Opportunities in Engineering Conference Application

First Name

Last Name

Email

Street Address

City

State/Province

Zip/Postal Code

Country

Phone

Citizenship
Please select one US Citizen Permanent Resident – with Permanent Resident number required Non-Resident

Are you a first-generation student?
Please select one Yes No

Do you have high financial need as evidence by a current and completed FAFSA?
Please select one Yes No Don't know

Are you receiving or have you received the Federal Pell Grant?
Please select one Yes No Don't know

Did you participate in a federally funded TRIO Program (McNair, Student Support Services, Upward Bound)?
If so, please identify which program and where:

What college or university are you currently attending or last attended?

What is your current major or current degree?

What is your year in College?

Freshman, Sophomore, Junior, Senior, or Graduate

Anticipated Graduation Date

Current or Final Undergraduate Grade Point Average (GPA)

Please select your two departments of interest in rank order.

Academic Area of Interest 1
Biomedical EngineeringChemical and Biological EngineeringCivil and Environmental EngineeringElectrical and Computer EngineeringEngineering PhysicsEnvironmental Chemistry and Technology ProgramGeological EngineeringIndustrial and Systems EngineeringLimnology and Marine ScienceMaterials Science and EngineeringMechanical Engineering

Academic Area of Interest 2
Biomedical EngineeringChemical and Biological EngineeringCivil and Environmental EngineeringElectrical and Computer EngineeringEngineering PhysicsEnvironmental Chemistry and Technology ProgramGeological EngineeringIndustrial and Systems EngineeringLimnology and Marine ScienceMaterials Science and EngineeringMechanical Engineering

Statement of Research Interest

Reference Name

Reference Email

Reference Phone

References and transcripts should be sent via email to oppconf@engr.wisc.edu.

Statement of Unique Contribution
The primary goal of the Opportunities in Engineering (OPPS) Conference is to contribute to the success and advancement of the US economy by recruiting advanced degree engineering students into UW graduate programs to meet and exceed the requirements of a competitive, global workforce. Based on your background and lived experiences, if you were selected to participate in the OPPS Conference what do you see as your unique contributions toward this goal? (Suggested length 200-300 words.)

For questions, please contact Kelly Burton at kelly.burton@wisc.edu or (608) 263-4583.