UCD School of Civil, Structural & Environmental Engineering Newstead, Belfield, Dublin 4, Ireland. Phone: +353 1 716 3201 Fax: +353 1 716 3297 Email: civil.engineering@ucd.ie Web: www.ucd.ie/csee PRELIMINARY APPLICATION FOR ENTRY TO POSTGRADUATE STUDY 1. Personal Information: Name ( FAMILY NAME) (FIRST NAME) Contact address Telephone Fax Email 2. Financial Support: Do you require financial support Yes No If not, what is source of support: ___________________ 3. Educational Background: Please list previous universities/colleges attended, dates attended, degrees awarded, and grade achieved (if applicable): University Dates attended From Discipline(s) Degree and Grade awarded (and/or GPA if applicable) Class Ranking and class size (e.g., 8th of 70) To 4. Employment Record: (if applicable) Employer (most recent first) Employment Dates From To Position, Key Duties and Responsibilities Page 1 of 3 5. Degree Programme Choice and Research Interests: Degree programme you are applying for: Masters Which term do you intend to enter: Ph.D. September January April Year Please indicate your preferred research area: Area of interest Tick boxes Bridge Dynamics & Vehicle/Bridge Interaction Bridge Traffic Loading Bridges and Structures Damage Detection of Structures Concrete Durability/Corrosion Historic Buildings Ground improvement/ground reinforcement Offshore foundation systems Geotechnical Engineering Slope stability Soil properties/Soil characterisation Deep basements Flood Warning and Protection Water Quality Modelling Water and Environmental Engineering Water Resources and Supply Wastewater Treatment Solid Waste Management Accidents and Road Safety Engineering Transport Policy, Planning and Modelling Transportation & Infrastructure Pavement Materials and Assessment Pavement Design & Management Pavement/Vehicle Dynamic Interaction Urban Modelling and Remote Sensing Other (please specify) 6. Citizenship and English Language Are you applying as: an EU non-EU student? If English is not your native language, what is: ________________________________ Your speaking ability in English fluent good weak Your reading/writing ability in English fluent good weak Please include TOEFL/IELTS scores: _________________ Page 2 of 3 7. Additional Information Please include any additional information that may support your application on a separate page if necessary. Application Instructions Please complete and return this application form to Andrew.Griffiths@ucd.ie Or mail to: Andrew Griffiths School Administrator UCD School of Architecture, Landscape and Civil Engineering Newstead University College Dublin, Belfield, Dublin 4, Ireland. While applications are welcomed at any time, candidates for September admission should apply before 1st July Page 3 of 3