SU Chemistry :: Preliminary Application

Overview

Programs of Study

Admissions Information
Applications & Information
Once You've Been Admitted

Future Professoriate
Program
Course Info & Syllabi
Important Dates & Deadlines
Awards & Fellowships
Career Information
Useful Information

I would like to apply for admission to the program for the semester.

PERSONAL INFORMATION:

Name:	Greeting:	Ms. Mr.
	First Name:
	Last Name:

Address:	Type:
	Street:	Apt. #:
	City:
	State:
	Zip Code:
	Country:

Contact Info:	Current Phone:	() -
	E-mail:

Date of Birth:		(month/day/year)

Citizenship:

ACADEMIC BACKGROUND:

Institution:	Name:
	City:

	Degree:	B.A. B.S. M.S.
	Program Name:
	Expected:

Coursework:
Overall grade-point average:
GPA in science classes:

Please check off all the following college-level courses for which you have received credit (include AP credit) or in which you are currently enrolled. If a 1-semester course combines content from several of the descriptions below, do your best to categorize it, i.e. do not double-count:


Calculus 1st semester	Calculus 2nd semester
General Chemistry 1st semester	General Chemistry 2nd semester
Organic Chemistry 1st semester	Organic Chemistry 2nd semester
Introductory Physics	Introductory Biology
Physical Chemistry (Quantum mechanics, spectroscopy)	Physical Chemistry (Thermodynamics, kinetics)
Analytical Chemistry	Inorganic Chemistry
Biochemistry	Independent Laboratory Research

Other science/math/engineering courses taken or currently enrolled in (please list):

Exam Information:
GRE	Last taken/anticipated:
GRE Scores	Verbal:
	Quantitative:
	Analytical:

TOEFL	(if taken):

Interests:

Please check the boxes below to indicate your area(s) of interest within our department:

Organic Inorganic Physical Biochemistry

Use the space below for any questions or comments:


				Department of Chemistry • Syracuse University 1-014 Center for Science and Technology Syracuse, New York 13244-4100 Ph: 315-443-2925 / Fax: 315-443-4070