APPLICATION FOR ADMISSION DEPARTMENT OF POLITICAL SCIENCE MASTER S PROGRAM (Please Type or Print Legibly in black ink) CHECK ONE TERM ONLY FALL SEMESTER: SPRING SEMESTER: YEAR: I. PERSONAL INFORMATION NAME: (LAST) (FIRST) (MI.) HOME ADDRESS: (STREET) (CITY) (ZIP) S.S. NO: I.D. NO: BIRTH DATE: EMAIL: HOME PHONE: MESSAGE: II. CURRENT PROFESSIONAL POSITION ORGANIZATION: TITLE: DEPARTMENT: BUSINESS PHONE: EMAIL: BUSINESS ADDRESS: (STREET) (CITY) (ZIP) III. EDUCATION/EARNED DEGREES DEGREE MAJOR INSTITUTION GRANTING DEGREE ESTIMATED OVERALL GPA ESTIMATED GPA IN POLITICAL SCIENCE COURSES ATTENDANCE FROM-TO DATE OF DEGREE
OTHER COLLEGES AND UNIVERSITIES ATTENDED MAJOR INSTITUTION ATTENDANCE FROM-TO IV. REFERENCES: List the names of three persons, preferably faculty members, who can vouch for your likely success as a graduate student in Political Science. Have the persons listed below forward letters of recommendation directly to: Department of Political Science, Attn: Graduate Coordinator, California State University, Long Beach, 1250 Bellflower Blvd., Long Beach, CA 90840-4605 NAME ADDRESS POSITION V. EDUCATIONAL/PERSONAL: ATTACH a one or two page statement concerning your motivation and plans for pursuing a Master s Degree in Political Science at California State University, Long Beach. VI. WORK EXPERIENCE: List Employment Experience (Last or Current Position First) DATES JOB TITLE EMPLOYER VII. ACADEMIC HONORS (Scholarships, Awards, Publications):
List your first language: Indicate your proficiency in other languages in which you have competence. Rate yourself: E-Excellent G-Good F-Fair P-Poor (Mark your rating in the boxes below) Language Reading Writing Speaking Language Reading Writing Speaking Quick Checklist: Please attach the following materials to this Application and mail to: California State University, Long Beach Department of Political Science, SPA 257 Attn: Graduate Coordinator 1250 Bellflower Blvd. Long Beach, CA 90840 1. Statement of Purpose 2. 3 Letters of Recommendation (two letters from academic sources and each recommender must include the Applicant Assessment Form) THIS IS A DEPARTMENT APPLICATION ONLY. YOU MUST ALSO APPLY TO THE UNIVERSITY AT (http://www.calstate.edu/apply.)
Letter of Recommendation Instructions for APPLICANT: Please complete the section below, sign, and give the form to the person who will write the letter on your behalf. The person should be able to comment on your academic abilities and preparation. Provide the individual with a stamped self-addressed envelope to the following address: California State University, Long Beach Department of Political Science, SPA 257 Attention: Graduate Coordinator 1250 Bellflower Blvd Long Beach, CA 90840-4605 NAME OF APPLICANT: DATE: (Please Print Clearly) Waiver agreement: I do [ ] do not [ ] waive my right to read this letter of recommendation. (Signature of Applicant) Instructions for ACADEMIC REFERENCE: The above applicant has applied to the MA Program in Political Science at California State University, Long Beach. Please (i) complete the attached assessment form, and (ii) provide a separate letter of recommendation that assesses the applicant s potential for graduate study, on your organization s letterhead. Please include the context in which you have known the applicant and for how long, an evaluation of his/her abilities and skills, and your judgment of personal qualities that would enable the applicant to be successful in graduate study. Please complete the bottom portion and mail your letter, the attached assessment form, and this form to the above address. Thank you for cooperation. Name: Organization: Address: Telephone: Email Address:
APPLICANT ASSESSMENT FORM (to be completed and submitted by Academic Reference) The person whose name appears above has applied for admission to the MA Program in Political Science at California State University, Long Beach. Please assist us in our evaluation of the applicant by responding candidly to the questions in this form. Note: Exceptional ratings should indicate that the applicant is comparable to the most-qualified students that you have known. Very Good should indicate that the applicant ranks above most students. Good should indicate a positive recommendation with no reservations. How long have you known the applicant? months years In what capacity have you known the applicant? Among students at a similar level that you have known, how would you rate this applicant on the following criteria: 1. Intellectual Ability 2. Ability to express self in writing 3. Oral expression 5. Breadth of background knowledge related to desired field of study 7. Emotional stability and maturity 4. Analytical Reasoning 6. Motivation Signature of Academic Reference Date