UPRM

First Name*

Last Name*

Undergraduate Institution*

Undergraduate Major*

Cumulative Undergraduate GPA*

Round to 2 decimal places on 4.00 scale Please enter a number from 0 to 4.00

Graduation Month*

Graduation Year*

Other, please write in your graduation year*

Masters Institution, if applicable

Masters Major, if applicable

Masters GPA, if applicable

Round to 2 decimal places on 4.00 scale Please enter a number from 0 to 4.00

Masters Graduation Month, if applicable

Masters Graduation Year, if applicable

Other, please write in your masters graduation year

Graduate Degree of Interest*

Graduate Program of Interest (top choice)*

Other, please write in your graduate program of interest (top choice)*

Graduate Program of Interest (second choice)*

Other, please write in your graduate program of interest (second choice)*

Term of Graduate Enrollment*

Fall term begins in mid-August (August/September through December); Spring term begins in early January (January through April/May)

Gender and/or Identities*

Female

Male

Transgender

LGBTQ+

Prefer not to answer

Select all that apply

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, two-spirits, and many more.
LGBTQ+: Select this option in addition to your gender if you identify as part of the Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ+) community.

Ethnicity*

American Indian or Alaska Native

Asian

Black/African American

Hispanic

Native Hawaiian or Other Pacific Islander

White

Prefer not to answer

Select all 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.

Citizenship*

Email*

Cell Phone*

Authorization to Collect Information*

I certify that the information submitted in this form is mine, and I give my permission for the Herbert Wertheim College of Engineering at the University of Florida to distribute this to the Engineering National Graduate Institutional Name Exchange (ENGINE) for graduate school recruitment by ENGINE member institutions.

This field is for validation purposes and should be left unchanged.

University of Puerto Rico Mayaguez ENGINE Participation

UPRM Student Registration