Complete Part A or B, and Part C.

PART A (For applicants who are currently high school seniors.)

Name ______________________________

Address _________________________________________________________________

Phone ______________________ E-mail ____________________________

High School ___________________________________________________

Cumulative GPA _______

Reference (e.g. Teacher, Counselor):

Name __________________ Relationship _______________ Phone /_________________

E-mail

PART B (For applicants who are currently majors in the University of Arizona ECE program.)

Name ______________________________

Address _________________________________________________________________

Phone ______________________ E-mail ____________________________

Major (check one): Electrical Eng. ____ Computer Eng. ____ Optical Eng. ____

Class (check one): Freshman ___ Sophomore ___ Junior ___ Senior ____ Graduate _____

Cumulative GPA _______

Reference (e.g. professor):

Name __________________ Relationship _______________ Phone /_________________

E-mail

PART C (All applicants)

By signing this application, I do hereby consent to the release by the University Registrar of my grade and course transcripts and give my permission to The University of Arizona and the University of Arizona Foundation to share my financial and personal information between them and with scholarship donors and other funding sources.

Your signature _____________________________ Date _______________

1. Resume (1 page)
2. One-page essay. (Suggested topics: your experience as an engineering freshman; career ambitions; extra-curricular activities and hobbies; experience in volunteer organizations.)

Alonso Minjarez, Undergraduate Student Advisor. FAX: 520 621 8076

Dept. of Electrical & Computer Engineering E-mail: alonsom@ece.arizona.edu

University of Arizona

Tucson, AZ 85721-0104