Degree(s) to be pursued at Texas Tech University:
Physics: M.S. Ph.D.
Applied Physics: M.S. Ph.D.
Industrial Microelectronics Internship or Thesis (MSi): MSi

Name (Last, First, Middle):

Citizenship/Visa Status:

Date of Birth: Sex: Birthplace:

Marital Status (optional): e-mail:

Address:
City: State: Zip:

Phone: (daytime) (evening)

Degrees Earned:
Degree Major: Year:
University: GPA (scale, e.g. 3.5/4.0)

Degree Major: Year:
University: GPA (scale, e.g. 3.5/4.0)

Graduate Record Exam (GRE) Scores:
Verbal: Quantitative: Date of Exam:
Subject (Physics): Date of Exam:

Test of English as a Foreign Language (TOEFL): Date of Exam:

Assistantships Sought (List Preferences 1,2,3):
Teaching Assistantship: Research Assistantship: Bucy Scholarship:

Semester you plan to enter TTU: Fall Spring Summer 2008 2009 20010 2011 2012 2013