Rensselaer Polytechnic Institute Fall 2017 Upsilon Pi Epsilon Application Please fill out this form to be considered for admission to the New York Eta Chapter of Upsilon Pi Epsilon. Please note that completion of this form does not guarantee your admission to the chapter and admittance is not determined by academic standing alone. Return this form to the UPE mailbox in Lally Hall 207 by Noon on Wednesday, November 8th, 2017 to have your application reviewed by the Membership Committee. Please staple any and all included sheets to this one. Name: RIN: Last First MI RPI Email: Permanent Email: Expected Date of Graduation: Month Year Degree: B.S. M.S. Ph.D. Local Address Permanent Address Computer and Information Disciplines GPA Overall GPA Include all CSCI, ITWS, MATH-2800, ECSE-2610, ECSE-46XX, and ECSE-47XX courses If you are a transfer student, list schools and years attended: 1 Rensselaer Polytechnic Institute Fall 2017 Upsilon Pi Epsilon Application Please attach an unofficial transcript from SIS AND list below all CSCI, ITWS, ECSE-46xx, and ECSE-47xx courses you have taken. If you have taken Introduction to Discrete Structures (MATH-2800) or Computer Components and Operations (ECSE-2610), list those as well. (NOTE: You must have completed at least 16 credit hours of the above courses to be eligible for Upsilon Pi Epsilon at this time. It is also suggested that you have completed Introduction to Algorithms, CSCI-2300.) Course # Title Professor Semester Grade Please list any extracurricular activities you may be involved in. (Feel free to list your activities on a separate piece of paper if there is not enough room here.) Please list any hobbies you may have. (Feel free to list your hobbies on a separate piece of paper if there is not enough room here.) 2 Rensselaer Polytechnic Institute Fall 2017 Upsilon Pi Epsilon Application Please list and describe any projects related to computer science or information technology you may be involved in and include any relevant Internet links. Do not include projects you're working on for a class. (Feel free to list your projects on a separate piece of paper if there is not enough room here.) In what ways have you given back to the community (the Computer Science department, RPI, or the general community)? (Examples: Open House Day, Explore Engineering Day, volunteer work outside of campus, etc.) 3 Rensselaer Polytechnic Institute Fall 2017 Upsilon Pi Epsilon Application Optional: If you wish, you may attach a letter of recommendation from a professor or faculty member to this application. Optional: Candidates may interview with the Membership Committee. If you wish to, please indicate when you are available. Optional: If you have any characteristics that you believe would contribute to Upsilon Pi Epsilon but did not fit within the above questions, you may include an essay of up to 250 words describing these characteristics and how they would contribute to our chapter. Include this essay on a separate sheet of paper. Have you read the chapter constitution? It is available at: http://upe.cs.rpi.edu/constitution.html. Yes No By signing this document you agree to the following terms: • I have read the chapter constitution. • I have included an unofficial copy of my academic transcript. • I will allow members of the RPI Chapter of Upsilon Pi Epsilon to review this application in full. This includes access to my GPA, transcript information, and any other significant admissions qualifications. I also will allow members of the Membership Committee access to all of the above after membership elections, if necessary. • I certify that I have been truthful in my answers and I acknowledge that any untruthfulness will result in the ineligibility of my application. Signature: Date: 4.