SENIOR SCHOLARS PROGRAM APPLICATION

Last Name_____________________ First Name _______________________

Social Security Number ___________________ Class Year ____ Gender _______

CPU address___________________Local telephone_________________________

Email address _________________________

Home address____________________
______________________________________
______________________________________

Title of Senior Scholar Project:

_______________________________________________________________________

Name, title, and departmentof supervising faculty advisor:

_______________________________________________________________________

Current Concentration(s): _________________________________________________

Date____________________

Signature of supervising faculty advisor:

_________________________________________________

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Please answer YES or NO to the following:

_____ I intend to apply the Senior Scholars Project toward my requirements so that, upon successful completion of my Senior Scholars Project, I will have completed the requirements for the concentration named above.

_____ I intend to graduate with a concentration in Interdepartmental Studies.

_____ My general College requirements have been completed: (Primary writing requirement, foreign language requirement, two humanities courses, two social science courses, two natural science courses, one formal reasoning course). If not, when will they be?____________________________________________

_____ By the end of this year, I will have at least 96 credit hours toward the 128 credits required toward graduation.

Check one of the following:

_____ I wish to take my entire seniorscholars year (32 credit hours) as independent study.

_____ I wish to take the courses listed below and combine them with independent study. I have attached the description of my proposed Senior Scholars Project and outlined the relationships between the courses and the Project (one to five pages in length).

Fall Courses & number of credits

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Spring courses & number of credits

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Please submit a detailed description (no more than 5 double-spaced typewritten pages) of your Senior Scholars Project. Be as specific as possible about the plan of the project and the time and resources it will take to complete it in your seniorscholars year. Explain why you think you have the skills to complete the project and how you conceive it to be a meaningful conclusion to your Rochester education. The application, along with the supervising faculty advisor's recommendation, is due in Lattimore 206 on April 15.