Questions marked with an asterisk (*) are mandatory.

1	* Semester Fall Spring Summer

2	* Year 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

3	* Name: First, Maiden (Female), Last

4	* Permanent Address

5	* Phone (include area code)

6	* Have you cleared with Cashier’s Office?

7	* Have you submitted all required forms to the Graduate School?

8	* Have you picked up your Academic Regalia?

9	* DOCTORAL PROGRAM: APPLIED

10	* DOCTORAL PROGRAM: ACCEPTED

11	If Yes, SCHOOL AND FIELD:

12	* EMPLOYMENT: RECEIVED OFFER

13	HOW MANY OFFERS?

14	* EMPLOYMENT: ACCEPTED POSITION

15	If yes, COMPANY AND ADDRESS:

16	BUSINESS PHONE (include area code):

GRADUATE PROFILE

17	CS Thesis Title

18	CS Thesis Advisor

19	IT Project Title

20	IT Project Advisor

21	* IS THIS YOUR 1ST MS DEGREE?

22	YEARS REQUIRED TO COMPLETE THIS DEGREE:

23	* PART TIME OR FULL TIME STUDENT? Part-Time Student (1-6 hrs/semester) Full-Time Student (9 or > hrs/semester)

24	* CONCENTRATION: Computer Science Information Technology

25	CONCENTRATION FOCUS:

CO-CURRICULAR EXPERIENCE

26	* INTERNSHIP:

27	COMPANY/AGENCY (Internship):

28	* ASSISTANTSHIP (Check all that apply): Research Teaching Technical None

29	NUMBER OF SEMESTERS WITH ASSISTANTSHIP:

30	DEPARTMENT/COMPANY/AGENCY (Assistantship):