Department of History General Application for Graduate Admission Texas Tech University Name: _ Date: ___________________ Email: Telephone: Degree Sought: ____ PhD ____ MA Semester/Year of Application: ____________ ______ Mailing Address: Undergraduate Training School Dates Attended Major(s) Minor(s) Degree & Month/Year Awarded __________________________________________________________________________________________________ Undergraduate Cumulative GPA: ______ on ______ scale Total Undergraduate Hours in History: _____ History GPA: ______ __________________________________________________________________________________________________ Undergraduate Cumulative GPA: ______ on ______ scale Total Undergraduate Hours in History: _____ History GPA: ______ Graduate Training School Dates Attended Major(s) Minor(s) Degree & Month/Year Awarded __________________________________________________________________________________________________ Cumulative GPA: ______ on ______ scale Total Graduate Hours in History: _____ History GPA: ______ __________________________________________________________________________________________________ Cumulative GPA: ______ on ______ scale GRE Scores: Verbal ______ Quantitative ______ Total Graduate Hours in History: _____ History GPA: ______ Analytical & Writing ______ Date taken (mo/yr): _____________ Probable Geographic Area of Study (U.S., Europe, or World): _____ _____________ Specialization (i.e., U.S. West, Medieval, Military, Modern Europe): _____ _______ Have you contacted the faculty within your probable area of study? If so, whom and when? __________________________________________________________________________________________________________________________ Foreign Language Preparation: ________________________________________________________________________________________________ Experience which relates to graduate training (teaching, research, museum work, etc.): _ ___________________________________________________________________________________________________________________________ Do you wish to be considered for funding in the form of a Teaching Assistantship? Yes: _____ No: ______ Names and affiliation of three (3) referees whom you have asked to provide an evaluation of your academic record and potential: 1. _ 2. _ 3. __