Graduate Application
Return to:
Return by Jan. 1, 2011
School of Drama
c/o Graduate Admissions Coordinator
Carnegie Mellon University
Purnell Center for the Arts
Pittsburgh, PA 15213
1.
Your Name
Last
First
M.I.
2. Social Security Number _____ - ____ - _____ E-mail address
3. Birthdate / Gender
__________________
Male
Female
Month / Day / Year
4. U.S. Citizen?
Yes
No
If no, are you a permanent resident?
Yes
No
If no, what type of visa?
What is your country of citizenship?
5.
Ethnicity (optional)
6.
Permanent Address
(May NOT be a school
Address)
7.
African American/Black
American Indian/Alaskan native
White, Caucasian
Hispanic/Latino
Asian, Native Hawaiian
Other
Street address
Box number
City
State
Zip code
Country
(Area code) Phone
Local Address
Street address
8.
9.
City
State
Country
(Area code) Phone
(Required) Have you
previously attended
Carnegie Mellon
Graduate Program
you wish to be d
considered for
xxx
sss
10. List other schools to
which you are
applying
Box number
No
Yes
Zip code
If yes, what was your student ID number?
What was your last year of attendance?
Design
Dramatic Writing
Directing
d
Scenic Design
Costume Design
Lighting Design
Production Technology and Management
Sound Design
Costume Production
Production Management
Stage Management
Technical Direction
11. Special interests you wish to pursue, within your option or interdisciplinary program? (Attach a
separate sheet if necesssary).
12. Whom are you asking to send us Letters of Recommendations?
a.
Name:___________________________________________________Affiliation :_____________________________
b.
Name:___________________________________________________Affiliation:_____________________________
c.
Name:___________________________________________________Affiliation:_____________________________
13. List all educational institutions you have attended (regardless of whether credit or a degree was
obtained).
Institution
dates attended
major subject
Carnegie Mellon University does not
discriminate and Carnegie Mellon
University is required not to discriminate
in admission, employment or administration of its
programs or activities on the basis of race, color,
national origin, sex or handicap in violation of Title
VI or the Civil Rights Act of 1964, Title IX of the
Educational Amendments of 1972 and Section 504
of the Rehabilitation Act of 1973 or other federal,
state or local laws or executive orders.
In addition, Carnegie Mellon University
does not discriminate in admission,
employment or administration of its
programs on the basis of religion, creed,
ancestry, belief, age, veteran status,
sexual orientation or in violation of
federal, state or local laws or executive
orders. However, in the judgement of the
Carnegie Mellon Human Relations
Commission, the Department of Defense
policy of “Don’t Ask, Don’t Tell, Don’t
Pursue” excludes openly gay, lesbian and
bisexual students from receiving ROTC
scholarships or serving in the military.
Nevertheless, all ROTC classes at Carnegie Mellon
University are available to all students.
degree pursued
date awarded
Inquiries concerning application of these
statements should be directed to the
Provost, Carnegie Mellon University, 5000
Forbes Avenue, Pittsburgh, PA 15213,
telephone (412)268-6684 or the Vice
President for Enrollment, Carnegie Mellon
University, 5000 Forbes Avenue, Pittsburgh, PA
15213, telephone (412)268-2056.
Carnegie Mellon University publishes an
annual campus security report describing
the university’s security, alcohol and drug,
and sexual assault policies and containing
statistics about the number and type of
crimes committed on the campus during
the Carnegie Mellon Police Department at
(412)268-2323. The security report is
available through the World Wide Web at
www.cmu.edu/security.
Obtain general information about Carnegie Mellon
University by calling (412)268-2000 or on the
Internet at www.cmu.edu.
14. Signature____________________________________________________Date___________________________