Fillable PETEGradStudentInfo - GradStudentInfo

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PETEGradStudentInfo - GradStudentInfo

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The PETEGradStudentInfo - GradStudentInfo form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Louisiana State University

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Graduate Student Information Form Date:_______________
Name: ___________________________________________________________ Sex: ◌ Male ◌ Female
Last/Family First MI
Student Number:_________________________ LSU Email:___________________________________
Citizenship: ◌ U.S. ◌ Other_____________________________________ Permanent US Resident: ◌ Yes ◌ No
Baton Rouge Address: _______________________________________________________________________
___________________________________________ Phone Number:_________________________________
Campus Office Room Number & Building:______________________ Office Phone Number:_______________
Please check one of the following:
◌ Black, Non-Hispanic ◌ White, Non-Hispanic ◌ Hispanic
◌ Native American / Alaskan Native ◌ Asian or Pacific Islander ◌ India
◌ Other ______________________
Starting/Entry semester__________________________ Estimated Graduation Date:____________________
Name of Faculty Advisor:______________________________________________
Student Status: ◌ Full Time ◌ Part Time
Degree Program: ◌ MS PETE (thesis) ◌ MS PETE (non-thesis) ◌ MS Other:________________
◌ PHD PETE (thesis ◌ PHD PETE (non-thesis) ◌ PHD Other: _______________
If you are a graduate assistant check one of the following:
◌ Research Assistant ◌ Teaching Assistant ◌ Other (EDA, Supplement or Enhancement)
◌ Self-Funded
Name, address, and your relationship of a local person to be notified in case of an emergency:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Notes:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
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PETEGradStudentInfo - GradStudentInfo

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Completed 11 May 2020

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