ࡱ> {` #<bjbjFF `,,Hi"""6 T.6Vtttts4L       $k h"09"3@s0tti8t"t  :N, "tJ ` z 0Rm#Hm#m#"400666 666 666 APPLICATION FOR ADMISSION AND ASSISTANTSHIP  FORMCHECKBOX  French  FORMCHECKBOX  MA  FORMCHECKBOX  MALT  FORMCHECKBOX  PhD II. Are you applying for a  FORMCHECKBOX  Spanish  FORMCHECKBOX  MA  FORMCHECKBOX  MALT  FORMCHECKBOX  PhD Teaching Assistantship?  FORMCHECKBOX Yes  FORMCHECKBOX  No Social Security Number  FORMTEXT       Student ID Number (If currently or previously enrolled at MU)  FORMTEXT        FORMTEXT Semester and Year for which you are applying  FORMTEXT        FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT Name  FORMTEXT (last name) (first name) (middle initial)  FORMTEXT Present address  FORMTEXT   (a report of the action taken on your application will be mailed here)  FORMTEXT  FORMTEXT  FORMTEXT Telephone Number  FORMTEXT ( )  Email  FORMTEXT    FORMTEXT  Permanent Address  FORMTEXT    FORMTEXT  FORMTEXT Telephone number  FORMTEXT ( )  Place of Birth  FORMTEXT (city) (state/province) (country) Citizenship  FORMTEXT   Primary Education:  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT   FORMTEXT (school)   FORMTEXT (dates attended)  Secondary Education:  FORMTEXT (school)   FORMTEXT (dates attended)  FORMTEXT (date diploma/certificate conferred)  FORMTEXT (school)   FORMTEXT (dates attended)  FORMTEXT (date diploma/certificate conferred) Undergraduate Education:  FORMTEXT (school)   FORMTEXT (dates attended)  FORMTEXT (degree / date conferred)  FORMTEXT (school)   FORMTEXT (dates attended)  FORMTEXT (degree / date conferred)  FORMTEXT (school)   FORMTEXT (dates attended)  FORMTEXT (degree / date conferred) Previous Graduate Education (if applicable):  FORMTEXT  (this field expands)  (please see reverse side) Please list any courses in which you are enrolled, academic honors you have received, or other significant accomplishments in your educational career. ):  FORMTEXT  (this field expands)  Please list foreign travel or study abroad if applicable.  FORMTEXT  (this field expands)   FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT  FORMTEXT Please list the names of three persons, preferably present or former teachers, whom you will ask to write letters of reference for you, who can speak of your intellectual and professional background and your potential for pursuing a graduate degree. Reference letters should be submitted online to ApplyYourself.  FORMTEXT (name) (title) (institution)   FORMTEXT (name) (title) (institution)   FORMTEXT (name) (title) (institution)  If there are any pertinent matters concerning your application which are not covered in the above statements, please attach a separate sheet to this application. III.Deadlines The deadline for consideration for fellowships is January 15. The application deadline for fall admission and teaching assistantships is February 15 of the year in which admission is desired. The application deadline for winter admission and teaching assistantships is October 15 of the year in which admission is desired. Please ask the individuals writing letters of recommendation for you to respect the above deadlines. If you and/or your referees are unable to submit this application and/or reference letters electronically, please send them to: Director of Graduate Studies Department of Romance Languages & Literatures 143 Arts & Science Building University of Missouri-Columbia Columbia, MO 65211 Signature:___________________________________________ Date:  FORMTEXT   (revised 11/06) Graduate Studies Program Department of Romance Languages & Literatures ./=>?