Present Address : City :, State : Zip : Permanent Address (if different) : E-mail address : Residence Phone : Office Phone : Semester you wish to enter at WMU Spring 2007Summer 2007 Fall 2007 Spring 2008 Summer 2008 Fall 2008 Spring 2009 Summer 2009 Fall 2009
Previous Teaching Experience
Previous Natural Sciences-Related Employment Including Unpaid Research Appointments. Place.................Job Description.............Supervisor...........Phone#...................e-mail
I am requesting Financial Assistance as: Research Assistant Teaching Assistant Department hourly employment Any Other
Area of Specialization or Specific Academic Interests
Graduate Degree Aspirations
* Note that the prerequisites for these degrees are substantially different and your choice will determine curriculum deficiencies upon acceptance to that program. Consult our Web Pages
Ph.D. in Geosciences M.Sc. in Geosciences M.A. Earth Sciences
Please Describe Your Goals
Additional Information
Please arrange for submission of the three reference forms (available from us, if you don't have them) and list your recomenders below Name...........................Address..................................Phone.....................e-mail
If you are applying for an assistantship , please mail us your Graduate Record Exam Score. This information will be very helpful for financial aid decisions (Last updated 5 Dec 2006, JRH).