MECHANICAL ENGINEERING DEPARTMENT
                            MONTANA STATE UNIVERSITY

                    
                    Prospective Graduate Student Questionnaire


Name (Print Clearly):_________________________________________________________
                         First            Middle            Last(Surname)

Present Address:_______________________  Permanent Address:____________________       

_______________________________________  _____________________________________

_______________________________________  _____________________________________

Phone:_________________________________  _____________________________________

Social Security #:_____________________(Domestic Students)

Degree Sought:_________________________  Semester/Year to Begin:______________
                  M.S. or Ph.D.             Note: Master's students must begin
                                                  with Autumn Semester Only

Academic Area(s) of Interest:__________________________________________________

B.S. Degree Earned:____________________  M.S. Degree Earned:__________________
                      Academic Area                            Academic Area
  
  Name of School:______________________    Name of School:____________________
  
  City and Country:____________________    City and Country:__________________
  
  Year Earned:_________________________    Year Earned:_______________________
  
  Grade Pt. Average:___________________    Grade Pt. Average:_________________

GRE Scores:  _____/_____%   _____/_____%   _____/_____%  Test Date:___________
                Verbal      Quantitative    Analytical
            (420 Minimum)

International Students Only:  TOEFL Score:________   Test Date:________
                                (550;580 Minimum)

NOTE: APPLICATION MATERIALS WILL NOT BE SENT UNLESS SCORES ARE SHOWN ON THIS
      FORM AND MINIMUM STANDARDS ARE MET.

Signature:_____________________________    Date:_____________

Mail this form to:  Graduate Program; Mechanical Engineering; 220 Roberts Hall;
                    Montana State University; Bozeman, MT 59717; USA