GRADUATE STUDIES

ADDITIONAL INFORMATION FORM

FACULTY OF ENGINEERING AND APPLIED SCIENCE

Instructions to the Applicant

THIS AND THE ATTACHED FORMS SHOULD BE TYPED AND MAILED TO THE SCHOOL OF GRADUATE STUDIES, MEMORIAL UNIVERSITY OF NEWFOUNDLAND, ST. JOHN'S, NEWFOUNDLAND, CANADA, A1B 3X5.

Applications should be complete with the names and addresses of three referees and certified copies of transcripts showing the marks or grades in each course of the undergraduate degree program. Incomplete applications will not be considered.

1. Name in Full - Mr./Mrs/Miss/Ms:

2. Address for reply:

3. Telephone Number: 4. Date of Birth:

5. Citizenship: G Canadian Citizen G Permanent Resident of Canada

G Citizen of (specify the country)

6. Education:

Universities
Attended / Dates of
Attendance
From To / Major Field
of Study / Degree
Received / Division or
Class and
% Mark
Received / Rank in
the
Class *

NOTE: *Please specify the number of students in the class when you indicate rank. Also please specify clearly your field of

study, i.e. Civil Engineering, Electrical Engineering, Mechanical Engineering, etc.

7. Language of University Education:

8. Degree for which you wish to register? (Check one only.)

G M.Eng G Ph.D G M.A.Sc. G Full time G Part time

9. Proposed Starting Semester: G September G January G May

10 (a) Indicate below the discipline in which you wish to study

 Civil Engineering

 Electrical and Computer Engineering

 Mechanical Engineering

 Ocean and Naval Architectural Engineering

 Other - please indicate

10 (b) Within these disciplines it is possible to work in a number of different areas. Please indicate below the area closest to your interests and expand if necessary in the spaces provided below.

 Engineering Analysis

 Mechanics, Structures and Materials

 Ocean Engineering

eg. Ice Engineering, Marine Hydrodynamics, Underwater Vehicles, Marine Corrosion, etc.

 Manufacturing and Robotics

 Hydrotechnical and Environmental Engineering

Electrical Engineering

 Power Systems

 Computers and Communications

 Electromagnetics

 Other, eg. Project Management, Geotechnology, Thermo-Fluids, Biomechanics, etc.

Note that faculty members are working in areas other than those listed above. Applicants should provide details of their specific interests below.

11. List briefly (starting from the present job) professional and/or industrial experience that you have had. (Attach an additional sheet if necessary.)

Name of Organization / Title/Designation / Period / Type of Work

12. Please make a specific statement of your research interests and objectives. This statement should include research you have done, papers published and what you hope to achieve at Memorial University. Further, the statement should include your objectives after completion of Graduate Study.

Signed Dated