Full Name
Phone no. with area/country code
Street Address Line 1
Street Address Line 2
City
State
US Zip Code or Country
E-mail
Requested starting date for graduate study:
Spring
Fall
(year )
· Except for the MS
part-time program, applicants may enter only in the Fall
term.
Are you a U.S. Citizen or permanent resident?
Yes
No
Degree objective/program at IUPUI:
If interested
in more than one program, select the order in
which your preferences lean (1=strongest)
EDUCATION
Degree,
Date (expected or awarded),
Major,
GPA (A=4,F=0),
School
(Please hit return for a new line)
GRE - If you have taken the GRE,
please enter the scores you received below and arrange to have
an official test report sent to us. The general test is
required for international applicants.
The TOEFL is required for
international applicants from non-English speaking countries and is
very important. It is recommended that you complete and return
this form only if you have a TOEFL score above 625
(or the equivalent on different forms of the exam). Please be sure
to arrange to have an offical test report sent to us.
TOEFL Score:
Date Taken:
Please include with this
questionnaire a personal statement of about 250-300 words
(not more than 500) explaining your accomplishments, interests,
reasons for pursuing graduate work in chemistry, and your career
objectives. Mention research or related work experience and
explain any special points about your preparation for graduate
work that are important to us to know.
PERSONAL STATEMENT
is enclosed, or
will be sent.
You may copy and paste your
personal statement here:
Please have 2 original transcripts
from prior college/university study sent to the address shown below.
Transcript 1:
Has been sent.
Has been requested.
Will be requested shortly.
Transcript 1 will be sent by:
(Person or Institution)
Transcript 2:
Has been sent.
Has been requested.
Will be requested shortly.
Transcript 2 will be sent by:
(Person or Institution)
Please arrange to have 3 letters of
recommendation sent directly to us from individuals
who can comment on your abilities and qualities for graduate
study. Forms can be downloaded (pdf) for use by recommenders,
but it is not required that recommenders use these forms, nor is
there any specific format for their evaluations and comments.
Please complete the following.
Letter has been requested from:
(name)
(institution/corporation)
Letter has been requested from:
(name)
(institution/corporation)
Letter has been requested from:
(name)
(institution/corporation)
Graduate Admissions Committee
Department of Chemistry & Chemical Biology
Indiana University-Purdue University Indianapolis
402 North Blackford Street
Indianapolis, Indiana 46202-3274
If the information
requested herein is complete and accurate, it will
be reviewed by the Graduate Admissions Group within
the Department of Chemistry & Chemical Biology and
you will be advised of the outcome. International
applicants (anyone who is not a U.S. citizen or
permanent resident) should be sure that we have
received complete information by JANUARY 31 prior
to the Fall term in which admission is sought. For
other applicants, there are no deadlines. Being
as early as possible relative to the desired entry
date assures the fullest consideration. Notification
of the outcome of the committee review usually takes
from 7 to 15 weeks; however, notification by APRIL
15 should be expected for applicants for Fall
admission if the information requested herein is
complete by MARCH 1.
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