APPLICATION FORM



 
CHECK SHEET      Date___/__  /___               NAME:_________________

                                       Exp. graduation (yr): ____   SSN:  _________________

Major:_________________                                      Email:  _________________

Track: _________________                                     Phone: _________________
 

(I) TOOL
(a) Language Competence (3-14 cr.)                         Language:___________________________credits [   ]

(b) Substitution:
Course___________________#__________          Course___________________#__________
 

(II) RECOMMENDED CORE COURSES (15 credits/from at least three fields)

Requirement (1): Political and Historical Context (3 credits):

Course___________________#__________
 

Requirement (2): Geographic, Cultural and Social Context (3 credits):

Course___________________#__________

Requirement (3): Advanced Courses (9 credits):

Course___________________#__________         Course___________________#__________

Course___________________#__________
 

(III) AREA OR THEMATIC SPECIALIZATION (9 credits/two fields)

Name Area or Thematic Specialization______________________________________________________

____________________________________________________________________________________

Course___________________#__________          Course___________________#__________

Course___________________#__________
 

(IV) CREDIT TRANSFERS FROM

Off Campus courses: Institutions________________ Year/Term______________________________

Course___________________#__________           Course___________________#__________

Study Abroad/Internships/other IS Experience:

______________________________________________________________



 
 
 
 
 
 

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April 2003
Reinhard Heinisch
heinisch+@pitt.edu