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Signup Form

To participate in the coming Ph.D. Preliminary Exam, please fill out the information below. At this time, it is required that you choose your major and minor areas of specialization and your major advisor. Talk with Dr.~Kalu in case of difficulty. Please bring your own lunch to the written exam. See the index for more info on the exam. The latest version of the regulations and procedures always applies.


Administrative Information

Please enter your name in the box:
Last four digits of your Soc. Sec. No.:
Your E-mail address (watch for typos):
Your local home address:

Your work location:
Your home phone number:
Your work phone number:
How you can be reached quickly:
Your major advisor (in your area):
Please select your major from the list:
Please select your minor from the list:

Remarks

Note any special circumstances in the box below. Do you have any special requirements during the written or oral exam? Do you expect any possible time conflicts during that period?



Submission

When all is OK, press the Mail Request button. The Clear Form button will clear all fields.

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Last Update: 8/25/02. Supersedes all earlier versions. For questions, see the contact page.