ACCEL ERATED DEG R EE PROG R A M A DV ISER FOR M
If you are applying for admission to the Accelerated BA/Master’s Degree Program, you must
complete this form and have it signed by your master's program adviser in order to complete your
application. You should schedule a meeting to have this done as soon as possible, to ensure you are
able to submit it by the application deadline: May 1 of your junior year if you are starting in the fall
semester, or by November 1 of your junior year if you are starting in the spring.
P E R SO N A L INFO RM ATION
Program
Student Name (Last, First, M.I.)
I am a transfer student.
Student ID #
What is your expected graduation date?
Year
Semester
When did you first enroll at Clark?
Year
Semester (Fall or Spring)
SI G NAT U RES
I have read and understand the policies for participation in the Accelerated Degree Program.
Applicant’s Signature
Date
I have met with this student and advised him/her of the requirements for the above
graduate program.
Program Adviser’s Signature
Questions?
gradadmissions@clarku.edu
508-793-7373 Phone
508-798-4386 Fax
Date