Qualifying Exam Information Request Form
Submit your details to request participation in a qualifying exam. Please provide complete and accurate information to ensure timely processing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student or Employee ID Number
*
Academic Program or Department
*
Please Select
PhD - Computer Science
PhD - Engineering
PhD - Physics
Master's - Computer Science
Master's - Engineering
Other
Qualifying Exam Type
*
Written Exam
Oral Exam
Both Written and Oral
Exam Subject Area
*
Please Select
Algorithms
Mathematics
Theory of Computation
Engineering Fundamentals
Other
Preferred Exam Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you previously attempted the qualifying exam?
*
No, this is my first attempt
Yes, once before
Yes, more than once
If you have attempted before, please specify the most recent attempt's date and outcome (leave blank if not applicable)
Advisor or Supervisor Name
First Name
Last Name
Do you require any special accommodations for the exam?
*
No accommodations needed
Yes (please specify below)
If yes, please describe the special accommodations required
Additional Comments or Information (optional)
Submit Request
Should be Empty: