| I. PERSONAL INFORMATION |
| Full Name: |
|
| Current College: |
|
COLLEGE ADDRESS: |
| Street Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| College Telephone (w/ area code): |
|
HOME ADDRESS: (Home address and phone number must be completed) |
| Street Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
Home Telephone (w/ area code): |
|
| E-Mail Address: |
|
| Place of Birth: |
|
| Date of Birth [mm/dd/yy]: |
|
| Sex: |
Male
Female
|
| Student ID #: |
|
Citizenship: |
U.S. Citizen
Resident
Other {If applicable, provide a photocopy of INS}
|
Ethnic Heritage [Check all that apply]: |
African-American
American Indian/Alaskan Native
Asian {please specify below}
Latino {Mexican American, Puerto Rican, other}
Other {please specify}
|
| Are you a disabled student? |
No
Yes
If yes, please describe your disability and note any necessary accommodations you require:
|
II. EDUCATION INFORMATION |
| Present College: |
|
| Previous College (if applicable): |
|
| Completion Date of Sophomore Year: |
|
| Projected Graduation Date: |
|
| Current Major/Field of Concentration: |
|
| Current Cumulative GPA: |
|
| Number of Credits Earned Towards Graduation (including those you expect to earn this term): |
|
List any honors, awards, recognition, received while in college:
|
List any significant activities or experiences while in college:
|
Explain why your background and experiences will help foster greater diversity in philosophy as a discipline:
|
List all courses taken in Philosophy with grades achieved. (For courses you are now taking, estimate your grade):
|
III. ADDITIONAL REQUIREMENTS FOR APPLICANTS
The following four (4) items should be sent directly to:
Mercedes Diaz
2008 Summer Institute for Diversity in Philosophy
Philosophy Department
Rutgers, The State University of New Jersey
26 Nichol Avenue
New Brunswick, NJ 08901-2882 |
- Recommendations: Two (2) letters of recommendation, at least one (1) of which should be from a University faculty member.
The recommendations should be from people who know you well and can discuss your strengths and potential. Please use either a
Faculty Recommendation form (MS Word | PDF) or a
Personal Recommendation form (MS Word | PDF) for each recommendation.
In the space below, please list name, title, department or address, and telephone number of each reference source.
- Essay: Write a brief essay (maximum of 300 words) on your academic, professional, and personal goals.
- Writing Sample: Submit a sample of your written work (typically a paper you wrote for a class).
- Transcript: Enclose one copy of your most recent transcript.
|