GEORGETOWN UNIVERSITY Graduate School of Arts and Sciences Graduate Admissions, Box 571004 3520 Prospect Street, NW, Room CB-207 Attn: MSFS Application (FSER) Washington, DC 20057-1004 MSFS Supplementary Data Sheet (SDS) To the Applicant: Please fill out this required form. In order to move between lines or fields, use either the Tab button, which will take you to the next field, or click on the beginning of the desired field or line with your mouse. Please limit each response to the space provided. Name: Applicant’s Last/Family Name Applicant’s First/Given Name Middle Date of Birth (mm/dd/yyyy): 1. a) Please note the status of your economics prerequisite courses below. One course in Microeconomics and one course in Macroeconomics, earning a B or better in each, are required prior to August enrollment. Principles of Microeconomics Principles of Macroeconomics Completed In-progress Need to Enroll Completed In-progress Need to Enroll b) Summary of economics university coursework (list full course title, grade, term taken, and number of credits). Check box if applicable: Economics major Economics minor Micro: Macro: Other: c) Discuss your plans to fulfill any outstanding economics requirements prior to August 1st: (limit 220 characters) 2. Extracurricular/Community/Volunteer/Leadership Activities: (limit 220 characters) 3. How did you find out about the MSFS program and why did you choose to apply? (limit 220 characters) 4. List other universities/programs you are applying to: (limit 220 characters) 5. If you or any relatives have attended/attend or have worked/work at Georgetown University, please list below: Name Relationship School/Department Name Relationship School/Department 6. Have you ever had to withdraw or repeat a term at any educational institution? If so, please attach a brief explanation. yes no 7. Have you ever been dismissed from any school, college, or university? If so, please attach a brief explanation. yes no Name: Applicant’s Last/Family Name Applicant’s First/Given Name Middle Date of Birth (mm/dd/yyyy): To expedite the processing of your application, please provide the following information. Official test scores and transcripts must be submitted with your application. A. Tentative concentration: Global Politics and Security International Development Global Business and Finance Self-designed / Regional & Comparative Studies B. Geographical region of interest (if any): C. Cumulative GPA: D. Primary foreign language: Level of fluency/length of study (check box): Beginner / 1st Year Intermediate / 2nd Year Advanced / 3rd - 4th Year Major / 4+ Years Proficient Fluent For details regarding language proficiency, please refer to the “FLP Form” on the following page. E. Most Recent Foreign Residence and Travel (one month or longer): Country Dates of Stay Purpose Country Dates of Stay Purpose Country Dates of Stay Purpose F. Cumulative Amount of Experience Abroad: years and G. Work Experience (check box): Internships Full-time (post undergraduate degree) Cumulative Full-time Work Experience: years and months months H. Standardized Test Scores: GRE: (raw score / percentage) Verbal: / % Quantitative: / % Analytical Writing: / TOEFL: Paper: Computer: Internet: OR GMAT: (raw score / percentage) Verbal: / % Quantitative: / % Analytical Writing: / % OR IELTS: % For applicants to the MSFS/JD dual degree only: LSAT: (raw score / percentage) I. Affiliations (for internal tracking purposes only): Pickering Fellow AmeriCorps Volunteer Phi Beta Kappa Public Policy & International Affairs Fellow (PPIA) Rangel Fellow Fulbright Scholar Jet Program Participant Peace Corps Volunteer Project 1000 Truman Scholar / / % % Name: Applicant’s Last/Family Name Applicant’s First/Given Name Middle Date of Birth (mm/dd/yyyy): MSFS Foreign Language Proficiency (FLP) Form In order to graduate from MSFS, each candidate must successfully complete a foreign language proficiency examination consisting of reading and speaking about current affairs. Proficiency exams are administered by Georgetown’s language departments. For the purposes of this graduation requirement, proficiency is defined as the ability to use the foreign language in a clearly participatory manner and with sufficient fluency and accuracy to read about and discuss political, economic and international issues. The linguistic skills necessary to function at this level include the ability to narrate and describe with paragraph-length connected discourse in past, present and future time frames. All students will take a placement exam at Orientation to determine whether further coursework is needed prior to taking the language proficiency examination. Please note: Students who do not pass the foreign language proficiency examination cannot receive their degree. Therefore, it is vital that each applicant’s self-assessment be as accurate as possible. TO APPLICANT: The language described on this form should be the non-native language in which you are most proficient and which you will use to pass the proficiency exam. If you are a non-native speaker of English, you may choose to use English as your proficiency language, or another language that is not your native tongue. If you are bilingual, you may choose one language as your native language and use your second language as your proficiency language. 1. Native language: 2. Language to be evaluated for MSFS Proficiency Exam: 3. List all language courses relevant to the language to be evaluated (Title, Institution/Location, Date): 4. Additional experience in language to be evaluated (i.e., travel/work/study abroad/family experience/other): 5. Please evaluate your skills in the language to be evaluated based on the criteria listed below: Poor Fair Good Very Good Excellent a. Reading Comprehension b. Oral Proficiency c. Listening Comprehension d. Grammar e. Pronunciation f. Writing 6. Please check the box that best describes your level of preparation, using the definition of “proficiency” outlined in the box above as a guideline: I believe I possess a sufficient degree of proficiency to pass the proficiency exam without further coursework. With additional study during my two years, I believe I will achieve a sufficient degree of proficiency to pass the exam. I need additional language study and experience prior to enrolling at MSFS. In order to strengthen my language proficiency prior to August enrollment, I plan to: By typing in my name, I hereby certify that the information provided by me is my own work and is true, complete and accurate to the best of my knowledge. I understand and agree that any deliberate misrepresentation may be cause for denial or revocation of admission or subsequent dismissal from Georgetown University. I understand that all admissions materials (originals and photocopies) submitted in support of this application become part of my Georgetown University record and are not returnable. Signature: Date: