NAME
ADDRESS
CITY, STATE, ZIP
EMAIL ADDRESS

LOCAL PHONE
STUDENT ID (901 NUMBER)
COLLEGE

Please check one:

FRESHMAN
SOPHOMORE
JUNIOR
SENIOR
GRADUATE

Please fill in total number of semester hours completed preceding this semester:

HOURS

Please fill in list of history courses taken preceding this semester:

(Give course number and name, and include history courses taken at other institutions as well as Marshall.)

COURSE
COURSE
COURSE
COURSE
COURSE
COURSE
COURSE
COURSE

Grade point averages are requested for the purpose of identifying students eligible for honorary status and awards. This involves an average of 3.0 or higher (overall). Students above or near this mark are urged to report their GPA. If you do not know the exact averages, please give approximate figures.

Overall GPA
History GPA

College of Education students: please indicate other teaching field in addition to history: