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Application Form
for Master's / Doctoral Programs

Name in full  ________________________________________________________________________
		Last		           First		Middle

Date of this application: ___________________  SSN (last 4 digits): xxx-xx-___________
			 Month / Day/ Year

Colleges/Universities at which you have earned a degree 
(please indicate if you expect to graduate this year):
Name					 From/To	      Degree and Date

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

[   ]  I hold a Bachelor degree and am applying for the Master's program. 

[   ]  I hold a Master degree and am applying for the Doctoral program.

[   ]  I hold a _________ degree and am applying for the ___________ program.


Probable field of specialization: _____________________________________________________


E-mail address(please print clearly) __________________________________________________


Present address  ______________________________________________________________________

_______________________________________________________________________________________

Present telephone	___________  ________________________________
	          country code


Permanent address  ____________________________________________________________________

Telephone	______________________________________________________

Citizen of what country? ______________________ Date of Birth:_________________________
                                                               month / day / year

Scholarships, academic honors, and distinctions:_______________________________________

_______________________________________________________________________________________

Scores of Graduate Record Examination (GRE):___________________________________________
(required for domestic students and for any student wishing to be considered 
for a University Fellowship nomination)

Scores of the TOEFL examination:_______________________________________________________
(required for international students)

** Deadlines **

All Applicants: To qualify for a competitive, non-teaching University Fellowship, this graduate program application as well as your Ohio State University application must be complete no later than January 15.

All Applicants: To be considered for admission to the GLL Graduate Program, and for a Departmental Fellowship, a Graduate Teaching Associateship, or a Graduate Research Associateship, this graduate program application as well as your Ohio State University application must be complete no later than January 31.

Please submit this graduate program application to: The Graduate Secretary, Department of Germanic Languages and Literatures, 498 Hagerty Hall, 1775 College Road, Columbus, Ohio 43210

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Content Owner: N. Miller