanent U.S. ResidentRefugeeNon-immigrantVisaOther
Other Residency Status:
For international applicants
TOEFL score:
TOEFL version:	Please Select: ------- Paper VersionComputer VersioniBT
TAST Score (spoken part of iBT):
Please provide a brief statement of your interests in the context of particular faculty members of our department and their research. A SHORT PARAGRAPH ABOUT YOUR INTERESTS CAN BE VERY HELPFUL FOR US IN MAKING SURE THE PRELIMINARY INFORMATION FORM, WHEN IT ARRIVES, IS ROUTED TO THE APPROPRIATE FACULTY. DO NOT take the time to formulate your full Statement of Purpose for inclusion here.