Carleton University
Department of Electronics
Fourth Year Project Preference Form 2012-2013

PLEASE PRINT CLEARLY!

Student Last Name: _____________________________________________

Student First Name: _____________________________________________

Student Number: _______________________________

Degree Program(CSE/EE): _______________________

Contact Telephone:______________________________

e-mail address: ______________________________

This signature indicates that I have completed all requirements for registration in a 4th year project, including all 1st and 2nd year required courses.

Signature: ______________________________

PROJECT PREFERENCES

	Supervisor
1
2
3
4
5

Instructions:

1. This form is to be completed by all EE and CSE students planning on doing a 4th year project with a supervisor in the Electronics Department.

                        2. Please clearly PRINT or type all information requested on this form.

3. Please indicate 5 different choices for supervisor.

4. Hand in the completed form to the Electronics department office, 5170 ME, by LAST WEEK OF August.  Forms may be submitted at any time!

NOTE: Some professor have a course requirement attached to their 4th year project.