CLARKSON UNIVERSITY
APPLICATION PROCEDURES
M.S. and Ph.D. Programs in Science
VERY IMPORTANT
International students must be sure to be consistent in the manner in which they present their name on official
documents. Be sure to show your name on this application in the same manner that you want it to be shown on
your passport, immigration documents, transcripts, and all other official documents. Family (surname) and
First name are the only names listed on the I-20. There should be a clear understanding as to what are your
given/first name (i.e. John), middle name (i.e. Paul) and family/surname (i.e. Smith).
A complete application consists of the following items:
Full-time applicants to the Graduate School from within the U.S. and Canada are required to pay a $25
application fee (US funds). All other full-time applicants are required to pay a $35 application fee.
This fee cannot be waived or deferred, except as follows. The fee will be waived for applicants from
within the U.S. and Canada who apply for admission before December 31 for the following fall
semester, or June 30 for the following spring semester. Part-time students are not required to pay an
application fee. Applications received without the fee are not forwarded to the department for
review. They are immediately made inactive until the fee is received.
A completed application form.
Ask three references, who can evaluate your work, to complete and return the reference forms and/or
separate letters of evaluation to the School of Science Graduate Studies Office.
Official transcripts of all your college coursework are required.
All applicants are required to have taken the general Graduate Record Exam (GRE), completion of an
advanced GRE test in your area is recommended. There are no minimum required scores for the
GRE.
TOEFL scores are required of all international applicants whose native language is not English. The
minimum TOEFL score required is 550 (paper-cased exam) or 213 (computer-based exam). TSE
scores are recommended for students applying for a Teaching Assistantship
Supplemental information may be submitted for all programs. This information could include, for
example, a resume, a statement outlining your goals and objectives in graduate school and beyond,
and other information that would help us evaluate your application.
For more information about graduate programs in the School of Science, please contact the Graduate Coordinator,
School of Science, Clarkson University, 324A Bertrand H Snell Hall, Potsdam, NY 13699-5802; phone 315-2683802, fax 315-268-7994; email [email protected]. For specific program information, please contact the
Chair of the departments in which you wish to study. You may also wish to consult our web page at
www.clarkson.edu/graduate.
For information about the MBA and M.S. in Management Systems programs, please contact the Office of Graduate
Professional Programs, Clarkson University, Potsdam, NY 13699-5770: phone 315-268-6613, fax 315-268-2301.
For information about the M.S., M.E., and Ph.D. programs in the School of Engineering, please contact the
Graduate Studies Office, School of Engineering, Clarkson University, Potsdam, NY 13699-5725: phone 315-2687929, fax 315-268-7994. For information about the MS program in Information Technology, please contact the
Graduate Office, Clarkson University, Potsdam, NY 13699-5625; phone 315-268-6447; fax 315-268-7994. The
Graduate School Page at Clarkson is http://www.clarkson.edu/graduate
GRADUATE SCHOOL APPLICATION FOR ADMISSION
Name ❑ Mr. ❑ Ms. ❑ Miss ❑ Mrs. ___________________________________________________________________________________ Date ___________________
Family/Surname
Given/First Name
Middle Name
Marital Status ❑ Single ❑ Married ❑ Divorced Preferred Name ____________________________________________________________________________________
Date of birth (mm/dd/yy)_______/_______/_______ Place of birth (city/state/country)____________________/______________________/______________________
Language spoken at home ___________________________________________________________________________________________________________________
Optional Personal Data for U.S. Citizens
Ethnicity:
❑ American Indian or Alaskan Native
❑ Caucasian
❑ Black, non-Hispanic
❑ Hispanic
❑ Asian or Pacific Islander
❑ Other (please specify)________________________________________
Citizenship (check only ONE) Country of Citizenship ______________________________________________________________________________________________
❑ U.S. Citizen Social Security Number _____________________________________________
❑ U.S. Permanent Resident (attach copy of both sides of Resident Alien card) Registration Number ______________________________________________________
❑ Non-U.S. Citizen Current Visa Status ____________________________________________ (e.g. F-1, J-1, etc.)
❑ Refugee
CURRENT MAILING ADDRESS Street Address/P.O. Box ________________________________________________ District/Province ____________________________
City _________________________________ State _______________________________ Country ________________________ Zip Code ______________________
Telephone No. Day (
) ___________________________________________ Evening (
) _______________________________
Effective Dates: From (mm/dd/yy)__________/__________/__________ to (mm/dd/yy)__________/__________/__________
PERMANENT HOME ADDRESS Street Address/P.O. Box ________________________________________________ District/Province ____________________________
City _________________________________ State _______________________________ Country ________________________ Zip Code ______________________
Telephone No. Day (
) ___________________________________________ Evening (
) _______________________________
E–mail Address ❑ home ❑ campus ❑ other ___________________________________________________ Fax Number ______________________________________
First semester/year you wish to enroll: ❑ Fall (year) ________ ❑ Spring (year)________ ❑ Summer (year) ________. I hope to attend ❑ full time ❑ part time.
