APPLICATION TO DECLARE MAJOR Please complete this form and return it with an official Cornell University transcript to the Undergraduate Field Coordinator in 210 White Hall. Transcripts can be obtained from Day Hall or by going on-line to the University Registrar’s website (http://transcript.cornell.edu) and having it sent electronically to (cu_govt_undergrad@cornell.edu) or by campus mail. Before completing this application, you must have passed two government courses. Upon acceptance into the major, you will be notified via email. NAME: DATE: (Last, First, __________ Middle Initial ) TIPS ON HOW TO PRONOUCE YOUR NAME CORRECTLY (optional): _______________________________________________________ STUDENT ID NUMBER: ______________________ EMAIL ADDRESS: @cornell.edu GENDER (M/F): ______ CURRENT ADVISOR: DEPT: __ _______ I am applying for: ( ) Major ( ) Double Major--Current major with:____________ ( ) Provisional Major (pending requirements) I HAVE COMPLETED THE FOLLOWING TWO GOVT COURSES: _______________________________________________________ GOVT PROF. ADVISOR REQUEST (optional). Please list a specific faculty member’s name OR the GOVT subarea that interests you most. (American, International Relations, Comparative or Political Theory) _______________________________________________________ (Please note that if your requested advisor already has a full list of advisees, we will have to assign you to someone else.) Expected date of graduation: __________ Created on 11/18/2009 3:05:00 PM