Enrollment Form (please read info on enrollment)
please print,
fill out and mail to:
Jolanda van Vliet
GeoEngineering
Centre at Queen's - RMC
Ellis Hall, room 105b
Queen's University
Family Name: __________________
Given Name: _________________
Email address: ________________________Phone: 613 533-________
Home Department: ______________
Student # ______________________
Research Supervisor(s):
______________________________________
Degree of study:MSc/PhD/Other _______
Term
and Year of first enrollment: __________
GeoEngineering
Graduate Course taken (or to be taken) in home
department: _______________________
GeoEngineering Graduate Course taken (or to be taken) outside home department:
_________________
Expected date of degree
completion:
____Winter/Spring _________________________________________
Thesis title:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Area(s) of research focus:
___ Geotechnical Engineering ___ Geoenvironmental Engineering
___ Geomechanics ___ Geosynthetics ___ Geochemistry ___ Hydrogeology
Other Issues (for retroactive consideration of ongoing students)
__________________________________________________________
__________________________________________________________
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