Interactive Media Minor

First Name:

Last Name:

Student ID#:

Email:

Please choose… May 2006 January 2007 May 2007 January 2008 May 2008 January 2009 May 2009 January 2010

GPA:

Department:

Major :

(within department if applicable)

GPA in major:

Rationale for application:

Electives

Please list four courses which you would like to take to fulfill the elective requirements for the minor. We ask that explain the rationale of why this course fulfills your objectives for enrolling in the minor. A sample list of courses that may count toward the elective requirement is available for your review.

Option 1:

Rationale:

Option 2:

Rationale:

Option 3:

Rationale:

Option 4:

Rationale:

I give permission to the Governance and Admissions Committee to review my transcript.

I understand that the acceptance of this application by the Governance and Admissions committee will serve as a contract outlining the course opportunities to fulfill the elective requirements. Any changes will require the written approval of your assigned advisor and the IM coordinator.