I. STUDENT INFORMATION

Name: _________________________________ Graduation (mo/yr) __________


Local address: ________________________ Local phone: ________________


E-mail address:  ____________________________________________________


School & major: _______________________ Major advisor: ______________


If writing a joint thesis, please name the other department and your
reader:  ____________________________________________________________ 


Tentative topic or field of interest: _______________________________


_____________________________________________________________________


_____________________________________________________________________


List all courses taken in Political Science:          Grade received:


1. __________________________________________________ _______________


2. __________________________________________________ _______________


3. __________________________________________________ _______________


4. __________________________________________________ _______________


5. __________________________________________________ _______________


6. __________________________________________________ _______________


7. __________________________________________________ _______________


8. __________________________________________________ _______________

II. SENIOR SEMINAR REQUESTS

Semesters and year applying for: ____________________________________


Please list, in order of preference, the course and section number and
instructor of the senior seminar you are applying for.


Choice #1: __________________________________________________________


Choice #2: __________________________________________________________


Choice #3: __________________________________________________________