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Print Application Action Duke

Print Application Action Duke

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Published by cl254

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Published by: cl254 on Nov 12, 2009
Copyright:Attribution Non-commercial


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Electronic Application
Application for Admission andAward in Academic Year 2009-2010
1. _________ Last or Family name: ________________________ First: __________________ Middle: _______________________ Suffix: ________ Other Last /Family names under which academic records may be listed? (Maiden name)___________________ 2. Country of citizenship: ______________________________ Citizenship status: _______________________________________ 
3. Date of birth: _______________ Military status: _____________ 4. Race/National origin: _________________________________________ Further description or clarification (e.g., tribal affiliation): _________________________________________________________ 5. Electronic mail address: ____________________________________________________________________________________ Address to which all correspondence concerning this application should be mailed *Valid until: ___________________________ Street address: __________________________________________________________________________________________ City: _________________________ State: ___________________ Country: _______________________ Zip: ______________ 6. Permanent home address: __________________________________________________________________________________ City: _________________________ State: ___________________ Country: _______________________ Zip: ______________ 7. Current ph#: ______________________ Other ph#: _______________________ Perm. address ph#: ______________________ 8. Proposed Department/Program/Degree: _______________________________________________________________________ Specializations:_________________________________________________________________________________________  _____________________________________________________________________________________________________ Special field: ___________________________________________________________________________________________ Intended entry term: __________________________ Attendance status: _______________________________ If seeking part-time study, list reasons: ______________________________________________________________________ Applying to another department: ___________________________________________________________________________ Previously applied (term and year): ____________________ 9. Other schools to which applicant is applying:10. Consideration for financial aid from Duke University (such as fellowships, scholarships, and assistantships)? _______ 11. Financial resources (received or applied):If no financial aid is received from Duke University, will you still be able to attend? ______ 
Applicant Copy
Foreign - In Need of Temporary VisaNAsianchuan254@gmail.com08/15/20092725 SW 27th Ave., Apt. Y2GainesvilleFloridaUnited States326082725 SW 27th Ave., Apt. Y2GainesvilleFloridaUnited States32608614-595-5239Electrical and Computer Engineering - Ph.D.Microsystems, Signal Processing and CommunicationsCircuits and SystemsFall 2009Full-TimeYesYesI personally have limited fund; there is no other financing sources for me atthis time. Financial aid would be very helpful for my PhD degree at Duke.Male
 Last Name: _________________________ First Name: ____________________PAGE 2 OF 412. Educational history (Showing undergraduate degree school first, list degrees expected to be earned
prior to
attending Duke):Name of Institutionand Location:
Dates (from andto):
Degree or Diplomaand Major:
Date Rec’dor Expected:13.
test scoresGRE date: _________ Subject test date: __________ Verbal Quantitative Analytical **New Analy.Writing**Subject Code:Score% % % %
(if native language is not English)
Date taken or scheduled: ____________ IELTS Composite score:_____________ 
UGPA = _______ Other Scale: _______ GGPA = _______ Other Scale: _______ 
Date taken or scheduled: ____________ Total TOEFL score: _________________ 
(Internet based testing)
Date taken or scheduled: ____________ Total TOEFL score: ________________ TOEFL Reading score: _____________ TOEFL Listening score: _____________ TOEFL Speaking score: _____________ TOEFL Writing score: _______________ 
(Business only)
Date taken or scheduled: ____________ Total GMAT score:
Additional schools attended:14. Evaluators (Last Name or Family Name, First Initial) /position/addressLast Name First Name Title / Department City, State Online?Additional evaluators:
Applicant Copy
LeeITHACAUnited States08/200006/2004
Bachelor'sElectrical Engineeri05/200401/26/20092426FoxRobertNYChuanCORNELL UNIVERSITY3.33.705/16/20081022824Associate Professor and AssociatGainesvilleFloridaYesGAINESVILLEUnited States08/200808/2013Non DegreeECE08/2013FLUNIVERSITY FLSTANFORDUnited States09/200712/2007Non DegreeECECASTANFORD UNIVERSITYITHACAUnited States08/200408/2005Master'sECE08/2005NYCORNELL UNIVERSITYKanEdwinAssociate ProfessorIthacaNew YorkYesPorshnevPeterSenior ManagerSanta ClaraCaliforniaYes470790/////0005782000851800057820007642
 Last Name: ________________________First Name: ____________________ PAGE 3 OF 415. Dismissed or placed on probation (if so details):16. Charges of ethnical/professional misconduct (if yes see separate document); Yes n No17. Convicted of a criminal offense, or pending charges (if yes see separate document): Yes No18. Employment history (chronological order):Firm or Organization Job Title/Type of Work Inclusive Dates19. Courses in progress (not listed on transcripts):Course Title Instructor Inclusive Dates Credit20. Languages and proficiency:Language Rating
What is your native (or first) language?21. List honors, distinctions, prizes, or scholarships received:22. Applicant is Phi Beta Kappa:23. Research programs:
Applicant Copy
Radio Frequency (RF) Integrated CircuitJenshan, LinEnglishExcellent
Maxim Integrated ProductsCustomer Applications Engineer11/2006Applied MaterialsElectrical Engineer08/200501/20093Introductory Quantum Mechanics for NanoUral, Ant01/20093MOS Analog IC DesignFox, Robert M.Mandarin-Participated at the beginning phase of a project led by Professor Ken O at UFL, but latter withdrew from it because of reductionof scope of the project. Funded by DARPA.N05/200811/200605/200905/200905/2009////////

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