Supplemental Data Sheet & Foreign Language Proficiency

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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:
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