Application for Accelerated Masters Fellowship Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Basic Information Last Name * First Name * MI Student Number Email * Citizenship - None -U.S.Permanent ResidentInternational Texas Resident - None -YesNo Undergraduate Major Planned Graduate Major Anticipated start date of MS degree Have you applied to graduate school in the College? - None -YesNo Have you taken the GRE? - None -YesNo If yes, what was the date of your exam? What were your GRE scores: Verbal Verbal Quantitative Quantitative Analytical Analytical Local Address Local Address Phone (Home) Phone (Mobile) Optional Information Gender - None -MaleFemale Married - None -YesNo Race/Ethnic Origin Current or Previous Military Service - None -YesNo If yes, branch Academic Information Official Student Classification - None -FreshmanSophomoreJuniorSenior In terms of completed coursework in your major, what is your classification - None -SophomoreJuniorSenior Current GPA: GPA Date as of (date) Expected Date of Graduation Average number of class hours enrolled in per semester First semester at UH How many semesters have you been enrolled in your Major? Employment Are you currently employed? - None -YesNo If yes, answer the following questions: How many hours do you work per week? Are you employed as a - None -Teaching AssistantResearch AssistantAcademic Sup. Assistant Fill out the following details Resume List any honors, awards, and/or scholarships you have received while a student at the University of Houston or other undergraduate institution. List details of memberships, activities, and leadership positions in engineering related organizations, honor societies, and community service groups, etc. Provide a brief statement (2-3 sentences) of your career goals related to graduate education in Engineering. Provide additional special information about you that you feel may be of interest to the Fellowship Committee. Acknowledgement * I affirm that the information I have submitted in this application is true, and I grant permission for this information to be validated. If awarded a fellowship, I authorize release of this information to the fellowship donor. Signature of Applicant * CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.