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SJSU Extended Studies Corporate PreQualification Form
Contact Information
First Name
Last Name
Email
Phone Number
Personal Information
Citizenship Status
U.S. Citizen
Permanent Citizen or similar
VISA (H) or similar working visa
VISA (F-1) or similar student visa (these require full-time enrollment)
Other
Choice Information
How did you hear about Engineering Extended Studies?
Referred by a friend/Colleague
Web Search
Facebook
LinkedIn
SJSU Website
Information Session
Print Advertisement
Television Advertisement
Radio
E-mail Campaign
Women in Engineering (WiE) Conference
Other
If "Other": Describe how you heard about Engineering Extended Studies
Please choose the following programs you are interested in:
(Must be currently employed by one of the following companies.)
Lockheed Martin - MS Artificial Intelligence
KLA Tencor - MS Engineering, Specialization in Optoelectronic Systems
KLA Tencor – MS Engineering, specialization Business Leadership
Lam Research - MS Engineering, Specialization in Systems Engineering
Lockheed Martin - MS Mechanical Engineering
Applied Materials MSE Specialization in Semiconductor Process Engineering
Please choose the option that describes your interest in this program/curriculum:
I am interested in earning an MS Degree
I am interested in taking single courses of interest
Other
Educational Background
Undergraduate Field of Study/Major
*3-year degree holders see options for eligibility.
Undergraduate University
Graduation Year (MM/YYYY)
Overall GPA (or Percentage)
Graduate Field of Study/Major
Graduate University
Graduate Graduation Year (MM/YYYY)
Graduate Overall GPA (or Percentage)
Employment Information
Current Employer
Are you currently employed by the company whose program you are interested applying to?
Yes
No
Resume
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