INSTITUTE OF INTERDISCIPLINARY STUDIES

Sonoma State University

Rohnert Park, California 94928

APPLICATION

MASTER OF ARTS OR MASTER OF SCIENCES 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

 

E-mail address

 

Title of Program

 

 

Type of degree (Master of Arts or Master of Sciences)

 

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

 

 

 

 

 

 

ITDS Coordinator

 

 

Date application was received

 

 

 

 

 

 

 

 

Submission deadline

 

 

 

 

 

 

I.

 

ACADEMIC INFORMATION

 

 

A.

 

Colleges attended

 

Name

 

From/to

 

Major

 

Degree/Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

 

Overall GPA ________

 

 

C.

 

Grade point average for last 60 units ______(attach copy of all transcripts)

 

 

D.

 

Honors and Achievements

 

 

 

 

 

 

 

 

 

 

E.

 

References: supply the names of two persons whose letters of recommendation you have included in this application

 

 

 

 

1.

 

__________________________________________________

Name Title or profession

 

__________________________________________________

Address

 

 

 

 

2.

 

__________________________________________________

Name Title or profession

 

__________________________________________________

Address

 

 

II.

 

LIST OF COURSES
Institution

 

Dept.

 

Course

#

 

Title

 

Units

 

Semester/Year to be taken

 

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplementary Courses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III.

 

PROPOSED TITLE OF YOUR FINAL PROJECT

________________________________________________________

 

________________________________________________________

 

 

 

IV.

 

ADVISORS' SIGNATURES. The signatures of the members of your advisory committee should appear below.

To the Chair of the Advisory Committee: Would you please briefly comment on this proposal with respect to the criteria listed below.

•The clarity with which the subject or topic is described.

•The interdisciplinary character of the subject and the balance of courses between disciplines.

•A convincing justification of the courses with reference to the program’s subject and title.

•The strength of the proposal as a degree program.

•The likelihood that the applicant can complete the program. Consider both your knowledge of the applicant’s motivation and academic skills and the probability that the courses needed for the program will be offered within a reasonable period of time.

 

A.

 

Chair:

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Chair’s statement :

 

 

 

 

 

 

 

ADVISORS' SIGNATURES (cont.)

 

 

B.

 

Other members

 

 

 

 

1.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

 

2.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V.

 

I understand that my submission of this application does not in any way imply that the application is approved or that I am admitted to the Master’s Program in Interdisciplinary Studies.

 

 

 

 

 

 

 

 

 

 

Student's signature

 

 

Date

 

 

ADDITIONAL SIGNATURES

NOTE TO GRADUATE COORDINATORS: Your signature indicates that you consider the graduate courses chosen from your Department’s curriculum, and in particular the Research Methods course, to be appropriate to the applicant’s program, that you have suggested courses where appropriate, and that the applicant has included all core-course pre-requisites either as core or supplementary courses. Space has been provided should you wish to comment on the student’s proposal.

 

1.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment:

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment:

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment:

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment:

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment:

 

 

 

 

 

 

 

 

 

NOTE TO THE DEPARTMENT CHAIR OF THE CHAIR OF THE APPLICANT’S ADVISORY COMMITTEE: Your signature indicates your awareness and approval of your Department member’s participation as the Chair of this applicant’s Advisory Committee.

 

 

 

 

 

 

 

 

 

Print name

 

 

Signature

 

 

 

 

 

 

 

 

Department/Program

 

 

Date

Comment: