INSTITUTE OF INTERDISCIPLINARY STUDIES

Sonoma State University

Rohnert Park, California 94928

 

 

APPLICATION

BACHELOR OF ARTS OR BACHELOR OF SCIENCES IN THE SPECIAL MAJOR

 

SUBMIT TWO (2) TYPEWRITTEN COPIES OF THIS APPLICATION TO THE ITDS COORDINATOR AT SONOMA STATE UNIVERSITY, ROHNERT PARK, CA 94928

COVER PAGE

 

 

Name _________________________________ Telephone _____________________

 

 

Address ________________________ City/Zip _____________________________

 

 

E-mail address __________________________________

 

 

Title of Major_____________________________________________________________

 

________________________________________________________________________

 

 

Type of degree (Bachelor of Arts or Bachelor of Sciences)_____________________

 

 

______GPA for all college work completed.

______Number of units completed toward graduation as of the end of the most recently completed semester.

______Total number of units undertaken during the current semester.

______Number of G.E. units remaining to be completed as of the end of the current semester.

 

 

 

 

I hereby certify that this application has been submitted in completed form by the deadline.

 

____________________________ ________________________

 

ITDS Coordinator Date application was received

 

________________________

 

Submission deadline

 

 

I.

 

LIST OF COURSES. The courses must total a minimum of 45 units.

 

 

Core courses (24-26 Upper Division units only, including ITDS 499 [3 units])

Institution

 

Dept.

 

Course

#

 

Title

 

Units

 

Semester/Year to be taken

 

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supporting courses (the remaining Upper and Lower Division units)

 

Institution

 

Dept.

 

Course

#

 

Title

 

Units

 

Semester/Year to be taken

 

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please attach forms for all Special Studies (495) and Internships.

 

 

II.

 

ADVISORS' SIGNATURES

To the Chair of the Advisory Committee: Would you please briefly comment on this proposal with respect to the criteria listed below.

•The clarity with which the subject or topic is described.

•The interdisciplinary character of the subject and the balance of courses between disciplines.

•A convincing justification of the courses with reference to the program’s subject and title.

•The strength of the proposal as a degree program.

•The likelihood that the applicant can complete the program. Consider both your knowledge of the applicant’s motivation and academic skills and the probability that the courses needed for the program will be offered within a reasonable period of time.

 

 

A.

 

Chair

 

 

 

 

____________________________

 

Print name

____________________________

 

Signature

 

 

 

____________________________

 

Department/Program

____________________________

 

Date

Chair’s statement (continue on reverse side if necessary):

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

 

Other member

 

 

 

 

____________________________

 

Print name

____________________________

 

Signature

 

 

 

____________________________

 

Department/Program

____________________________

 

Date

 

III.

 

STUDENT'S SIGNATURE

I acknowledge that the Special Major consists of a minimum of 45 units of course work, of which 31 units must remain to be completed at the time this proposal is approved.* I understand that work-in-progress during the semester of my proposal's approval will count towards these units. I also understand that my submission of this application does not in any way imply that the application is approved or that I have been admitted as a Special Major.

 

________________________________ _______

 

rev. May, 1997 Student's signature Date

 

*except where an exception has been granted by the ITDS Committee (see p. 6 of Guidelines)