INSTITUTE OF INTERDISCIPLINARY STUDIES

Sonoma State University

Rohnert Park, California 94928

 

 

APPLICATION

THE SPECIAL MINOR IN INTERDISCIPLINARY STUDIES

 

SUBMIT TWO (2) TYPEWRITTEN COPIES OF THIS APPLICATION TO THE ITDS COORDINATOR AT SONOMA STATE UNIVERSITY, ROHNERT PARK, CA 94928

COVER PAGE

 

 

Name _________________________________ Telephone _____________________

 

 

Address ________________________ City/Zip _____________________________

 

 

Title of Minor_____________________________________________________________

 

________________________________________________________________________

 

 

______GPA for all college work completed.

  • ______Number of units completed toward graduation as of the end of the most recent completed semester.
  • ______Total number of units undertaken during the current semester.

    ______Number of G.E. units completed as of the end of the most recent completed semester.

    ______Number of G.E. units undertaken during the current semester.

    ______The major you are pursuing ___________________________________________

     

     

     

    I hereby certify that this application has been submitted in completed form by the deadline.

     

    ____________________________ ________________________

     

    ITDS Coordinator Date application was received

     

    ________________________

     

    Submission deadline

     

     

    I.

     

    LIST OF COURSES. The courses must total no fewer than 20 units.

     

    Institution

     

    Dept.

     

    Course

    #

     

    Title

     

    Units

     

    Semester/Year to be taken

     

    Grade

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Please attach forms for all Special Studies (495) and Internships.

    II.

     

    ADVISORS' SIGNATURES

     

     

    A.

     

    Chair

     

     

     

     

    ____________________________

     

    Print name

    ____________________________

     

    Signature

     

     

     

    ____________________________

     

    Department/Program

    ____________________________

     

    Date

     

     

    B.

     

    Other member

     

     

     

     

    ____________________________

     

    Print name

    ____________________________

     

    Signature

     

     

     

    ____________________________

     

    Department/Program

    ____________________________

     

    Date

     

    III.

     

    STUDENT'S SIGNATURE

    I acknowledge that a minor in ITDS consists of 20 units of coursework in two or more disciplines and that I have yet to complete at least half of the coursework for this minor. I understand that work-in-progress during the semester of my proposal's approval will count towards the total number of units for the minor. I also understand that my submission of this application does not in any way imply that the application is approved or that I am admitted as a Special Minor.

     

    ____________________________

     

    Student's signature

    ____________________________

     

    Date

    8/93