UNIVERSITY OF NEVADA, RENO Reno, Nevada An Equal Opportunity Employer APPLICATION FOR GRADUATE ASSISTANTSHIP OR FELLOWSHIP Department of Computer Science and Engineering (This is NOT an application for admission to graduate school.) INSTRUCTIONS: Please type or print in ink the requested information. Your application will not be considered until (unless) it is accompanied by a transcript or record of college/university work completed and in progress. Mail the completed form and accompanying documents directly to: Graduate Director Department of Computer Science and Engineering University of Nevada-Reno 1664 N. Virginia Street, MS 171 Reno, NV 89557, USA. Submission of all the documents including the form in electronic format is acceptable and preferred, but only Word or PDF formats will be accepted. Such electronic submissions must be sent to Lisa Cody, CSE Office Manager via email: lacody@unr.edu Date: 1. Name (Last, First, MI) 2a. Mailing Address (Street, City, State or country, Zip, Phone) 2b. Email Address (if available) 3. Permanent Address (Street, City, State or country, Zip, Phone) 4. Birth (Month, Day, Year, City, County, State or country) 5. Major interest within computer science department? 6. GRE Scores Verbal: Quantitative: Analytical: This will suffice until the copy arrives from ETS 7. TOEFL Score (if applicable): This will suffice until the copy arrives from ETS 8. List below, in chronological order, all colleges in which you have registered Name of School City State Dates of Attendance Degree Received Dates of Graduation 9. List at least three references, familiar with your qualifications, whom we may contact (email is preferred) Name Position Contact Information 10. Work experience and personal recognition: List all previous positions held, including graduate fellowships, assistantships, part-time appointments, military service, and non-academic positions. Employer Name Employer Address Title of Position Dates Full/Part-time 11. Undergraduate and graduate scholarship awards or honors received: 12. If you are applying for a degree, which you have previously been studying for at another institution but have not completed, please indicate your reasons for transferring to the University of Nevada, Reno. 13. Submit with this application: a resume copies of transcripts or records of all college/university work completed and in progress any supporting document that may influence a decision, e.g., research reports or publications 14. Signature (Signature of applicant)