APPLICATION FOR ADMISSION
DEPARTMENT OF POLITICAL SCIENCE
MASTER’S PROGRAM
(Please Type or Print Legibly in Black Ink)
CHECK ONE TERM ONLY
FALL SEMESTER: ___________ SPRING SEMESTER: _____________ YEAR: _______
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l. PERSONAL INFORMATION
NAME: ______________________________________________________________________________________
(LAST) (FIRST) (MI.)
HOME
ADDRESS: ___________________________________________________________________________________
(STREET) (CITY) (ZIP)
S.S. NO: __________________________________ I.D. NO: ________________________________________
BIRTH DATE: ______________________ EMAIL: ________________________________________________
HOME PHONE: _____________________________ MESSAGE: _____________________________________
II. CURRENT PROFESSIONAL POSITION
ORGANIZATION: __________________________ TITLE: __________________________________________
DEPARTMENT: ______________________________________________________________________________
BUSINESS PHONE: ___________________________ EMAIL: ______________________________________
BUSINESS
ADDRESS: __________________________________________________________________________________
(STREET) (CITY) (ZIP)
III. EDUCATION / EARNED DEGRESS
DEGREE |
MAJOR |
INSTITUTION GRANTING DEGREE |
ESTIMATED OVERALL GPA |
ATTENDANCE FROM – TO |
DATE OF DEGREE |
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OTHER COLLEGES AND UNIVERSITIES ATTENDED
MAJOR |
INSTITUTION |
ATTENDANCE FROM - TO |
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IV. REFERENCES: List the names of three persons, preferably faculty members, who can vouch for your likely success as a graduate student in Political Science. Have the persons listed below forward letters of recommendation directly to: Graduate Coordinator, Department of Political Science, California State University, Long Beach, 1250 Bellflower Blvd., Long Beach, CA 90840-4605.
NAME |
ADDRESS |
POSITION |
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V. EDUCATIONAL/PERSONAL GOALS: Attach a one or two page statement concerning your motivation and plans for pursuing a Master’s Degree in Political Science at California State University, Long Beach.
VI. WORK EXPERIENCE: List Employment Experience (Last or Current Position First)
DATES |
JOB TITLE |
EMPLOYER |
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VII. ACADEMIC HONORS (Scholarships, Awards, Publications):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________________
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List your first language: _______________________________________________________________________
Indicate your proficiency in other languages in which you have competence.
Rate yourself: E- Excellent G-Good F-Fair P-Poor (Mark your rating in boxes below)
Language
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Reading |
Writing |
Speaking |
Language |
Reading |
Writing |
Speaking |
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Quick Checklist:
Please attach the following materials to this Application and Mail to: California State University, Long Beach, Political Science Department, Attn: Graduate Coordinator, 1250 Bellflower Blvd, SPA – 257, Long Beach, CA 90840
1. _________ Official Transcripts
2. _________ Statement of Purpose
3. _________ 3 Letters of Recommendation (Letters may be mailed directly to:
California State University, Long Beach
Department of Political Science, SPA - 257
Attn: Graduate Coordinator
1250 Bellflower Blvd.
Long Beach, CA 90840
If you would like to meet with our Graduate Coordinator contact the Department of Political Science at 562.985.4704 or by email at amarque4@csulb.edu.
THIS IS A DEPARTMENT APPLICATION ONLY. YOU MUST ALSO APPLY TO THE UNIVERSITY AT (http://www.csumentor.edu/.)