MICHIGAN TECHNOLOGICAL UNIVERSITY
ENGINEERING PHYSICS Ph.D. PROGRAM
APPLICATION FOR FINANCIAL ASSISTANCE


Applicant's Name__________________________________________________________
                                        Last (Family)                                       First                                        Middle

Address: (Street/City) _______________________________________________________________

(State/Province, Country, Postal Code)________________________________________________________

Telephone Numbers: ____________________________________________________________
                                                                    Home                                 School/Business                                       Fax

Email address: ____________________________@_____________________________________

Check first term of intended enrollment (one only):

     [   ] Fall Semester        [   ] Spring Semester       [   ] Summer           Year___________________

Degree program that you are applying for:      [ ] Masters       [ ] Doctoral

Undergraduate Major Field:________________________________________________________

Grade Point Average in Field:_____________ Overall Grade Point Average:__________________

Master's Major Field (if applicable):_________________________________________________

Grade Point Average in Field:_____________ Overall Grade Point Average:___________________

PROPOSED FIELD OF GRADUATE RESEARCH:
Note: Please indicate below the areas you are interested you are doing research. Indicate your first, second and third choices by a 1, 2 and 3, respectively. See the department brochure for detailed descriptions of faculty research interests and projects in these areas.
[   ] Laser and Plasma Physics   [   ] Device Physics
[   ] Materials Physics - Computation/Theory   [   ] Imaging Systems
[   ] Materials Physics - Experimental   [   ] Statistical Physics
[   ] Other:___________________________

STATEMENT OF PURPOSE:

On a separate sheet(s), please describe your interests in physics, giving particular emphasis on research areas you may wish to pursue for your graduate degree and how the Physics Department at Michigan Technological University fits your plans. Include relevant details about your background, experience, and motivations. Also include a brief statement of your career goals after you receive a graduate degree in physics.

Signature:______________________________________________________Date:__________________