@HJKYZ[`aopqyz        P ܷܬܡܖ܋܀j,hnEUjhnEUjDhnEUjhnEUj\hnEUjhnEUjthnEUh)jhnEUhjhUh)h)5\jhbk*UmHnHu0.Q  N . b *B> dxgdS dx`gdS $dCa$gd)$ & F &dC^a$gd) $dRa$gd)"<P Q \ ] k l m q r & ( < > @ J L N P d f j ~ xjhbk*UjPhbk*UjhnEUjrhbk*Ujh)UjhnEUjhUmHnHujhnEUjhnEUjhnEUhjhUh)h)OJQJ^J/ + , - . / 9 : ; K L V W X     սյшսՄufj hbk*CJUaJjZ hbk*CJUaJhjP hnEUjhbk*CJUaJjh)CJUaJ hSh)h)CJaJhSmHnHujhnEUhSjhSUjhbk*Uh)jh)Uj$hbk*U#   % & 0 1 2 O P W X b c d /01;<=Եࢭԓԭ}rjHhnEUjhbk*Ujthbk*Uj hnEUhSj hbk*Ujh)UjF hnEUhmHnHuj hnEUhjhUh)jh)CJUaJj. hbk*CJUaJ,=`acqr|}~ ()+568BCEOPR\]_ijlvwڻ樳杳撳懳|qfjFhbk*Ujhbk*Ujrhbk*Ujhbk*Ujhbk*Uj4hbk*Ujhbk*Ujh)UjhnEUhSmHnHujhnEUhSjhSUh)hjhUhmHnHu(wy()ABCMNO5678Bܑj<hSU hShSj~hnEUjhnEUjhnEUjLhnEUhhSmHnHujhnEUjhSUhSjhbk*Uh)jh)U3BCDTUVWabc !";<=>?IJK߾߳ߨߖߋjthSUjhSU hShSjhnEUj`hSUjrhSUh) hhjhSUhShSmHnHujhSUj*hSU4%&'(234DEFGQRSlmn,-/0h *+߾췯|qj#hPBUh) hPBhPBhPBmHnHuj!hnEUhPBjhPBUhPBB*phh)B*ph hhSj!hSUj hSUjhSUhShSmHnHujhSUjhSU,op./0|}~KM dgd)dgd)gdPB dgdPB dgd)+,z{~~sjl)hPBUhPBhPBB*phj(hnEUj'hbk*Uj0'hbk*Uj&hbk*Uj\&hbk*Uj%hbk*Ujh)Uj$hPBUhPBB*phh)hPBhPBmHnHujhPBU-#$%MZ[fgqrs<<"<#<ug_TRTN_hbk*Uh)hbk*5;\h)CJaJhPBB*mHnHphu$j<,hPBhnEB*UphjhPBB*Uphh)B*CJaJphh)B*OJQJ^Jph!h)5B*OJQJ\^Jphh)B*phh)hPBmHnHuj*hPBUhPBjhPBUhPBB*phhPBhPBB*phM[! )* <!<"<#<$a$gd) dgd)dgd) dgd) dgd)dgd)University of Missouri-Columbia 50P:p)/ =!"#$% F!ps-D{$JFIF XICC_PROFILE HLinomntrRGB XYZ  1acspMSFTIEC sRGB-HP cprtP3desclwtptbkptrXYZgXYZ,bXYZ@dmndTpdmddvuedLview$lumimeas $tech0 rTRC< gTRC< bTRC< textCopyright (c) 1998 Hewlett-Packard CompanydescsRGB IEC61966-2.1sRGB IEC61966-2.1XYZ QXYZ XYZ o8XYZ bXYZ $descIEC http://www.iec.chIEC http://www.iec.chdesc.IEC 61966-2.1 Default RGB colour space - sRGB.IEC 61966-2.1 Default RGB colour space - sRGBdesc,Reference Viewing Condition in IEC61966-2.1,Reference Viewing Condition in IEC61966-2.1view_. \XYZ L VPWmeassig CRT curv #(-27;@EJOTY^chmrw| %+28>ELRY`gnu| &/8AKT]gqz !-8COZfr~ -;HUcq~ +:IXgw'7HYj{+=Oat 2FZn  % : O d y  ' = T j " 9 Q i  * C \ u & @ Z t .Id %A^z &Ca~1Om&Ed#Cc'Ij4Vx&IlAe@e Ek*Qw;c*R{Gp@j>i  A l !!H!u!!!"'"U"""# #8#f###$$M$|$$% %8%h%%%&'&W&&&''I'z''( (?(q(())8)k))**5*h**++6+i++,,9,n,,- -A-v--..L.../$/Z///050l0011J1112*2c223 3F3334+4e4455M555676r667$7`7788P8899B999:6:t::;-;k;;<' >`>>?!?a??@#@d@@A)AjAAB0BrBBC:C}CDDGDDEEUEEF"FgFFG5G{GHHKHHIIcIIJ7J}JK KSKKL*LrLMMJMMN%NnNOOIOOP'PqPQQPQQR1R|RSS_SSTBTTU(UuUVV\VVWDWWX/X}XYYiYZZVZZ[E[[\5\\]']x]^^l^__a_``W``aOaabIbbcCccd@dde=eef=ffg=ggh?hhiCiijHjjkOkklWlmm`mnnknooxop+ppq:qqrKrss]sttptu(uuv>vvwVwxxnxy*yyzFz{{c{|!||}A}~~b~#G k͂0WGrׇ;iΉ3dʋ0cʍ1fΏ6n֑?zM _ɖ4 uL$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)KmAdobedC     $$''$$53335;;;;;;;;;;C  %% ## ((%%((22022;;;;;;;;;;" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?$IEuInBɗ. @ }+I4Y uFfp r k M1c8R#;$y+Y,JVgka6b0Àҝr]5xu)@to#wF> 8l+# Dꮌ#1fYۥrs4SY G_o zs^Qq9}`~-By`jv. 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