Spring 2012 Rush Application

Personal Information

First name:
Last name:
Email:
Phone (digits only):
Address:
City:
State:	--- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon N/A
Country:	--- United States Canada Mexico Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands/Malvinas Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Is. Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Lao People's Dem. Rep. Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Is. Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia St. Vincent & Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa S.Georgia & S.Sandwich Is. Spain Sri Lanka St. Helena St. Pierre & Miquelon Sudan Suriname Svalbard & Jan Mayen Is. Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom U.S. Minor Outlying Is. Uruguay Uzbekistan Vanuatu Vatican (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis & Futuna Is. Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Zip code:

Academic Information

Year:	--- 1st 2nd 3rd 4th 5th
Major:	--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish	GPA:
Double Major:	--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish	GPA:
Triple Major:	--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish	GPA:
Minor:	--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
Cumulative GPA:
As we expect to maintain high standards of excellence, we look for a minimum GPA of 3.3. However, we understand that there are sometimes circumstances that must be taken into consideration. Please note here if such applies. :
Are you planning to apply to Haas?	--- I will apply this semester or in the future I am already in Haas I do not intend to apply

Current Academic Schedule

Department	Course number	Units
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish
--- Aerospace Studies African American Studies Afrikaans Agricultural and Environmental Chemistry Agricultural and Resource Economics and Policy Altaic American Studies Ancient History and Mediterranean Archaeology Anthropology Applied Science and Technology Arabic Architecture Asian American Studies Program Asian Studies Astronomy Bengali Bioengineering Biology Biophysics Buddhist Studies Business Administration Undergraduate Program Catalan Celtic Studies Chemical Engineering Chemistry Chicano Studies Program Chinese City and Regional Planning Civil and Environmental Engineering Classics Cognitive Science College Writing Program Comparative Biochemistry Comparative Literature Computer Science Cuneiform Demography Development Studies Dutch Earth and Planetary Science East Asian Languages and Cultures East European Studies Economics Education Egyptian Electrical Engineering Energy and Resources Group Engineering English Environmental Design Environmental Economics and Policy Environmental Science, Policy, and Management Environmental Sciences Ethnic Studies Ethnic Studies Graduate Group Eurasian Studies Film Studies Folklore French Gender and Women's Studies Geography German Greek Health and Medical Sciences Hebrew Hindi-Urdu History History of Art Indigenous Languages of the Americas Industrial Engineering and Operations Research Information Integrative Biology Interdisciplinary Studies Field Major International and Area Studies Iranian Italian Studies Japanese Jewish Studies Journalism Khmer Korean Landscape Architecture Language Proficiency Program Latin Latin American Studies Law Legal Studies Lesbian, Gay, Bisexual and Transgender Studies Letters and Science Linguistics Malay/Indonesian Mass Communications Materials Science and Engineering Mathematics Mechanical Engineering Medieval Studies Middle Eastern Studies Military Affairs Military Science Molecular and Cell Biology Music Nanoscale Science and Engineering Native American Studies Natural Resources Naval Science Near Eastern Studies Neuroscience New Media Nuclear Engineering Nutritional Sciences and Toxicology Optometry Peace and Conflict Studies Persian Philosophy Physical Education Physics Plant and Microbial Biology Political Economy of Industrial Societies Political Science Portuguese Practice of Art Psychology Public Health Public Policy Punjabi Religious Studies Rhetoric Sanskrit Scandinavian Science and Mathematics Education Semitics Slavic Languages and Literatures Social Welfare Sociology South and Southeast Asian Studies South Asian Southeast Asian Spanish Statistics Tagalog Tamil Thai Theater, Dance, and Performance Studies Tibetan Turkish Undergraduate and Interdisciplinary Studies Vietnamese Vision Science Visual Studies Yiddish

Extracurricular Information

If you are actively involved in any other organizations on campus or employed, please list them along with the number of hours per week you are involved in each.

Activity	Hours per week	Brief description

Cover Letter

The cover letter should be limited to one page in length and should be submitted in PDF format.

Tip: Either cutepdf the file or use the free online conversion site, www.docupub.com

Please address the following questions in your cover letter:

• What do you hope to gain with Alpha Kappa Psi and what can you contribute?
• How do you think you stand out?
• What are your future goals and how do you plan on achieving them?

Additional Materials

Please submit all documents in PDF format and the photo in JPG format. The resume should be one page in length.

Resume:
Unofficial transcript with your name from Bearfacts:
Additional transcript (applicable to transfer students):
Recent photo of yourself:

How did you hear about us?

--- I received a handbill on campus I read a posted flier or board in a classroom I heard a classroom announcement I know someone in AKPsi I heard from a friend I saw your table at Calapalooza/on Sproul Other

Security

2 + 3 =
5 + 8 =

Please verify your application before submitting