History Graduate Program Data Form (Fall 2012) Please download, complete, and save this form in one of the following formats: Microsoft Word (.doc, .docx), Adobe PDF (.pdf), Rich Text (.rtf), or Text (.txt) Do not password protect application material. LAST NAME: FIRST NAME: Principal email: alternate email: Primary Phone: Which program you applying to? M.A. Ph.D. Scholarly Publishing Certificate plus the M.A. or Ph.D. in Public History Scholarly Publishing Certificate applicants must choose the Public History program and complete an additional application for the certificate. Public History Information: If you are applying to the Public History program, please indicate your area of interest by marking an “X” to the right of your selection. Public History: _____ Public History with Scholarly Publishing Certificate: _____ The program prepares students to enter historic administration, The program prepares students to enter scholarly publishing fields—university museum studies, community history, historic preservation, policy presses, higher education publishing, reference and textbook publishing—and to studies, cultural resource management and other public history engage in publishing activities in the academy, such as journal publishing and areas. documentary editing. Primary fields and time periods: Identify ONE field and ONE time period from the list of fields below by marking an “X” to the right of your selection. Public History applicants must choose an area and time period outside of Public History. U.S. Europe Latin America Asia/S.E. Asia 1750-1865 Early Modern Colonial Pre-Modern 1865-Present Modern National Modern PH.D. STUDENTS ONLY: Secondary Field: Please identify from the fields below one secondary field you may wish to study. Please mark an “X” to the right of your selection. North America Europe Gender & Sexuality Race/Ethnicity Urban Studies Comparative Indigenous Latin America Migration Studies Science & Technology East Asia/S.E. Asia Environment World History M.A. & Ph.D. candidates: below are our research specializations Please identify no more than 3 thematic areas that interest you. Number them 1 – 3 in order of your interest, to the right of your selections. American Indian International Relations Modern S.E. Asia S Southwest/Borderlands Chicano/a Japan Politics and Policy U.S. West China Mexico Race & Ethnicity Urban History Cultural History Migration Studies Religion Women’s History Environmental History Modern France Slavic Europe Faculty Mentors: Please list up to three faculty members with whom you would like to work (in order of preference). Please visit the Graduate College’s Graduate Faculty list at http://graduate.asu.edu/exploregraduatefaculty.html 1. Revised 4/27/2010 2. 3. Language and computer skills (Only those in which you can claim competency) Rate your proficiency 5=highest 1=lowest Language: Speaking Reading Writing Language: Speaking Reading Writing MS Word / Word processing Webpage Design Excel / Spreadsheet Desktop Publishing MS Access MS PowerPoint Briefly describe degree, coursework, or professional experience outside of history that contributes to your skills in historical analysis.