Graduate Student Visit Form

Thank you for your interest in visiting Rensselaer Polytechnic Institute! Please complete the form below to begin the visitation process. NOTE: Transcripts and faculty recommendations are required for those applying for a funded campus visit.

Personal Information
* Please list three dates (at least one week apart) that you are able to visit campus if selected. [mm/dd/yyyy] Dates must be Monday through Friday, excluding holidays. [Calendar]
* First name
* Last name
* I am applying for a/an:	Funded visit Unfunded visit
* Address 1
Address 2
* City
* State
* Zip (Postal) Code
* Until what date may we reach at the above address (mm/dd/yyyy)?
Country (if other than USA)
* Citizenship status	U.S. Citizen/Permanent Resident International Student
* Email Address
* Telephone (please include area code)
Date of Birth (mm/dd/yyyy)
Gender	Female Male
Ethnicity
Academic Information
* Current/Previous University
* Undergraduate Major
* Current College Status
* Actual/Expected Year of Graduation (Undergraduate Degree)
* Overall Undergraduate GPA
* Actual/Expected Year of Graduation (Graduate Degree)
* Overall Graduate GPA
Are you currently pursuing a post- baccalaureate degree? If yes, please explain
In addition to Rensselaer, which other colleges/universities are you considering for graduate study?
Are you applying to any other graduate visitation programs? If so, which ones?
* Program of Interest at Rensselaer (degrees offered)
Degree Goal (when selecting, check to see if degree goal is available for your program.)
* Degree Goal
* Describe what makes you a strong candidate for graduate study in your area of interest, including (1) your academic career/goals and your plans to reach them, (2) a description of any prior research experience, and (3) your research interest for graduate study. (Please limit your narrative to 300 words or less.)
Please name up to 3 faculty members you would like to work with at Rensselaer.
MANAGEMENT APPLICANTS ONLY How many years of work experience will you bring to Rensselaer?
Testing Information
GRE Verbal Score
GRE Quantitative Score
GRE Analytical Score
GMAT Score
If you have not yet taken these tests, what is your expected test date?
Research Information
* Any research experience?	Yes No
If yes, please indicate the name of the department and the name of the research project.
Please specify your area(s) of research interest. (List in order of interest)
Have you participated in any of the following Undergraduate Research Programs? (Please check all that apply.)
AGEP
AMP
MBRS
MARC
McNair
NSF
RISE
Other (please specify below)
I participated in the following research programs
Recommender Information
Please provide contact information for a recommender from your current/previous university or employer who can evaluate your ability, experience, and potential. Recommender information is required for applicants to the Diversity in Graduate Studies Visitation Program.
* Name of Recommender
Recommender Title
* Recommender University/Employer
Recommender Email Address
Recommender Telephone (please include area code)
* Fields with an asterisk must be completed before this form can be submitted. Press submit button to send completed form. Press reset button to clear all form fields.
In addition to submitting this form, please send the following information to George B. Robbins, either via e-mail to robbig@rpi.edu, or by fax to (518) 276-3997: A copy of your official transcript Faculty recommendation or evaluation You may also provide a resumé or any additional information which you feel the Committe should consider.