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Summary: UNIVERSITY OF CALIFORNIA
Santa Barbara
Department of Electrical and Computer Engineering
Application for the Ph.D. Screening Examination for Electrical and Computer Engineering
I request to take the Ph.D. Screening Examination during the Spring Quarter of 2012. I elect to take one
major oral examination in my intended area of specialization and one minor area of examination, which I
have indicated below by placing a cross [X] in the respective boxes. I agree to take the examinations on
the designated dates and will not fail to attend once the exam schedule is finalized. If any emergency
arises that may prevent me from participating, I will promptly notify the Graduate Student Office. I
understand that failure to attend the exams without notification or due cause may prevent me from being
permitted to continue in the Ph.D. program.
Last Name, First Name Perm Number
ECE Box Number E-mail Address
Student Signature Date
(Graduate) Grade Point Average Advisor
(3.3 minimum required) (PRINT ADVISOR'S NAME)
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Areas of Examination: (Select one major which must be in the area of intended specialization and one
minor.)
Major
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