TEXAS TECH UNIVERSITY
Department of Classical and Modern Languages and Literatures
DEPARTMENTAL APPLICATION FORM:
GRADUATE PROGRAM IN SPANISH
Complete Name ________________________________ Social Security Number_______________________
Present Address _______________________________________________________________
_____________________________________Zip Code ____________
Permanent Address ____________________________________________________________
_____________________________________Zip Code ____________
Telephone ____________________ E-mail
_________________________________
Citizenship: U.S. ___ Other ___________________
Degree Sought: M.A. _____ Ph.D. _____
When You Wish to Begin: Year____ Fall____ Spring____ Summer I____ Summer II____
Education:
College__________________ Dates ___________ Degree _________________
College__________________ Dates ___________ Degree _________________
College__________________ Dates ___________ Degree _________________
Grades in Spanish: (fill in the number of each grade you received)
Bachellor’s Degree: A_____ B_____ C_______ D/F____
Master’s Degree: A_____ B_____ C_______ D/F_____
Honors and Awards:
_____________________________________________________________________________
_____________________________________________________________________________
Living, Travel or Study Experiences in Spanish-Speaking Localities:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
References (who are writing letters of recommendation:
Name
Title
Phone Number
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Return this form along w/ other application materials to:
Dr. Susan Isabel Stein
Dept. CMLL, ms. 2071
Texas Tech University
Lubbock, TX 79409-2071
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