Name of graduate area, school, and/or department in which study is planned ____________________________________________________________________________
(see list on back)
Area(s) of specialization in which study is planned, if known _________________________________________________________________________________________
(see enclosed list)
Degree toward which study is directed ❑ MBA ❑ M.E. ❑ M.S. ❑ Ph.D. ❑ ME/MBA Student Number (if attended Clarkson previously) _____________________________
Former names (if applicable) __________________________________________________________________________________________________________________
How, where, or from whom did you learn about Clarkson? ___________________________________________________________________________________________
List all colleges or universities currently attended. Official transcripts or records at all higher educational institutions attended except Clarkson are required and must be sent
to the appropriate Graduate Studies office indicated on the application procedures page.
Institution
Location
Field of Study
Dates Attended
_____to_____
_____to_____
_____to_____
Grade-point average (undergraduate):
Cumulative ________________ out of possible ______________ (i.e., 3.4/4.0, 75/100, etc.)
Last semester ______________ out of possible ______________
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EDUCATIONAL INSTITUTION
Degree (if any)
Professional or work experience:
Dates
Employer
Location
Title/Position
Academic honors, prizes, or scholarships you have received or honor societies to which you have been elected:
________________________________________________________________________________________________________________________________________
Professional organizations in which you hold membership:
________________________________________________________________________________________________________________________________________
Title or description of any thesis, research report, patent, or other publications (use separate sheet if necessary):
________________________________________________________________________________________________________________________________________
What is your career goal with respect to the graduate program? ______________________________________________________________________________________
Letters of recommendation from three instructors or employers who can speak authoritatively regarding your aptitude and preparation for graduate study are required. Use the
forms supplied for this purpose. On the following lines, list the names and addresses of the individuals from whom you have requested recommendations. If you are a Clarkson
student, please list three faculty who know you and can evaluate your work.
1.
2.
3.
GRADUATE AREAS AND DEGREES OFFERED
School of Engineering
Chemical (ME MS PhD)
Civil & Environmental (ME MS PhD)
Electrical and Computer (ME MS PhD)
Mechanical (ME MS PhD)
Interdisciplinary Engineering Science (MS PhD)
School of Science
Chemistry (MS PhD)
Mathematics (MS PhD)
Physics (MS PhD)
Health Sciences (MS)
School of Business
Master of Business Administration (MBA)
Management Systems (MS)
Health Sciences
Physical Therapy (DPT)
Interdisciplinary Programs
Computer Science (MS)
Information Technology (MS)
Engineering & Global Operations Management
(MS for Working Professionals)
Professional Management
(MS for applicants in industry)
Environmental Science & Engineering (MS PhD)
Are you also interested in applying to graduate programs in other schools of Clarkson University? If so, please indicate your interest, and we will have information sent to you.
________________________________________________________________________________________________________________________________________
Do you wish us to consider this as an application for admission regardless of whether you secure an assistantship? ❑ Yes ❑ No
If you wish to apply for an assistantship, indicate preference by giving first and second choice
_____Teaching
_____Research
If you wish to be considered for a teaching assistantship, have you had any prior experience in this capacity or a similar one? ❑ Yes ❑ No
If yes, please attach a separate letter giving details.
Specify any outside financial assistance available to you: ___________________________________________________________________________________________
Describe your background (e.g.; coursework, professional and research experience, etc.) as it relates to your areas of interest.
I certify that the statements made in this application are true to the best of my knowledge. If admitted, I agree to abide by the rules and regulations of Clarkson.
Signature of Applicant
NOTE:
This application and all correspondence concerning it should be sent to the appropriate graduate studies office indicated on the application procedures page. Full-time
applicants to the graduate school from within the U.S. and Canada are required to pay a $25 application fee. All other full-time applicants are required to pay a $35
application fee. This fee cannot be waived or deferred except for applicants from within the U.S. and Canada who apply for admission before December 31 for the following
fall semester, or June 30 for the following spring semester. Part-time, Engineering & Global Operations Management and Professional Management students are not
required to pay an application fee.
Clarkson University
Graduate School Reference Form
for the School of Science
Please print in black ink.
Applicant: Please add the name of the department to which you are applying before submitting this form to your referee.
Department
I ❑ do ❑ do not agree to waive my right under The Family Education Rights and Privacy Act of 1974 to review specific and
composite letters of recommendation.
Signature _________________________________________________________________________ Date ______________________
Referee:
This is my evaluation of ________________________________________________________________________________________
Please print name in full
I have known the applicant for ________ years. In what capacity? ______________________________________________________
Quality
Superior
Above
Average
Average
Below
Average
Inadequate
Opportunity
To Observe
Aptitude in major field
Promise as original investigator
Promise as directed investigator
Potential as a teacher
Imagination
Perseverance
Cooperativeness
Dependability
Maturity
Accuracy and preciseness of work
Oral expression
Written expression
Initiative
Remarks (please continue on back of this page) ____________________________________________________________________
Signature _________________________________________________________________________ Date ______________________
College ________________________________________________________________________ Position ______________________
Please mail directly to:
School of Science, Graduate Studies, Clarkson University, PO Box 5802, Potsdam, NY 13699-5802
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EDUCATIONAL INSTITUTION