APPLICATION FOR ADMISSION TO GRADUATE STUDY

TO BE COMPLETED BY APPLICANT. Print this page using your browser's default settings. Use typewriter or print legibly in ink.
First semester you wish to enroll (circle) Fall (August)
  19____		 Spring (January)
  20____ 		Summer A (May)
  20____		 Summer B (June)
  20____
1. Last name, first name, middle name


 2. Sex
  M___ F___ 		3. Social Security number
4. Permanent mailing address (number and street)
Notify the university of address changes in writing.


   County Telephone (include area code)
City


 State or foreign country ZIP 5. Date of birth (month, day, year)
6. Temporary (current) mailing address (number and street)


   County Telephone (include area code)
City


 State or foreign country ZIP 7. Last date to receive mail at address listed in Item 6.
E-Mail Address


8. If you have used a different name while attending school, please give that name.
9.Ethnic/Racial Group

Record appropriate number:
______
1. White/Caucasian Non-Hispanic

4. Hispanic		 2. Black/African American
  Non-Hispanic
5. American Indian/Alaskan Native
    Tribal Affiliation:
    _________________________		 3. Chicano/Mexican American

6. Asian/Pacific Islander
  (Asian American)
NOTE: If you are multiracial, please complete this item by indicating either the ethnic/racial group you identify with most or the ethnic/racial group to which you are usually regarded in the community as belonging.

Are you multiracial? Yes_____ No_____     If you answer yes, please check the categories that correspond to the races of your parents.

(   ) White/Caucasian Non-Hispanic (   ) Black/African American Non-Hispanic (   ) Chicano/Mexican American
(   ) Hispanic (   ) American Indian/Alaskan Native (   ) Asian/Pacific Islander (Asian American)


NOTE: For purposes of this question, you are multiracial if you have parents from more than one of the categories listed above.

10a. State of legal residence________________________     b. How long have you lived there? ______years ______months
    c. Are you currently a Michigan resident? ______   d. On what date did you begin living continuously in Michigan? _______________
11a. Place of birth
  (State or country)______________________________________________ 		b. U.S. Citizen
  Yes_____ No_____		 c. Permanent Resident
  Alien   Yes_____

12a. Country of present citizenship
  if non-U.S. citizen_____________________________________________ 		b. VISA
  type_______________ 		c. VISA
  number_______________
13a. If you have previously applied for
  graduate admission to MSU, indicate

Year_______ Term/Semester___________		 b. If you have been previously or are
  currently registered at MSU, indicate

Year_______ Term/Semester___________		 c. MSU student number/personal
  identification number

____________________________________
14. Do you wish to be considered for financial aid by the department of your choice? (see instructions)

 Yes_____ No_____
15. Do you wish to apply for other kinds of need-based financial aid? (see instructions) Yes_____ No_____




16. List all educational institutions you have attended beyond high school. Attach a separate sheet if necessary. Have TWO official transcripts of all college work from each institution forwarded directly to Dr. Alvin J.M. Smucker, Program Co-Director, Department of Crop and Soil Sciences, Michigan State University, 530 Plant and Soil Sciences Building, East Lansing, MI 48824-1325.


a. Undergraduate (postsecondary)
Institution City/State
Dates attended Graduation
Mo. Yr. Mo. Yr. Degree Major
Number of credits For office use only
Entity
 
 
19 TO 19

 
 

 
 
 
 
19 TO 19

 
 

 
 
 
 
19 TO 19

 
 

 
 
b. Graduate (post bachelor's degree)
Institution City/State
Dates attended Graduation
Mo. Yr. Mo. Yr. Degree Major
Number of credits For office use only
Entity
 
 
19 TO 19

 
 

 
 
 
 
19 TO 19

 
 

 
 
 
 
19 TO 19

 
 

 
 

17. Applying for Major Field__________________________________________________________________


Please complete all sections of this form.

This application is valid only when signed by the applicant personally.

I certify that all the answers I have given in this application are complete and accurate to the best of my knowledge. If admitted, I agree to observe all the rules and regulations of Michigan State University. Failure to comply can result in university disciplinary action.

Signature______________________________________________

Date__________________________________________________


Do not write here

PID DES ENR TERM LEVEL DATE

 


 


 


 


18. If you have taken required tests please report scores below.

GRE General Test Scores Date GRE Subject Test Score Date
Verbal


 Quantitative


 Analytical
GMAT
 

 

 

 
Miller Analogies Test
 

 


    If you have not taken required tests, when do you plan to do so? ______________________________________________________


19. List all activities (e.g., employment, military service, travel) that account for your time since earning a bachelor's degree. List the most recent activity first. Attach a separate sheet if necessary.

Name of employer/activity City/State
Type of employment/activity Inclusive Dates
Mo. Yr. Mo. Yr.

 
 
19 TO 19
 

 
 
19 TO 19
 

 
 
19 TO 19
 

 
 
19 TO 19
 

 
 
19 TO 19
 


20a. Are you currently employed by Michigan State University?     No_____   Yes_____

    If yes, where? _________________________________________________________________________________________________

    b. Do you have an agreement for employment at Michigan State University?     No_____   Yes_____

    If yes, where? _________________________________________________________________________________________________
21. Do you have a teaching certificate?     No_____   Yes_____     If yes, specify type__________________________________________
22. List any academic honors, distinctions, and scholarships you have earned. Include graduate assistantships held.
    Attach a separate sheet if necessary.

    _____________________________________________________________________________________________________________

    _____________________________________________________________________________________________________________
23. List any memberships in professional organizations. __________________________________________________________________
24. Describe your proficiency (reading and speaking) in foreign languages. ___________________________________________________
25. Statement of purpose: Attach a separate sheet (8 ½ x 11) stating your plans for graduate study and your professional career.
    Be as specific as possible.
26. Letters of recommendation: List the names, titles, and addresses of three individuals submitting letters of recommendation on your behalf  using the recommendation form linked to this application. Have your letters of recommendation mailed, FAX or emailed directly to Dr. Alvin J.M. Smucker, Program Co-Director, Department of Crop and Soil Sciences, Michigan State University, 530 Plant and Soil Sciences Building, East Lansing, MI 48824-1325

Name Title Address

 


 


 


 


 


 


 


 


 



Mail, FAX or Email application:
Dr. Alvin J.M. Smucker, Program Co-Director Department of Crop and Soil Sciences
Michigan State University
530 Plant and Soil Sciences Building, East Lansing, MI 48824-1325

FAX: (517) 355-0270
Email: smucker@pilot.msu.edu

Last updated 01/05/00

Back