The University of Texas at Dallas

Computer Science Program

Fast-Track Application Form

Name: Student UTD ID number: _

Address:_____________________________________________________________

Number and Street Apt # City State Zip Code

Home Phone Number:_______________ Work Phone Number: ________________

Email:_____________________

Indicate, for each course completed at UTD, the semester taken and the grade received:

Course	CS 2305	CS 3305	CS 4337	CS 3340	CS 3345	CS 4348	CS 4349	CS 4384
Semester
Grade

Overall GPA to date: _________

I hereby certify that, to the best of my knowledge, the information given above is accurate and complete, and I hereby apply for entrance to the Fact Track program in Computer Science. I realize that, to remain in the Fast-Track program, I must maintain an overall GPA of 3.0, and that I must take a minimum of two graduate courses before I graduate with my BS degree.

Signature: ______________________ Date: ___________________

I hereby certify that the applicant satisfies the requirements for entry to the CS Fast-Track program, with any exceptions noted below:

Exceptions:_____________________________________________________________

Associate Dean: ___________________ Date: _____________________

Applicant’s entry into the UTD CS Fast-Track program is: _ Approved _ Denied

CS Program Head: _________________ Date: _____________________

Name:____________________ Student UTD ID number: _____________________

Applicant’s entry into the UTD CS Fast-Track program is: ___ Approved ___ Denied

Name: Student UTD ID number: _

Applicant’s entry into the UTD CS Fast-Track program is: _ Approved _ Denied