New Mexico State University Phone: (505) 646-3821
Sociology/Anthropology Department FAX: (505) 646-3725
att: Admissions Committee
P.O. Box 30001, 3BV
Las Cruces, NM 88003
(Mr.)(Mrs.)(Ms.)___________________________________________________________________________________________
(Last) (First) (Middle)
Soc.Sec. # _______-____-_______ Phone # _____________________________ E-mail
Present Address: ___________________________________________________________________________________________
Permanent Address: _________________________________________________________________________________________
Date of Birth: _______________ Place of Birth: __________________
II. EDUCATION
List all post high school educational institutions attended and degrees awarded or expected:
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III. SKILLS / INFORMATION
(1) Name the foreign languages you can read/write and note your proficiency:_________________________________________
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(2) Honors or academic awards received:_______________________________________________________________________
(3) Write a brief statement about your proposed professional career and attach to this form.
(4) List the names and address of at least three college professors whom you have requested to fill out the letter of reference forms. These forms should be mailed by the professors directly to the Sociology/Anthropology Department to the above address.
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Applications should be mailed to the address above. Deadline for assistantships is February 15 for the following annual year.
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Check this box to apply for a Graduate Assistantship position in the Anthropology Department:
Signature of the Applicant Date