Idaho State University Graduate School
Application for a graduate
X Teaching Assistantship
Research Assistantship
Trainee ship
Fellowship
College of Arts & Letters
Department of Communication, Media, & Persuasion
Graduate major or minor
areas (order of preference
if needed).
See announcement concerning assistantships, trainee ships and fellowships available.
An individual applying for financial aid specified above should complete this form and forward it to the Graduate
Program Director or the Administrative Assistant of the Department of Communication, Media, & Persuasion. In addition
the applicant must complete the Application for Admission to Graduate Study and send that form to the Admissions
Office. A complete set of official copies of transcripts from colleges or universities attended must be sent to the
Admissions Office and a set of the college or department to which this application is being made. The set sent to the
department will be forwarded promptly to the Admissions Office to complete requirements of two complete sets in that
office. This application and transcripts must be received by April 15 or earlier in case of certain departments (see
announcements) and ordinarily awards will be made soon after that date, but prior to May 1.
Name in Full
First Middle Last
Present Address
Home Address
Place of Birth Date of Birth
Citizenship
Major Field Degrees Date of
Colleges Attended Dates Of Study Granted Degrees*
*(If still in college, indicate the date on which requirements for the degree will be met. Admission and financial aid are
provisional in this case.)
If you have a reading knowledge of any foreign languages, list such languages and indicate for each whether you read with
fair, good or excellent facility.
Purpose of taking graduate work.
What do you plan to do after receiving your degree?
Honors, fellowships or scholarships, if any, which have been awarded to you.
Assisting positions help while in college, if any, and dates.
If employed since graduation, give positions held (including present position, if any) with names of institutions or firms, and
dates. In case of teaching positions, give rank or title and the subjects taught.
Names and addresses of three college teachers who will serve as references and have been requested by you to send
recommendations to the dean of the college or the chairman of the department concerned.
Student’s Signature Date
(Idaho State University is an Affirmative Action/Equal Opportunity institution and does comply with
the various State and Federal statutes and Executive Orders designed to insure equal opportunity.)