Department of Computer and Information Science
IUPUI, Indianapolis
Computer Sciences Application Form 2
Name
______________________________________________________________________________________
If the form is not entirely suitable to your background, make whatever adaptations are necessary. Use
abbreviations, comments, footnotes, and additional facsimile pages as needed. Do not mark the form "see
transcript" or the like in lieu of completing it.
COMPUTER SCIENCE COURSES
List in the order taken all the college and university level courses in computer science that you have taken,
are currently taking, or plan to take before entering this department. Include courses according to their
subject matter, not the name of the department offering them. List courses in hardware and circuit design
under "Other Related Courses" on the other side. Include all instances of courses taken more than once.
For "Date" give the semester or quarter and year (e.g., F 99, Sp 00). For "Subject&Number" give the
identifier of the course (e.g., CS 400). If the title of a course is not adequately descriptive, you may add
your own very brief description or comments. Next to or on the line below the title, please give the
author(s) of the course text(s). Under "Grade" enter the grade or mark received as it appears on your
transcript if you have completed the course. Do not enter expected grades or marks. Under "Credit" enter
the credit received or expected. You may add "G" to identify graduate level courses.
Institution Date
Subject&Number Title/Author, Text
Grade Credit
In the grade distribution tables, you may choose the unit of credit (usually semester-hour or quarter-hour),
but use the same unit throughout. (3 quarter-hours normally equal 2 semester-hours.)
Number of credits of----
A
B
C
D
F
Other
in computer science courses
On the other side, do the same for courses in mathematics and statistics and for courses in areas, such
as electrical engineering, related to computer science.
MATHEMATICS AND STATISTICS COURSES
Institution
Date
Subject&Number
Number of credits of----
in mathematics courses
Institution
Date
Title/Author, Text
A
B
C
OTHER RELATED COURSES
(Electrical Engineering, Computer Engineering, etc.)
Subject&Number Title/Author, Text
D
Grade
Credit
F
Other
Grade
Credit
Number of credits of----
in other related courses
A
B
C
D
F
Other