APPLICATION FOR ADMISSION TO THE DOCTORAL PROGRAM
The Department of Integrated Systems Engineering
The Ohio State University
Applicant Data:
Name__________________________________________ . # ______ Date of Birth ________
Last
First
M.I
Admission requested for ______________________(Semester/Year)
Previous Education:
Degrees
Institutions/ Majors
Date received
GPA
1._________________________________________________________________________________________
2._________________________________________________________________________________________
3._________________________________________________________________________________________
GRE Scores: Verbal _______
Quantitative_______
Analytic _______ GRE date: _________________
MS Thesis Title: ___________________________________________________________________________
Proposed PhD Major : _____________________________________________________________________
PhD Advisor Recommendation:
I am willing to serve as the PhD advisor for this student and I recommend admission to the PhD
program.
_______________________________________________ Date: _______________________
Signature of PhD advisor
______________________________________________
Printed Advisor Name
Estimated Date of PhD Program Completion _________________
Semester/Year
Graduate Studies Committee
Admit
Deny Admission
Signed ___________________________________________________
Steve Lavender, Graduate Studies Chair
Date: ________________________
Return completed form to Graduate Studies Coordinator, 210 Baker Systems
Revised July 1, 2015