First Name

Last Name

Address

City

State/Territory

Zip/Postal Code

Cell Phone

Birthdate

	Junior Preview Only	SURF Only	Junior Preview & SURF
Program Interest

Undergraduate Institution

Other Undergraduate Institution (Write In)

Undergraduate Major

Other Undergraduate Major (Write In)

Expected Bachelor's Degree Graduation Month

Expected Bachelor's Degree Graduation Year

Cumulative Undergraduate GPA

Faculty of Interest at UF (write in or list "open to any")

Ph.D. Program of Interest

Areas of Specialization 1 (Select those that apply)

Areas of Specialization 2 (Select those that apply)

Areas of Specialization 3 (Select those that apply)

American Indian or Alaska Native: a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American: a person having origins in any black racial groups of Africa.
Hispanic: a Hispanic or Latino person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Native Hawaiian or other Pacific Islander: a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Female: Identify as a woman.
Male: Identify as a man.
Transgender: Having an identity that is non-binary or different than assigned at birth. This includes agender, gender fluid, gender non-conforming, genderqueer, unisex, and others.
LGBTQ+: Select this option in addition to your gender if you identify as part of the Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ+) community.

Citizenship

U.S. CitizenPermanent ResidentInternational

Attach Resume or CV

Attach Unofficial Transcripts

all colleges/universities attended with current class schedule

Attach Statement of Ph.D. Interest at UF

1 page

*Please include a brief statement of 2-3 paragraphs as to why you are interested in a Ph.D. degree at the University of Florida beginning the Fall 2024 term.

Attach Letter(s) of Recommendation

Optional

Priority Consideration for 2023 Summer Undergraduate Research at Florida (SURF) will be given to engineering students who attend our 2023 Junior Preview.

Please select your top 3 research projects from this website. If you do not see a preferred project then feel free to write in a preferred UF HWCOE faculty of interest.
https://www.eng.ufl.edu/graduate/about-us/undergraduate-research/research-projects/

Top Choice

Write in Faculty, Project Title and Department

Second Choice

Write in Faculty, Project Title and Department

Third Choice

Write in Faculty, Project Title and Department