Please fill in the information, print this page, and email or mail the form to:
UW-Madison Department of Physics
Attn: Graduate Student Coordinator, 1150 University Avenue, 2320 Chamberlin Hall, Madison, WI 53706
Email: physgrad at physics.wisc.edu

Your physics discipline(s) of interest (check all that apply and rank in order of interest; i.e., 1, 2, 3...):

0 1 2 3 4 5 6 7 8 9 Astrophysics/Space
0 1 2 3 4 5 6 7 8 9 Atomic, Molecular & Optical
0 1 2 3 4 5 6 7 8 9 Medical/Biophysics
0 1 2 3 4 5 6 7 8 9 Nuclear
0 1 2 3 4 5 6 7 8 9 Particles & Fields/High Energy
0 1 2 3 4 5 6 7 8 9 Phenomenology
0 1 2 3 4 5 6 7 8 9 Plasma/Fusion
0 1 2 3 4 5 6 7 8 9 Quantum Computing
0 1 2 3 4 5 6 7 8 9 Solid State/Condensed Matter
0 1 2 3 4 5 6 7 8 9 String Theory
0 1 2 3 4 5 6 7 8 9 Undecided

• Other
  

Your physics area(s) of interest (if checking more than one, please rank in order of interest; i.e., 1, 2, 3...):

0 1 2 3 4 5 6 7 8 9 Experimental Physics
0 1 2 3 4 5 6 7 8 9 Theoretical Physics
0 1 2 3 4 5 6 7 8 9 Undecided

I have participated in Research Experience(s) for Undergraduates (REU) at the following institutions: