MS IN ELECTRICAL AND COMPUTER ENGINEERING LIVE PROGRAM APPLICATION

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Personal Details
As they appear on your passport



Birth Details
Date of Birth

DD

MM

YYYY



Passport Details
Date of Expiration

DD

MM

YYYY


Permanent Non-US Home Address








Address in the United States






Please enter a valid 5 digit US Zip Code.
U.S. Mobile Phone


Primary Home Phone



Primary Mobile Phone



Applicant's Email Address

Emergency Contact


















Academic Details





*Amity University and Ashoka Group of Institutions global study centers are available starting Summer 2019

English Proficiency
If you did not do your undergraduate studies at an accredited US university, which of the following English-proficiency exams have you taken?

Date Taken or Scheduled

DD

MM

YYYY

Date Taken or Scheduled

DD

MM

YYYY



Post-secondary Education
Include details of your undergraduate education (bachelor’s degree).




Start Date

DD

MM

YYYY
End Date or Expected Graduation Date

DD

MM

YYYY

If yes, please provide transcripts with application




Start Date

DD

MM

YYYY
End Date or Expected Graduation Date

DD

MM

YYYY

Disciplinary History
Please note that if new circumstances alter your status at the school or in your community after you submit this application, you are required to notify UMass Amherst as soon as possible.




We will carefully review the circumstances surrounding your situation. A "Yes" answer to either question does note necessarily disqualify you from consideration for admission to the University of Massachusetts.
Sponsored Students
Sponsored Students are defined as any student receiving a sponsorship from their local government, organization, or agency.




Medical Insurance Requirement

Most Recent Work Experience


Date you started this employment

DD

MM

YYYY
Date you completed this employment

DD

MM

YYYY


Additional Work Experience


Date you started this employment

DD

MM

YYYY
Date you completed this employment

DD

MM

YYYY


Additional Information
Your application will not be reviewed without a copy of Academic Transcript and a copy of Official English Assessment Score Report. Accepted students must bring original copies of all materials when arriving on campus.







Declaration