FAST TRACK PROGRAM APPLICATION

Student ________________________________	Student ID #: _________-________-________
Address ________________________________________________________________________
Home Phone _____________________________	Work Phone __________________________
Major ___________________________________	Graduation Catalog _____________________
Total credit hours completed ________________	GPA Overall ___________________________
Upper-division UTD credit hours ______________	GPA in Major __________________________
Brief statement of interests and goals in the graduate program ______________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

________________________________ Student's Signature				_____________________________ Date

Associate Dean for Undergraduate Studies Approval

I hereby certify that the applicant is within 30 hours of graduation and has met all qualification criteria for entry in The University of Texas at Dallas Fast Track Program.
_____________________________________________________ Associate Dean for Undergraduate Studies			______________________________ Date

Graduate Approval

I certify that the student qualifies academically for admission to the graduate program offering the degree to which the course work will be applied.
_____________________________________________________ Graduate Program Head				______________________________ Date

27 May 1998