Latin American Studies

Latin American Studies Program 190 Uris Hall Ithaca, NY 14853 t. 607.255.1468 f. 607.254.5000 [email protected] http://lasp.einaudi.cornell.edu/

LATIN AMERICAN STUDIES Undergraduate Minor Application

Applicant Information:

Name______Today’s Date______C.U. student ID#______E-mail address______Campus Address ______Campus Phone # ______Ithaca Address ______Ithaca Phone # ______Permanent (Parent’s) Home Address ______Permanent Home Phone Number______Citizenship______Major or field of study______Advisor______Semester and Year Entered Cornell______Expected Graduation Date______Country(ies) of Interest in L.A. and the Caribbean: ______

Career Goals (Please check all appropriate responses)

 Continue to Study  Employment in Government  Employment in Education  Employment in Development  Employment in Public Service (specify) ______ Employment in Private Services (specify)______ Other ______ Return to work in home country (specify) ______

For more information concerning the LASP Minor, Contact William Phelan at 607-255-1468, or email him at [email protected]

Please return completed form to Latin American Studies Program, 190 Uris Hall, Ithaca, NY 14853