Fillable APPLICATION FOR ADMISSION TO THE ROBERT L. BOLIN

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APPLICATION FOR ADMISSION TO THE ROBERT L. BOLIN

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Pending final approval by the Southern Association of Colleges and Schools Commission on Colleges, 1866 Southern Lane, Decatur, GA 30033
v.3/27/15
Kimbell School of Geosciences
3410 Taft
Boulevard
Wichita Falls, Texas 76308-
2099
(940) 397-4251 FAX No.: (940) 397-
4893
geology.program@mwsu.edu
APPLICATION FOR ADMISSION TO THE ROBERT L.
BOLIN GRADUATE SCHOOL OF PETROLEUM GEOLOGY
Name: _______________________________________
Date: ______________
Birth Date: _____________________
Current Address Permanent Address
________________________________ _______________________________
________________________________ _______________________________
________________________________ _______________________________
________________________________ _______________________________
________________________________ _______________________________
Email Address: ________________________________________________
Present Academic/Employment Status
Highest Degree Earned/Date (anticipated date of completion if in progress):
Institution/Major:
If your degree is not complete, please list courses to be completed:
Which semester do you plan to enroll (year)? Fall: _____ Spring: _____
Overall Undergraduate GPA: _____ Geoscience GPA: _____
Do you wish to be considered for a: Teaching Assistantship? _____
Research Assistantship? _____
What prior experience do you have for these positions?
If you have completed, or are completing an undergraduate thesis (senior, honors, etc.), please give
the title and status of the thesis and the name of your advisor.
Why are you interested in attending graduate school at Midwestern State University?
Give the names of any Midwestern State Geoscience faculty members, if known, with whom you
are interested in doing thesis research as well as the Geoscience discipline in which you are
interested in conducting your thesis research:
Letters of Reference
Please ask at least three persons to provide letters of reference using the MSU Geosciences
Recommendation Form. At least two references should be someone familiar with your academic
background and capabilities. Letters of reference should be sent directly to the Graduate
Coordinator Dr. Rebecca Dodge, rebecca.dodge@mwsu.edu) by the individual making the
recommendation.
Names and addresses (including email address) of at least three references.
Please include a one-page typed essay that explains your goals in conducting graduate work at
Midwestern State University and your career objectives.
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APPLICATION FOR ADMISSION TO THE ROBERT L. BOLIN

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Completed 29 January 2021

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