Asian Studies Express Information Form

Demographic Information 1. Last/Family Name:
2. First/Given Name:
3. Middle Initial:
4. Telephone:
5. E-mail Address:
6. Citizenship: (Permanent US residents should have US in the box.)

Course of Study Applying for: 7. Semester: 8. Year:
9. Area Center:

The area center indicates the language and the course of study that you intend to pursue. At present, there is no way to study pan-Asian gender, religious, crime, security or other such issues.

Current Address Information 10. Current Address:
11. City:
12. State:
13. Postal Code:
14. Country:

Permanent Address Information 15. Permanent Address:
16. City:
17. State:
18. Postal Code:
19. Country:

Education

Undergraduate

20. University:
21. Date BA Awarded:
22. Location of University:
23. Major:
24. BA GPA:

Graduate MA (If any. Most recent if more than one.)

24. University:
26. Date MA Awarded:
27. Location of University:
28. Field:
29. MA GPA:

TOEFL/GRE Scores

If you don't need to take the TOEFL, leave all the boxes blank.

International students: If you haven't taken the TOEFL yet, in the Score box, just write "not yet" and in the Date: box put the date that you will take the test. Otherwise, please enter your score and the date that you took the test.

30. TOEFL Score: 31. Date:

The GRE is required. If you haven't taken the GRE yet, leave the boxes blank and in the Date: box, put the date that you intend to take the test. If you have taken the test, but don't know your scores yet, enter the date that you took the test.

32. GRE Q: 33. V: 34. A: 35. Date:

References 36. Reference 1.
37. Reference 2.