Supplemental Application for Admission

Supplemental Application Humanities Master of Arts Program

DATE OF APPLICATION: SEMESTER START: SS#

I. GENERAL INFORMATION: (Please type or print)

______Last Name First Name Middle

______Mailing Address

______City Zip

Telephone Number: Home: ( ) Work: ( )

Email address: ______

Occupation/Position/Dates: ______

II. ACADEMIC BACKGROUND:

Graduate of ______Major/Minor:______

Degree______GPA______Date______

List (up to six) upper division undergraduate courses in Humanities (Such as: History, Literature, Art History, Music History, Philosophy, Cultural Studies, Performance, and Film Studies) and years completed:

______

CSUDH Graduates Only: Date and score of GWE or equivalent (English 350) (Note: All HUM MA students who have not taken GWE must do so no later than completion of the first semester.)

III. AREAS OF INTEREST: (Rank numerically by interest) ( ) Art ( ) Literature ( ) Philosophy/Religious Studies ( ) Theater/Performance ( ) History ( ) Music ( ) Film Studies

IV. PERSONAL STATEMENT: Please attach a brief statement explaining your interest in the Humanities MA program and how it relates to your personal/professional goals. Include the following:  Undergraduate or other Humanities preparation  Why you are interested in this interdisciplinary program  Career goals and how this program will further them

V. LETTER OF REFERENCE: Please have a letter of support sent, preferably by an undergraduate instructor, to the address below. Name of recommender . Return this form and attached statement to:

Dr. Jim Jeffers, Program Coordinator, CSUDH, Humanities MA Program, LCH A338, 1000 E. Victoria Street, Carson CA 90747 Or return as an email attachment to [email protected]