UNIVERSITY OF NORTH TEXAS DEPARTMENT OF SOCIOLOGY

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1 UNIVERSITY OF NORTH TEXAS DEPARTMENT OF SOCIOLOGY SOCIOLOGY DEPARTMENTAL APPLICATION Check all items for which you wish to be considered: Teaching Assistantship Teaching Fellowship Research Assistant Applying to the: Master s Program Only Master s Ph.D. Program Ph.D. Program Only Name in full (Last) (First) (Middle) (Maiden) Social Security No. Date of Birth Present Mailing Address Home Phone # Work Phone # Permanent mailing address and phone numbers if different from above: Sex: ( ) Male ( ) Female Citizenship Ethnic Background: ( ) Hispanic ( ) Asian or Pacific Islander ( ) White Non-Hispanic Origin ( ) Black-Non-Hispanic Origin ( ) American Indian or Alaska Native Graduate Record Examination (GRE): Date taken or will take Verbal (%) Quantitative (%) For international applicants, Test of English as a Foreign Language (TOEFL): Date taken or will take Total score Date you plan to enter program: In what area(s) of Sociology would you prefer to specialize (e.g. gender, race/ethnicity, stratification, globalization, religion, health, aging): How did you hear about our program?

2 Education Colleges/Universities Attended Major Degree/Date Conferred Grade Point Average Profile of Sociology Courses completed (indicate if graduate): Title Grade Title Grade (Possible equivalent courses may be listed) Academic honors and distinctions, including honor societies: Teaching and research experience: Other experiences that accounts for gaps in education (work, travel, child rearing, military): Publications with titles, locations, and page references (please do not include course papers):

3 The four attached Reference Evaluation Forms should be completed by current or recent professors, but some letters can be from current or recent employers, or other individuals who are professionally acquainted with your work. You should collect the completed reference forms as per insertions on the reference form. List the names and addresses of the three people you have asked to complete your reference evaluation form. Name Address Phone I hereby waive my right to review these references Signature/Date (If you sign the waiver statement please mark the space for confidential on your Evaluation Forms.) I do not waive my right to review these references Signature/Date If you sign the do not waive statement, mark the space for open on your Evaluation Forms.) PLEASE ATTACH A ONE- OR TWO- PAGE ESSAY DETAILING YOUR GRADUATE STUDY AND CAREER PLANS. PLEASE NOTE THAT YOU MUST APPLY TO AND BE ACCEPTED BY THE TOULOUSE GRADUATE SCHOOL BEFORE THE SOCIOLOGY DEPARTMENT S ADMISSIONS COMMITTEE CAN ACT ON YOUR APPLICATION. YOUR APPLICATION MATERIALS WILL THEN BE REVIEWED BY THE SOCIOLOGY GRADUATE PROGRAM ADMISSIONS COMMITTEE. The University of North Texas provides academic adjustments and auxiliary aids to individuals with disabilities, as defined under the law, who are otherwise qualified to meet the institution s academic and employment requirements. For assistance call ADD access is available through Relay Texas: Please return completed application to: Dr. Helen Potts, Graduate Program Director Department of Sociology 1155 Union Circle # University of North Texas Denton, Texas If you have any questions about this form or the program please call the UNT Department of Sociology at , FAX Or contact Dr. Helen Potts , Helen.Potts@unt.edu

4 DEPARTMENT OF SOCIOLOGY UNIVERSITY OF NORTH TEXAS MASTER S/PH.D. APPLICANT REFERENCE EVALUATION FORM Name of Applicant Type of Reference Open (may be viewed by applicant) Confidential The above named person has applied to the Master s/ph.d. program in the Department of Sociology at the University of North Texas and has asked that you supply the information requested below. 1. How long have you known the applicant and in what capacity? 2. Academic Potential: Excellent Good Average Low Unknown Ability in written expression Ability in oral expression Dependability Intellectual capacity Knowledge of research literature Perseverance Research Interest Research capacity 3. Professional Experience: Activity within the profession Communication skills General competence Professional attitude Professional service reputation Research reputation Teaching reputation 4. What special skills or areas of competence has applicant demonstrated? 5. What is your evaluation of applicant s potential for teaching undergraduate level courses?

5 6. What do you consider to be applicant s positive qualities and/or limitations that would bear on his/her performance as a Master s/ph.d. Candidate? 7. Recommendation concerning admission (check one): I recommend the applicant without reservation. I recommend the applicant with confidence. I recommend the applicant with reservation. (Please explain in #6) I do not recommend the applicant. (Please explain in #6) Signature Date Name typed or printed Address Position or title Please place the completed form in a sealed envelope and sign your name over the flap: Return the envelope to the return address.

6 DEPARTMENT OF SOCIOLOGY UNIVERSITY OF NORTH TEXAS MASTER S/PH.D. APPLICANT REFERENCE EVALUATION FORM Name of Applicant Type of Reference Open (may be viewed by applicant) Confidential The above named person has applied to the Master s/ph.d. program in the Department of Sociology at the University of North Texas and has asked that you supply the information requested below. 1. How long have you known the applicant and in what capacity? 2. Academic Potential: Excellent Good Average Low Unknown Ability in written expression Ability in oral expression Dependability Intellectual capacity Knowledge of research literature Perseverance Research Interest Research capacity 3. Professional Experience: Activity within the profession Communication skills General competence Professional attitude Professional service reputation Research reputation Teaching reputation 4. What special skills or areas of competence has applicant demonstrated? 5. What is your evaluation of applicant s potential for teaching undergraduate level courses?

7 6. What do you consider to be applicant s positive qualities and/or limitations that would bear on his/her performance as a Master s/ph.d. Candidate? 7. Recommendation concerning admission (check one): I recommend the applicant without reservation. I recommend the applicant with confidence. I recommend the applicant with reservation. (Please explain in #6) I do not recommend the applicant. (Please explain in #6) Signature Date Name typed or printed Address Position or title Please place the completed form in a sealed envelope and sign your name over the flap: Return the envelope to the return address.

8 DEPARTMENT OF SOCIOLOGY UNIVERSITY OF NORTH TEXAS MASTER S/PH.D. APPLICANT REFERENCE EVALUATION FORM Name of Applicant Type of Reference Open (may be viewed by applicant) Confidential The above named person has applied to the Master s/ph.d. program in the Department of Sociology at the University of North Texas and has asked that you supply the information requested below. 1. How long have you known the applicant and in what capacity? 2. Academic Potential: Excellent Good Average Low Unknown Ability in written expression Ability in oral expression Dependability Intellectual capacity Knowledge of research literature Perseverance Research Interest Research capacity 3. Professional Experience: Activity within the profession Communication skills General competence Professional attitude Professional service reputation Research reputation Teaching reputation 4. What special skills or areas of competence has applicant demonstrated? 5. What is your evaluation of applicant s potential for teaching undergraduate level courses?

9 6. What do you consider to be applicant s positive qualities and/or limitations that would bear on his/her performance as a Master s/ph.d. Candidate? 7. Recommendation concerning admission (check one): I recommend the applicant without reservation. I recommend the applicant with confidence. I recommend the applicant with reservation. (Please explain in #6) I do not recommend the applicant. (Please explain in #6) Signature Date Name typed or printed Address Position or title Please place the completed form in a sealed envelope and sign your name over the flap: Return the envelope to the return address.

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