Auburn University Department of Chemistry and Biochemistry Auburn University, AL 36849-5312 Graduate Program Application Form (Please fill out the gray areas of the document completely) Name in Full (Last, First, Middle Initial) Street (Present Address) Telephone (xxx) xxx-xxxx City (Present Address) State or Country (Present Address) Zip code (Present Address) Street (Permanent Address) City (Permanent Address) Telephone (xxx) xxx-xxxx State or Country (Permanent Address) Zip Code (Permanent Address) E-Mail Date of Birth mm/dd/yyyy Place of Birth Citizenship Rank 1 6 – Proposed Subfield Degree Sought at Auburn (Enter PhD Masters (“1” is top choice, of Study for preference) “X” is last choice) “6” Analytical Biochemistry Inorganic Plan to enter Graduate School (semester/year) Organic Physical Theoretical/ Computational Educational Background: (List all college and universities attended as an undergraduate or graduate student) Dates Attended Degree and Year Institution Major Subject (mm/yyyy mm/yyyy) (expected or received) – GRE Scores (recommended not required) Verbal GRE Quantitative GRE Analytical GRE Subject GRE Raw Score Percentile Raw Score Percentile Raw Score Percentile Raw Percentile TOEFL Score (Int’l Students): Paper Computer Internet (Enter Score for Version Taken) Overall GPA* Science and Math GPA* Chemistry GPA* *Calculate grade averages on the basis of the following: A=4, B=3, C=2, D=1, F=0. If the grade is numerical count 100-90=A, 89-80=B, 79-70=C, 59-0=F. Multiply total credit hours of A grades by 4, B grades by 3, etc. then add the grade-points and divide by the total credit hours.
Auburn University Department of Chemistry and Biochemistry Auburn University, AL 36849-5312 Graduate Program Application Form (Please fill out the gray areas of the document completely) Name in Full (Last, First, Middle Initial) Street (Present Address) Telephone (xxx) xxx-xxxx City (Present Address) State or Country (Present Address) Zip code (Present Address) Street (Permanent Address) City (Permanent Address) Telephone (xxx) xxx-xxxx State or Country (Permanent Address) Zip Code (Permanent Address) E-Mail Date of Birth mm/dd/yyyy Place of Birth Citizenship Proposed Subfield of Study Rank 1 – 6 (“1” is top choice, “6” is last choice) Degree Sought at Auburn (Enter “X” for preference) PhD Masters Analytical Biochemistry Inorganic Plan to enter Graduate School (semester/year) Organic Physical Theoretical/ Computational Educational Background: (List all college and universities attended as an undergraduate or graduate student) Institution Dates Attended (mm/yyyy – mm/yyyy) Major Subject Degree and Year (expected or received) GRE Scores (recommended not required) Verbal GRE Quantitative GRE Analytical GRE Subject GRE Raw Score Percentile Raw Score Percentile Raw Score Percentile Raw Percentile TOEFL Score (Int’l Students): (Enter Score for Version Taken) Paper Computer Internet Overall GPA* Science and Math GPA* Chemistry GPA* *Calculate grade averages on the basis of the following: A=4, B=3, C=2, D=1, F=0. If the grade is numerical count 100-90=A, 89-80=B, 79-70=C, 59-0=F. Multiply total credit hours of A grades by 4, B grades by 3, etc. then add the grade-points and divide by the total credit hours.