The University of Texas at Arlingon

Graduate Program Preliminary Application
 
I would like to apply for admission to the Program for the semester.
The ultimate degree which you hope to attain is:

Personal Information * Required Fields

Mr. or Ms.
First Name (given name) *
Last Name (surname or family name) *
Current Address
Street Address *
City *
State *
Postal code or Zip code *
Country *
Permanent Home Address
Same as Current Address
Street Address
City
State
Postal code or Zip code
Country
Phone Number *
Email Address *
Date of Birth * (month/day)
Home Country *

Academic Background

Degree Information
Institution *
City *
Country *
Degree * B.A. B.S. M.S. BTech Bed MTech
Degree Area *
Month Received or Expected
Year Received or Expected
Overall GPA (grade point average) *
GPA in Science Classes *

Additional Degree (optional)
Institution
City
Country
Degree B.A. B.S. M.S. BTech Bed MTech
Degree Area
Month Received or Expected
Year Received or Expected
Overall GPA (grade point average)
GPA in Science Classes

Please indicate the courses for which you have earned college credit
Courses
Calculus Semester 1
Calculus Semster 2
General Chemistry Semster 1
General Chemistry Semster 2
Organic Chemistry Semester 1
Organic Chemistry Semster 2
Physical Chemistry
(Quantum Mechanics, Spectroscopy)
Introductory Physics
Analytical Chemistry
Biochemistry
Inorganic Chemistry
Independent Laboratory Research
Physical Chemistry
(Thermodynamics, Kinetics)

Other CHEM courses you may have taken or are currently enrolled in
1.
2.
3.
4.
5.
6.

Exam Information
GRE - Last taken, or anticipated
GRE Scores: Verbal
GRE Scores: Quantitative
GRE Scores: Analytical
TOEFL Score (if taken)
TOEFL Type (if taken) Paper-based Computer-based iBT

Please select no more than 3 research interests you would have within our department
Interests
Analytical
Biochem
Colloids/Materials/Surfaces
Inorganic
Environmental 		Organic/Polymer
Physical
Theoretical/Computational
Undecided
Comments

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Department of Chemistry and Biochemistry
The University of Texas at Arlington
Arlington, Texas 760019-0065, USA
Phone: 817-272-3171 | Fax: 817-272-3808
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