Note: This form is only for students who have completed MATH 120, 121, PHY 223 and EECE 212, with an overall GPA of no less than 2.5.
Personal Information
Eastern Michigan Student ID #
First Name
Middle Initial
Last Name
Previous Last Name
Permanent Address Line 1
Permanent Address Line 2
City
State
Zip
Emich Email
Alternative Email
Home Phone
Cell Phone
Other Phone
Academic History: GPA
I submit my confirmation that my cumulative GPA meets the minimum requirement of 2.5. This cumulative GPA is reflective of all college level course work from all institutions. Additionally, I confirm that I have recieved a C or better in course work in Calculus and Physics.
Yes
No
Academic History : Course Information
EECE 212
College / University Taken
Credit Hour
Semester Taken
Grade (4.0 Scale)
Quality Points
MATH 120
College / University Taken
Credit Hour
Semester Taken
Grade (4.0 Scale)
Quality Points
MATH 121
College / University Taken
Credit Hour
Semester Taken
Grade (4.0 Scale)
Quality Points
PHY223
College / University Taken
Credit Hour
Semester Taken
Grade (4.0 Scale)
Quality Points
Submission Confirmation
Confirmation
By submitting this application I indicate that all information on this application form is complete and accurate. I understand that failure to provide accurate information is grounds for application denial or dismissal from the School of Engineering Technology. Additionally, I agree to attend a mandatory meeting with a ECE faculty member or College staff adviser.
Contact Information