Updated6/13
BachelorofEngineeringProgram
Student Information Form
(For:DartmouthstudentsandDualDegreeprogramparticipants.)
Seereversesideforinstructions.
FullName__________________________________________________________________
DartmouthID#_______________________(First)(Middle)(Last)LocalAddress(until__________________
)
__________________________________________________________________________
month/day/year
__________________________________________________________________________
city state/country zip
Telephone(_____)_____________________________
Email_______________________________
FAX(_____)_____________________________PermanentMailingAddress
__________________________________________________________________________
________________________________________________________________________
city state/country zip
Telephone(_____)_____________________________
Email_______________________________
FAX(_____)_____________________________Dateofbirth
PlaceofBirth_____________________________________________________
month/day/year
city/state/countryCountryofCitizenship_______________________
MaritalStatus_______________________
Undergraduatecollege,major___________________________________________________________Degree,year:________________
MajorGPA: Thayerfacultyadvisor Areaofinterest
CheckhereifyouareaDartmouthstudentplanningtocompletetheA.B.andB.E.simultaneously.Whichterm(s)doyouplantobeenrolledintheprogram(e.g.,14S,14X,14F)?
Checkhereifyouareapplyingforfinancialaid.(B.E.tuition,expensesandfinancialaidinformationcanbefoundat:http://engineering.dartmouth.edu/admissions/undergraduate/be/tuitionaid.html)
OPTIONAL:TheThayerSchoolofEngineeringiscommittedtoEqualOpportunity.Inordertomeasuretheeffectivenessofoureffort,pleaseindicategenderandethnicity:
Male AfricanAmerican Latino Female AsianAmericanorPacificIslander
NativeAmerican
CHECKLIST,FOROFFICEUSEONLY
BachelorofEngineeringProgramForm,signedbyfacultyadvisor
PROFILEform,ifapplyingforfinancialaid
Transcript,ifnotaDartmouthstudent
Updated6/13
InstructionsforApplyingtotheBachelorofEngineeringProgram1.
Whoshouldusethisform? Thisabbreviated form is for the
followingstudents:
Dartmouthundergraduatesandstudentswhohavebeen
admitted to theDualDegree Program. All other applicantsmust use
the regular application to the ThayerSchoolofEngineering.
2. Entrancerequirements Admission to the
professionallyaccredited Bachelor of Engineering degree program
requires completion of
DartmouthsEngineering Sciencesmajor, or the equivalent. Consult
theThayer SchoolBulletin fordetailedadmissionrequirements.
3. Requiredmaterials Allstudentsmustcomplete the formon
theothersideof thispage,and theBachelorofEngineeringProgram
form.TheProgramformmustbesignedbyyourThayerSchoolfacultyadvisor.Ifyouneedhelpidentifyingafacultyadvisor,contacttheChairmanoftheEngineeringSciencesDepartment,6036463677.
IfyouareNOTaDartmouthundergraduate,pleasearrangeforanofficialacademictranscripttobesenttous.
Ifyouwishtobeconsideredforfinancialaid,filloutthePROFILEform.ThePROFILEformisavailableonlineatwww.collegeboard.com.ThayerSchoolsPROFILEnumberis3355.IfyouseekaneducationalloanthroughDartmouth,
youmust complete and submit a FreeApplication for Federal
StudentAid form available atwww.fafsa.ed.gov..
4. Deadlines
ApplicationmaterialmustbereceivedTWOtermspriortothetermyouwishtostart.
Ifyouplantostartfall
term,yourapplicationmustbereceivedbyApril1.Missingthedeadlinemaycauseadelayinprocessingyourfinancialaidapplication.
5. Submittingyourapplication
Pleasereturnyourcompletedapplicationto
AcademicandStudentAffairsOffice ThayerSchoolofEngineering
DartmouthCollege 14EngineeringDrive
Hanover,NewHampshire037558000
or,ifoncampus,sendtoHB8000ordeliverinpersontoM103MacLean.
ItisthelongstandingpolicyoftheThayerSchooltosupportactivelyequalopportunityforallpersonsregardlessofraceorethnicbackground.Nostudentwillbedeniedadmissionorbeotherwisediscriminatedagainstbecauseofsex,handicap,religion,sexualorientation,race,color,ornationalorigin.
