Department of Slavic and East European Languages and Literatures

Minor Program Application



Name___________________________________________________________________________________________
  (Last) (First) (Middle)

Social Security # ____ - ____ - ______

Telephone # _________________________

Local address ____________________________________________________________

Zip Code __________________

Email ______________________________

Minor (please circle one) Russian Slavic and East European Studies

Area of concentration (if applicable) __________________________________________

This form should be submitted to your college office:

  College of enrollment _____________________________ Major __________________
 
Expected date of graduation _____ / _____ / _____		  

Have you filled a degree application in your college office? Yes _____ No ______
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Course name and number Hours Final Grade

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Total Hours ______ 		   

 

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Signature of faculty adviser or college counselor


Original _____

 

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Name of faculty adviser or college counselor
(please print)
Revision _____

 

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Department Campus Phone



Last revised on 3-17-2005

 

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Date