◆ SpookStack

\’ ppr2e! GRADUATE ovis NJ BERKELEY quae ONE i - » APPLICATION FOR ADMISSION TO TH -GRADUATE DIVISION, BERKELEY applicants for odmission to the Schools of Susiness Administration, Criminology, Law, Librarianship, Public Health and Social Wellare. ud the Departments of Architecture, Art, City ond Regional Planning, Education, History; Mathematics, Political Science, Psychology, Sociol. ny, ond Zoology, ond in Demography ore required to submit, in addition to this form, cither special applications or supporting naterials. tetormation obout these materials may be obtained by writing directly to the School or Department concerned.} . vs UNIVERSITY OF CALIFORNIA Please read before filling out lines below: | re f mime: 1. If you hove ever previously enrolled at Berkeley as a graduate student in a regular semester, do not file this form. Obtei- _. on APPLICATION FOR READMISSION from the Office of the Registrar, 120 Sproul Hall. a 3 2, Write clearly or PRINT. Use ink. Return to the Graduate Admissions Office, 336 Sproul Hall, University of California, Berkele: § (94720. . , ’ . ‘ fel is 3.An Application Fee of $10.00 is charged all persons seeking admission to the Graduate Division. Make your check or mone: 7 Jorder payable to The Regents of the University of California and return it with the completed application. DO NOT SEND CASE =. {$Pease note that the fee is not returnable under any circumstances. rete . fog Application deodlines are: May 15 (Fal!), October 10 (Winter), Janyery 10 (Spring) and April 5 (Summer). Since man;; 12 departments make their selections early, applicants are’ urged to apply well in advance of the established deadlines. No assuranc: ri > can be given that applications received after the deadline can be processed for registration in the quarter of proposéd enrallmen: a 5. All applicants for admission must file a completed application form together with an original and official transcript of recor. *tswed by the Registrar of each institution of collegiate grade previously attended, Graduates of the University of California mu: 1 furnish official transcripts of record of work completed on any campus of the University, Such records must be ordered by the or fy plicont from the Registrar of the campus where the work wos completed. Transcripts of students’ records and all other officic tr cedentiols are retained in the files of the Graduate Division and may not be withdrawn or used by the student for er., t® purpose. Students ’*must have o complete set of official: transcripts in their possession for use in conferring with departmentc ?" advisers. The office records will not be loaned. : , 6. Foreign students whose university training-has not been in the English language. are required, as a part of their appi: tation, to take either the Test of English as a Foreign Language (TOEFL) or the test offered by American embassies and consulate sbrood. Arrangements for the TOEFL test, which is the preferred examination, can be made by writing directly to TOEFL, Educationc Testing Service, Princeton, New Jersey, U.S.A. Results of either test should be forwarded to the Graduate Admissions Office. NOME cco ce DEL 7 yA ny Se ee oe LP LER cree , Family name , First nome ddiddle name or maiden nome My., Mist, or Mes. Give Jagal, full name in order indicated above. Do not vie nicknome of obbreviation, The nome entered by you on this application mutt be uied by you in oi! yc: eixiol relotions with tha University. if you hove préviousty enrolled on the Berkeley campus under a different nome, you should obtain from the Registrar a petitic be change your nome on University records, Depending upon the nature of the desired revision, you may be reqvired to sybmil in support of the petition o copy ¢ pout birth certificote or evidente thot the change. was eccomplished by legol process. . * _ “” Nome that will appear on transcripts if different from ODOVE 0... escceeseeneeseseneneenees — pons vrennoneneutagazergerag atetaiasce! — sogesecouseetnenseeeeet ‘ J Jet ge te een pely Ona, wig tratig § — Ceke OU CEG Present Post-office Address... 0 Seen OIE Tine ee access AIIM conven seeneesessenesenn : ; : Street and number * 7 . City f ; Siote and ZIP Code . Permanent Mailing Address. 2 Fe caeceecseccssssnesvees Le kane eevee ceseescanucaceven cosets ssseclansesanveseencecressedeanse eoeel Of diferent from above) Street ond number . City : State and ZiP Code . . * . . . r . ‘ r . . ‘ . Birthplace........... eda Leen vedeernee Merb MiB ccs ee ALS Boo ci Date of Birth .coccccctd cece f ccceeee ber cief even MR. . City Stote . [+ Seuntry © Month Doy Year . ir , < i . : . ‘ . ‘ : . . Of what country are you a citizen?........... Loa Sea Le vicccccecssviiesseesseessise What type of visa do you expect to obtain?...............0.1.. . . : ou, ‘ . . . ; 7 . Ss ry, - When did your present stay in California begin?...... SLA 7... f er ey hee nl ee . oot ees , Month : Dey . . Year . = . ‘Indicate Quarter you wish to begin: : _ ; ) : o _ oot Fall : AV SPTI _ Winter 19......:...0J Spring — 192.8. . Summer. ADL girs - Degree or cértificate for which you plan to become on opplicant......... REEL LE _ . - . a4 we fo + . Proposed major subject or field of study... a ardeBrnrt— fa LT 7 “we . . ==, ——ae + anni dy, please indice ‘ ( ff you hove communicated with a Department or ony member of the faculty concerning your plans for graduate stu eat the Gepanmeni or incusquay Concerned : + ant me te ante 2