Grad Info Form Grad Student Info Form Name * Name First First Last Last Preferred name & phonetic pronunciation Email * UnID * Phone Number * Pronouns * RA/GR PI or Group, if applicable Office Location, if known * Include the room number and desk or cubicle number, if known. New grads will choose an available desk in the South Physics Graduate Offices. Emergency contact name * Emergency contact name First First Last Last Emergency Phone Number * Tuition Benefits All graduate students are eligible for health insurance, with the premium paid by the department or PI. Insurance is optional for domestic students, so please indicate whether you will accept it, then I will enroll you. The insurance is retroactive to August 15. Will you accept graduate student health insurance? * Yes No I understand that in order to receive tuition benefits, I must enroll in 9-credit hours, be employed as an RA or TA, and sign the TBP acceptance form (among other good-standing criteria). * Yes Please select “yes” to indicate that you understand these requirements or email me if you have questions. Contact photo Our photo wall is going digital! If you have a portrait you’d like us to use, please upload as a jpeg. Department photo Drop a file here or click to upload Choose File Maximum upload size: 2MB If you are human, leave this field blank. Submit Start Over Δ
