Departmental Application of Admission
University of Washington  Department of Geography
Name: _____________________________________________________
  (Last) (First) (Middle)
Street: _____________________________________________________
City, State & Zip: _______________________________________________
Home Phone: _______________ Work Phone: ______________
E-mail: ___________________ Fax # ___________________
Personal Academic Web Site (if any): ______________________________
 
Has an application been submitted to the Graduate Admissions Office?
Yes  No    If yes, date: _________
Ultimate Degree desired:   MA  PhD Financial Support (TA/RA) desired?   Yes  No


Name of School
Location
(State or Country)
Degree
Date - Mo Yr
Major subject
Cumulative GPA
           
           
           
           


Sex: U.S. Citizen:   Yes  No   If not, Citizenship: ____________________
M  F Ethnicity:   _______________________________________________
(for informational purposes only, not considered in admissions process)

GRE score: ______
Verbal 
______
Quantitative 
______
Analytical 
______
 
% 
______
% 
______
% 
______
TOEFL Score: ____________ GRE Test Date: ____________
 

Research focus and academic interests:
____________________________________________________________
____________________________________________________________
____________________________________________________________
 
Professional/academic/teaching experience (for academic experience, list (fellowships, research assistantships, teaching, being a course reader or assistant, etc.)
 
We actively seek diversity of backgrounds, perspectives, and cultural experiences in our graduate program. To help us achieve this diversity, it would help us if, on this form as well as in your personal statement, you could identify any factors in your life which you feel will help broaden our graduate program. These may include: economic and educational disadvantages, cultural awareness, overcoming personal adversity, and leadership awards and potential.
 
List of references (you should request three instructors or professors familiar with your academic qualifications to write independently to the address at the bottom of the page).
____________________________________________________________
____________________________________________________________
____________________________________________________________
 
If you would like to have a receipt of your application, please send us a stamped self-addressed postcard.  If you would like any of your application material/thesis returned, please include a SASE.


If you wish to waive your rights of access to your letters of recommendation, please sign below and return to this department.  If you do not wish to waive your rights, you should inform your referees that their letters are not confidential.

I hereby waive my right of access of any letters of recommentation written on my behalf.

Signature: __________________________ Date: ____________


The University of Washington provides equal opportunity in education without regard to race, color, national origin, sex, handicap, or age, in accordance with the law.


Graduate Program Assistant
University of Washington
Department of Geography, Box 353550
Smith Hall Room 408
Seattle, Washington 98195-3550
E-mail: dsmolar@u.washington.edu

 

 

 

 

 

 

 

 

 

 

 

 








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