* indicates mandatory fields.
Personal Information:
First Name*:
Middle Name:
Last Name*:
Email Address*:
Date of Birth (mm/dd/yyyy)*:
Address:
City,State,Zip:
Country:
Phone Number:
Residency Status*:
Gender:
Racial/Ethicnic Category:
Disablities:


Academic Information:
Current Standing:
Name of Current School:
Current Major:
Current Overall G.P.A.(x.xx):
Major G.P.A.(x.xx):
Resume:
Latest Transcript (Either Official or Unofficial):
Statement of Research Interests (one page):
Website URL for additional materials:


References:
An email request will be sent to your references.
Reference #1:
Name:
Email Address:
University/Company Affiliation:


Reference #2:
Name:
Email Address:
University/Company Affiliation:


Reference #3:
Name:
Email Address:
University/Company Affiliation:


Select REU projects that you are interested in:
(in the order of preference)
Preference #1:
Perference #2:
Perference #3:
Perference #4:


Are you the first member in your immediate family to go to Engineering School?


Level of interest to go to Graduate School:
1  Definitely will not attend
2  
3  Likely not to attend
4  
5  Undecided at this time
6    
7  Likely to attend
8    
9  Definitely plan to attend
10    

Brief Comments:
(max. 300 characters)


Computer Science Department, USC Viterbi School of Engineering, University of Southern California