Geography Department: Graduate Information Request Form

Last Name: First Name: Middle Name:

E-mail: Phone:

Mailing Address:

Citizenship:

I am interested in studying for the MA or PhD degree in Geography [check both boxes if appropriate]

The highest degree earned so far?
At which institution? Year?

My career objectives are (be as precise as possible -- we realize that you may not be certain)

Employment or other relevant experience? If so, please describe briefly.

I'd like the following to be sent to me :

Maxwell School Prospectus and application forms

Your publication Geography at Syracuse

I'd like to contact a specific member of the Faculty [Please enter details in the following box]

I am also interested in contacts with current students or recent graduates of your program.

I may wish to visit the Maxwell School. The best date and time for my visit would be

If you need to change some information on the form, please:

You should expect to receive a reply to your request in one to two weeks.

Please note: In order to be eligible for all forms of financial assistance, completed applications must be received by the Graduate School by December 2002 (for Fall 2003).