<p> Master of Arts in Mexican American Studies California State University, Los Angeles Department of Chicano Studies Application for Admission to the Graduate Program</p><p>Applicant’s Checklist Application Form Statement of Purpose  Three recommendation letters (at least one academic reference and additional letters may include employment supervisors) Transcripts (from accredited degree granting institution)</p><p>PERSONAL BACKGROUND:</p><p>1. Student Name: ______Email: ______</p><p>2. Home Address: ______Street City State Zip</p><p>3. Home Phone: ______Business Phone: ______</p><p>4. Application for: ______Quarter Year</p><p>5. Undergraduate Major (Specify): ______Minor:______</p><p>EDUCATIONAL BACKGROUND:</p><p>6. Colleges Attended: List all colleges and universities attended in chronological order including professional schools, regardless of length of attendance, even if no work was completed.</p><p>Name and Location Month and Year Estimated Degree and Month/Year of Institution of attendance overall GPA Received or Expected ______</p><p>7. List any scholarships, awards or publications. Please provide specific details. ______</p><p>8. List any languages spoken other then English, include level of proficiency. For example: fluent, average, passable. ______</p><p>9. List any relevant completed coursework in Chicana/o Studies, Latina/o Studies and/or Ethnic Studies (and where these courses were taken) ______</p><p>EMPLOYMENT AND/OR COMMUNITY INVOLVEMENT:</p><p>11. List all activities relevant to your professional academic goals, such as community involvement, also include military service. Indicate present employer, if now employed. Employer and Location Nature of Work Inclusive Dates ______</p><p>LETTERS OF RECOMMENDATION AND STATEMENT OF PURPOSE:</p><p>12. List the names of three individuals from whom you have requested a letter of recommendation (At least one academic reference is required and one reference may be from a supervisor.) ______</p><p>13. Attach a 2-3 page statement that includes the following a) your personal background, previous experience in Chicana/o Studies, and community involvement, b) your reasons for seeking an M.A. in Mexican American Studies in our department with key areas of interest in the field, and c) what you hope to do in the future. </p><p>14. I certify that all information submitted in this application, to the best of my knowledge, is true, complete, and accurate. I understand that any misrepresentations may be cause for denial of admission.</p><p>Applicant Signature: ______Date: ______</p><p>This application was considered by the Department’s Graduate Admissions committee on </p><p>Date______Approved ______Conditionally Approved _____Disapproved</p><p>Signature of Graduate Admissions Committee Chair: ______</p>