Campus Box __________ Local Home Address________________________________
Zip Code ___________ Email __________________________ Fax _______________
Home Telephone__________________ Campus Telephone______________________
Degree Sought____________________________Department____________________
Year Entered_____________Anticipated Completion Date_______________________
Name______________________Position____________________Phone___________
Name______________________Position____________________Phone___________
Thank you for applying. You will be notified of the action taken on your application. If you have any questions, call Associate Dean Elaine Berland at 935-7355. The ProGradS Committee members are: Robert E. Thach, Chair, Stephanie Boddie, Janet Bolin, Joe Fox, Leslie Kahl, Patricia Olynyk, Beth Schnettler, Jane Wolff, Michael Keller, Shannon Randol, Suzuko Knott, Todd Benjamin, Ahmed Youssef, Steve Hoeplinger, Ameet Thaker, Emily Dessem, Laura Engle, GPC President, ex officio; Emma Cottler, ex officio; Elliott Weiss, ex officio; and Elaine Berland ex officio.
Please return your application materials no later than noon Monday, March 3, 2008, to Professional & Graduate Student Coordinating Committee, Attention: Elaine Berland, Room 155 N. Brookings or Campus Box 1187.