Classical & Modern Languages & Literatures

APPLICATION FOR ADMISSION
 2007 SUMMER STUDY ABROAD IN BERLIN AND QUEDLINBURG, GERMANY

Full name: ___________________________________ Social Security # _____________________________

Lubbock Address: _________________________________________________________________________

E-Mail Address: _______________________________

Lubbock Phone: _______________________________ Passport #___________________________________
 (if available--can be supplied later)
Home Address:
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Home Phone: _________________________ Other Phone #_______________________________

Major course of study at TTU : ________________________ Minor: ______________________________

Last two German courses taken: please list instructor, semester and location (if not TTU course)
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(Prerequisite: 2302 or consent of instructor)

Please give the name and academic department of the professor best qualified to comment on your academic work:
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Describe any previous foreign travel:
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Please state your main reasons for wishing to participate in this program:
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Applicants under 21 years of age: Before this application can be considered, the following statement must be signed by your parent of guardian:
    I approve this application made by my (son / daughter / ward).

    Signature: _________________________________
    Date: _____________________________________

Any student who, because of disability, may require some special arrangements in order to meet course requirements should contact the director of the program, Dr. Joshua Bonzo as soon as possible in order to make the necessary accommodations.  Return this application to:

Dr. Joshua Bonzo
Department of Classical & Modern Languages & Literatures
Campus Mail 42071
Texas Tech University
Lubbock, TX. 79409-2071