CSE Faculty Affiliation Form

Faculty members of participating departments seeking CSE affiliation should complete this form and send it by email to cse@cse.uiuc.edu or by campus mail to the CSE administrative office, 2270 DCL, MC 278.

Name:

Faculty rank:

Highest degree, institution, and year:

Academic department:

Office mailing address:

Office phone:

Email address:

URL for personal web page:

Research interests related to CSE:

List of CSE students currently advising, if any: