Miami University

NAME

Lastname: Firstname: M.I.

CURRENT ADDRESS

Street:

Add'l Street:
City: State/Providence: ZIP:
Country address:
Add'l address country:

ELECTRONIC CONTACT

Tel: E-Mail:

GENERAL INFORMATION

1. What program are you applying for? Please Select... M.A. M.S. M.A.T. Ph.D.

2. Are you applying to the Graduate Program in Ecology? Please Select... Yes No

3. Proposed starting date: Please Select... Fall Spring Year: Will you want an assistantship? Please Select... Yes No

4. Please summarize all of your college or university work. Include any degree that you are currently working on with estimated completion date.

Institution:

Major:

Dates:

Degree Earned:

Institution:

Major:

Dates:

Degree Earned:

5. Describe your current academic position or job:

6. Please list all college science and math courses you have taken and the grade you have earned in each.

7. On a scale of 4.00 as the highest grade, what is your undergraduate grade point average?

8. Your gradepoint average in botany courses?

9. If you have completed graduate work, your graduate grade point average?

10. Have you taken the GRE exam? Please Select... Yes No
When taken or planned? Month: Please Select... Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year:

GRE score:

Verbal Score

Quant. Score

Analy. Score

Biology Score

11. If not a US Citizen, what is your citizenship?
Visa status?

12. What is your TOEFL score? or When will you take the TOEFL? Month: Please Select... Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year:

13. . It is very important that we know in which area of botany you plan to do graduate work (e.g. anatomy, biological pedagogy, cell biology, conservation biology, ecology, evolutionary genetics, genetics, genomics, molecular biology, morphology, physiology, systematics).  Please identify your interest below.

1st Choice Please Select... anatomy biological pedagogy cell biology conservation biology ecology evolutionary genetics genetics genomics molecular biology morphology physiology systematics     2nd Choice Please Select... anatomy biological pedagogy cell biology conservation biology ecology evolutionary genetics genetics genomics molecular biology morphology physiology systematics

14. Please provide the names and addresses of three references.

First and Last Name:

Address 1:

Address 2:

City, State and Postal Zip Code:

First and Last Name:

Address 1:

Address 2:

City, State and Postal Zip Code:

First and Last Name:

Address 1:

Address 2:

City, State and Postal Zip Code:

15. Please indicate how you initially learned about the Botany Graduate Program at Miami University.

16. If there is other information that would help us in our evaluation of you as a prospective graduate student in this department, please comment.

Signature_______________________________________ Date_________________

Chances of being selected for our program will be greatly enhanced by establishing contact with potential advisor(s).

If returning by mail, please send this form to:
Dr. R. James Hickey, Botany Dept., Miami University, Oxford, OH  45056.
Telephone (513) 529-4200