SUPERB-CSIS Application Form

The deadline for the Summer 2010 program is February 1, 2010 at 5:00PM (Pacific Time).

This application is for students interested in research within the department of Electrical Engineering and Computer Sciences.

(For Bioengineering, Civil Engineering, Material Science Engineering or Mechanical Engineering, please refer to the College of Engineering SUPERB web site for the SUPERB application.)

Name First: Last:

Birthdate (MM-DD-YYYY):
(for recordkeeping purposes only)

Email Address (required):
confirm email (required):

Current Mailing Address:
Street:
City: State Zip

Current Phone Number:

Permanent Mailing Address:
Street:
City: State Zip

Permanent Phone Number:

U.S. Citizen: Permanent Resident:
Note: only U.S. Citizens or Permanent Residents are eligible for SUPERB-CSIS.

Female Male

Ethnicity: If other, please specify:

Mother's Education Level:

Father's Education Level:

Language spoken at home: First Language:

Major: Major GPA: Overall GPA:

Undergraduate Institution:

Expected Graduation Date: Class (Soph., Jr. or Sr.):

Please list honors, awards, scholarships, prizes, etc.:

Have you ever participated in a summer research program?
If yes, please list the research program(s), the year(s) participated, and your research area(s).

Please list your top five research areas of interest after reviewing the EECS Research Areas list

Please look through the EECS Research Areas and the EECS Faculty List and select 3 specific EECS faculty mentors with whom you would like to conduct research, or with whom you are currently conducting research (required):

Statement of Purpose

Berkeley has a long-standing commitment to promoting access to graduate education for diverse populations. This commitment involves reviewing applicants' achievements within the context of their life experiences. You are invited to share aspects about your background that have not been reflected elsewhere in your application. This may include information regarding your achievements in spite of economic, social, or educational disadvantages.

Briefly describe your academic background, research interests, and career objectives in the space provided below. Please limit your statement to 300-500 words and write about your motivation for graduate school.

Résumé

Please cut and paste your résumé below:

Email questions or comments to Elisa Lewis (elisa@eecs)

Electrical Engineering and Computer Sciences

COLLEGE OF ENGINEERING

UC Berkeley

SUPERB-CSIS Application Form

Statement of Purpose

Résumé