All information MUST be typed. Must
be received in the Graduate Office before the completion of no
more than one-half the program.
| Name: | Social Security No.: | |
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Local Address: |
Telephone No.: | |
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Permanent Home Address: |
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| Previous Degrees | Date (MM/YY) | Institution |
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Applies for Admission to Candidacy for the degree
of: MA__ MArch__ MAT__ MBA__ MCRP__ MEd__ MFA__ MLS__ MM__ MPA__ MPE__ MS__ MScT__ MST__ |
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Option: |
Major: |
Minor: |
| The student will list below, on consultation with the major adviser and with the approval of the minor department(s), a detailed program showing the proposed course of study for the Masters Degree. In the block marked "Courses to Remove Deficiencies" list those undergraduate (or graduate) courses taken to remove deficiencies and as prerequisites to graduate work. Following its approval, changes in the program will be made only on written recommendation of the major department (or of both the major and minor departments if the change affects the minor). | ||
| Dept. | Course No. | Title | Cr.Hr. | Grade | Dept. | Course No. | Title | Cr.Hr. | Grade | |
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| Dept. | Course No. | Title | Cr.Hr. | Grade | Dept. | Course No. | Title | Cr.Hr. | Grade | |
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_________________________________________________ (Signature, Major Adviser) |
_______ (Date) |
_________________________________________________ (Signature, Member, Graduate Committee, Minor Department) |
_______ (Date) |
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_________________________________________________ (Signature, Chair, Graduate Committee Major Department) |
_______ (Date) |
_________________________________________________ (Signature, Dean of Graduate Studies) |
_______ (Date) |