School of Information Resources and Library Science
APPLICATION FORM for MA & PhD

Please PRINT this form, enter information, and submit to SIRLS

Name: _________________________________________ Date of Application __________

Other surnames used for transcripts ___________________________________________

Present Address: _______________________________________

____________________________________________________

Do you plan on moving to Tucson, Arizona to study at SIRLS? _____Yes _____No

Country of Citizenship: ___________________________________

Home Phone: _____________________________ Message Phone: ______________________

Email Address (REQUIRED): ____________________________________________________

Semester to begin degree: Year: 20_____

Anticipated level of attendance:

_________ Full time (at least 9 units) _________ Part time (less than 9 units)

Area(s) of Interest (e.g. archives, info technology, public library, etc.):

_______________________________________________________________

Do you intend to apply for SIRLS Financial Aid? _____Yes _____No

Are you a UA, NAU, or ASU employee or employee dependent? _____Yes _____No

How did you hear about the program?

_____ Conference exhibit _____ Friend _____ Co-worker

_____ Website, please specify (SIRLS, ALA, Newsweek, etc)____________________

_____ Other, please specify ______________________________________________