graduate preapplication form

 
Please complete this form so that your qualifications for application to UCSB may be reviewed. If minimum requirements are met, you will be forwarded a graduate application.
 

 
  Last Name:
First Name:
  Middle Name:
  Gender: Female  Male
  Citizenship: U.S.  U.S. Permanent Resident
Non-U.S. Resident - Country of Citizenship:
  Email:
  Address:
  City:
  State:              Zip:
  Country:
  Phone:
  Date Seeking Admission:
  Degree Program:
  Academic Data - Please list all educational institutions attended since completion of secondary school, including the school you are currently attending. List the most recent institution first (all parts must be completed for each institution attended):
  College / University:
  Country:
  Dates Attended:
  Major:
  Degree / Diploma:
  Date Awarded / Expected:
  Division / Classification / GPA:
  Approximate Class Ranking in Major (e.g., 2nd out of 25):
   
  College / University:
  Country:
  Dates Attended:
  Major:
  Degree / Diploma:
  Date Awarded / Expected:
  Division / Classification / GPA:
  Approximate Class Ranking in Major (e.g., 2nd out of 25):
   
  Overall undergraduate GPA:
Upper Division GPA (Jr. & Sr. years only):
  Test Scores - Please fill in test scores, if results are available at this time. Otherwise, leave blank.
  TOEFL:

Paper-based  Computer-based IBT
Score:   Date:
Minimum required score is 560 (paper-based) / 220 (computer-based)

  GRE:

Date:
Enter both raw score and percentage (e.g., 700/89%)

Verbal:   /
Quantitative:     /
Analytical Writing:   /
Advanced:   /
  Financial Support - Indicate your intended source of funding and the amount. Foreign students are not eligible for federal financial aid. Department funds may be available for students with very superior academic records. This section must be completed.
  Personal Funds: $
  Scholarship award and/or sponsoring agency:   
  Other: $
  Comments for the Graduate Assistant:
 
For further information contact: Laura Crownover (chegrads@engineering.ucsb.edu)