Graduate-Admission Supplementary-Information Form

School of Industrial Engineering

Purdue University

West Lafayette, IN 47907-1287 USA

This application if for the Fall Semester or the Spring Semester

Name:     Address:  

Phone:              

Fax:                

E-Mail:

Initial degree objective: Master's Ph.D.

If your initial objective is a Master's degree, please indicate whether you:

Area of Study:

List professors with whom you would like to work if given the opportunity.

List the title of your M.S. degree thesis (if any) and the name of your advisor. Please have your advisor submit one of the three recommendations for admission (Form 3).

List your membership in professional organizations as well as evidence of scholarship and professional attainment such as; fellowships, honors, prizes, and awards.

List anticipated sources of financial support:

List colleges previously attended:

 Institution: Date: GPA:/

 Degree & Major: Class Rank:in a class of


 Institution: Date: GPA:/

 Degree & Major: Class Rank:in a class of


 Institution: Date: GPA:/

 Degree & Major: Class Rank:in a class of


 Institution: Date: GPA:/

 Degree & Major: Class Rank:in a class of

Statement-of-Purpose:

Applications will not be reviewed until all of the required material, including GRE and TOEFL scores, has been received by the School of Industrial Engineering.