SUPERB-CSIS Application Form

The *EXTENDED* deadline for the Summer 2008 program is February 11, 2008 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:

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

Email Address (required):

Current Mailing Address:

Current Phone Number:

Permanent Mailing Address:

Permanent Phone Number:

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

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 Website

Are there specific UC Berkeley faculty members with whom you would like to conduct research, or with whom you are currently conducting research? If so, please indicate these potential mentors:

Faculty Name	Department

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.

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