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Request Brochure 

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We are pleased that you are considering the graduate program in Industrial and Systems Engineering and we would like to know more about you. If you would like to tell us about yourself, complete and submit the information below.

If you would like to know more about us, use this form to request a brochure.

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First Name:			Last Name:
Your E-Mail:
Current Address:
Street Address:
City, State, Province:
Country:			Zip Code:
Citizenship:
Currently Residing in the United States?			YesNo
Telephone Number if Residing in the U.S.: (Please include your area code)
Interested in:		MastersPh.D.
Starting Semester:		FallSpringSummer	Year	10 11 12 13
GRE Scores (if available):
Verbal:  Quantitative:   Writing:
Grade Point Ratio for last two undergraduate years:				/4.0
Grade Point Ratio for all graduate course work:				/4.0
Academic Background:
Name and Location of University:			Major:
	Degree: Bachelor'sMaster'sPh.D.Date:
Name and Location of University:			Major:
	Degree: Bachelor'sMaster'sPh.D.Date:
Name and Location of University:			Major:
	Degree: Bachelor'sMaster'sPh.D.Date:
Interested in Graduate Brochure ?   Yes  No
Additional Comments

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