NC State University
College of Design Personal Data Form

This is a supplement to the University Graduate School application form. Information applied will be carefully considered by the Graduate Admissions Committee of the appropriate program in their review of your application. Please type or print responses to questions and return to the Graduate Secretary, College of Design , Box 7701, Raleigh, NC 27695-7701.

Applicant’s Name: _________________________________________________________________

Address: _________________________________________________________________________

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Telephone:      Home: __________________________         email: __________________________________________

Business:________________________

Applying for:     YEAR _________     Master of ______________________________    Track (circle)   1     2     3

Admission requested for:      Fall    Spring     Year ____________________

Education Record:

Academic Honors, Awards, Scholarships

Employment Record:

Describe your career objectives and the potentials you seek to develop while in the graduate program. How do you sense that the graduate program can best aid in meeting those objectives and potentials? Address issues which are relevant to your intended area.

Describe relevant personal experiences that you feel best support your application for admission to the graduate program. How do you hope to integrate your previous experience into your graduate study?

*Please use attachments if more space is needed.

last updated January 10, 2001