ENROLMENT FORM

Fundamentals of Engineering - Review Course

NAME:

________________________________________________________________________

First Middle Last

ADDRESS:

________________________________________________________________________

Street Apt.

________________________________________________________________________

City State Zip

Phone: ________________ (HOME) _______________ (WORK)

Email: ______________________________

Degree (specify Major) & Year: _____________________________________________

Current Position/Status: ___________________________________________________

Company/School: __________________________________________________

Responsibilities:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Registered for the October 29, 2011 FE Examination ? YES / NO

Deadline for registration (Maryland) is August 30, 2011:

Are you taking the FE exam for the (CIRCLE ONE)

First Time Second Time Third Time

Label the following areas of the FE Exam according to your personal strength, with 10 indicating a high comfort level (can achieve 70-80% accuracy with almost no review) and 0 indicting no knowledge. For subjects that you have studied in the past, but need SIGNIFICANT amount of review, use labels in the range 1-3. For subjects which you consider a strength but need review, use the range 4-8.

Mathematics ___ Circuits ___ Statics ___ Thermodynamics ___ Chemistry ___

Mechanics of Materials ___ Fluid Mechanics ___ Dynamics ___ Material Science ___

Computers ___ Economics ___ Ethics ___

Biology ___

• For information about the test format, visit the NCEES page at http://www.ncees.org/
• For information about dates, fees visit the MD State Board page at http://www.dllr.state.md.us
• To download a copy (PDF) of the FE REFERENCE HANDBOOK visit http://www.ncees.org/Exams/Study_materials/Download_FE_Supplied-Reference_Handbook.php

Send completed application form to (please address EXACTLY AS BELOW):

ATTN: FE REVIEW COURSE

Dr. Indranil Goswami

6901 Timber Creek Court

Clarksville MD 21029

The course is scheduled for August 8^th to October 26^th, 2011. Mondays and Wednesdays 7:00 pm - 9:30 pm

The regular course fee is $895 for the 12-week course. Registration before June 23, 2011 entitles you to a $200 discount from these prices.

Schedule of lectures will be sent to you upon enrolment.

You are encouraged to plan your own study schedule, which should run concurrently with this review course. This course is not intended to teach subject areas, but rather to review them. The primary responsibility to embark on a study plan is still yours.