Degree Sought: Master PSM (Professional Science Master Degree) Ph.D First Name: MI: Last/Family Name: Gender: Male Female Birthdate: (mm/dd/yyyy) Present Address: Street: City: State: Postal Code: Country: Phone: Permanent Address: Street: City: State: Postal Code: Country: Phone: Email Address: Resident of Florida: Yes No Citizenship: If non-US, Permanent Resident? Yes No Ethnic Origin, check one: (Requested in compliance with Title VI of the Civil Rights Act of 1964) White (not of Hispanic origin) Black (not of Hispanic origin) Hispanic Asian or Pacific Islander American Indian or Native American Undergraduate Record:
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Grade Point Average (GPA) for all work attempted in Junior and Senior years: (A=4, B=3, C=2, D=1, F=0) for hours. Graduate Record:
Grade Point Average (GPA) for all work attempted: (A=4, B=3, C=2, D=1, F=0) for hours. Graduate Record Exam (GRE): Verbal: Quantitative: Analytical: Date taken: TOEFL: (Required for international students) Date taken: Academic Honors Received: DO YOU WISH TO BE CONSIDERED FOR A GRADUATE ASSISTANTSHIP OR FELLOWSHIP? Yes No
List three persons whom you have asked to send letters of recommendation. Please check to see that they get here on time. 1. Name Phone Email: Institution: 2. Name Phone Email: Institution: 3. Name Phone Email: Institution: 1a. Is English your native language? Yes No If yes, go to 2. 1b. If your answer is no, are you currently graduating from a two or more year program of study in a U.S. college or university? Yes No If yes, go to 2. 1c. If your answer to both questions is no, then we need an official copy of your TOEFL scores. (NOTE: You must have TOEFL scores of at least 550 to be admitted into Florida State University). Describe your training and experience with English. 2. Please specify the programming language(s) you know. Fortran C/C++ Java Other programming languages (Please specify) 3. List any teaching experience. 4. Give a statement of your interests, career goals, and reasons for wanting to attend School of Computational Science at FSU. (250 words maximum) 5. Give a supporting statement if you wish special consideration as a member of a native racial or ethnic minority. Please list any faculty members from the School of Computational Science at Florida State University that you are interested in working with or that have contacted