Application for Graduate Financial Support
DEPARTMENT OF CHEMISTRY AND BIOCHEMISTRY
Last (Family) Name*:
First (Given) Name*:
Mailing Address (Street/PO Box)*:
City*: State*: Zip*: Country:
TELEPHONE NUMBER Day :
Date of Birth (mm-dd-yyyy)*:
If other than U.S. citizen: Citizenship
Have you every applied to this department before*?YES NO
If so, what year did you apply?
Degree Desired*: MS PhD
PROPOSED MAJOR FIELD OF GRADUATE STUDY*:
You may indicate more than one field.
Special interests or remarks:
EDUCATION: A transcript from each school attended for undergraduate and graduate studies is required and should be sent to: Graduate
Programs Office, Texas Tech University, Dept. of Chemistry and Biochemistry, Lubbock, TX 79409-1061
In the meantime, a preliminary evaluation of your application can be made on the basis of the following, summary information.
MS Thesis Title:
MS Thesis Mentor:
GRE SCORES: The General GRE scores are required by the Department of Chemistry & Biochemistry . If you have taken these exams, please provide the results. If you have NOT taken the general GRE, please arrange to do so as soon as possible and report the scores when you get them.
The Advanced Chemistry Examination is NOT required, but if you have taken it, you may report the results here.
Advanced Chemistry Exam:
or Advanced Biochemistry Cell & Molecular Biology Exam:
Test of English as a Foreign Language:
The TOEFL is required of all applicants who are residents of countries for which English is NOT an official language. TOEFL Score: Listening Score:
If you have not taken the TOEFL exam but are planning to, when is your scheduled test date?
International English Language Testing Syystem:
The IELTS score may be reported in place of the TOEFL score. IELTS Score:
If you have not taken the IELTS exam but are planning to, when is your scheduled test date?
EXPERIENCE: (Describe briefly any work involving chemistry or
related sciences that you have done.)
PUBLICATIONS (Give authors' names, titles, and references):
HONORS (List any honors you have received, including memberships
in honorary societies and offices held in them):
PROFESSIONAL SOCIETIES (List any professional societies of which
you are a member or affiliate and offices held in them)
REFERENCES (List at least three persons who know your work well
and give their contact information including email address. Faculty members at institutions
where you have studied or are studying are preferred. If you have done or
are doing graduate study elsewhere, at least one reference
letter should be from that graduate department.) We will not ask these people to provide a reference for you -- you must contact them.
Upon submission you will receive a confirmation. If you do not see this, please click here. Thank You.