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Grad Info Form


Grad Student Info Form
Name
Name
First
Last
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
Last

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?
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).
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.
Maximum upload size: 2MB
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