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INFORMATION FOR SCHOOL OF OCEANOGRAPHY ADMISSIONS COMMITTEE

Please complete and return this form to:

DELLA ROGERS
GRADUATE STUDENT SERVICES
SCHOOL OF OCEANOGRAPHY, WB-10
UNIVERSITY OF WASHINGTON
SEATTLE, WASHINGTON 98195 (206) 543-5039 FAX: (206) 543-6073 E-Mail: drogers@ocean.washington.edu

If you have questions concerning your application, please contact us. 1. Name 2. Mailing address Home phone Business phone E-Mail FAX 3. For which quarter are you applying: Aut Wtr Spr Sum Year 4. Specific area of Oceanography in which you wish to do graduate study and research: 5. Educational background (undergraduate and graduate): College or School Dates Major Minor Degree & Date 6. Grade-point averages: Scale: (4 = A = Excellent) (3 = B = Good) (2 = C = Average) (1 = D = Below average) ( 0 = E = Failed) Cumulative (Four-year): Junior-Senior: Major Field: Physical Sciences (Mathematics, Physics, Engineering, etc.): Humanities and Social Science: Graduate School (if applicable): 7. Graduate Record Examination (GRE): Date Or anticipated date of exam Scores: Verbal / % Quantitative / % Analytical / % TOEFL score (for applicants from non-English speaking countries): 8. Languages in which you have a reading knowledge: 9. Are you requesting funding from the School of Oceanography? Yes No 10. Have you applied for or received any special grants or fellowships? Yes No If so, please indicate source and duration: 11. Are you applying for financial support based on need through the Financial Aid Office? Yes No 12. Please summarize the following: HONORS AWARDED FOR SCHOLARSHIP (scholarships, honorary society memberships, prizes, honors upon graduation, etc. and dates of receipt) RESEARCH EXPERIENCE (description, name of advisor, and dates) EMPLOYMENT AND/OR PROFESSIONAL EXPERIENCE (description and dates) PUBLICATIONS (including submitted papers) SPECIAL SKILLS (computer, specialized instruments, etc.) 13. List three faculty members familiar with your academic qualifications from whom you have requested letters of recommendation: 14. Please provide a statement of your educational and professional goals and objectives (approximately 300 words). You may include any or all of the following: How or why you became interested in oceanography, significant accomplishments, summary of research experience, research area(s) of special interest, extracurricular activities and interests.