Department of Media, Culture,
and Communication
239 Greene Street
New York, NY 10003
P: 212 998 5191
F: 212 995 4046
steinhardt.nyu.edu/mcc
Declaration of Program Requirements for Undergraduate Students in the
Department of Media, Culture, and Communication
Students: Fill out this form and bring it to your advisor for approval. This form should be
filed before your senior year. Any changes to these declarations will require you to
submit an additional form.
Student NID# ___ ___ ___ ___ ___ ___ ___ ___
First Name: ____________________________________
Last Name: ____________________________________
NYU E-mail: ___________________________________________
Field of Study Declaration (check two):
☐ Global and Transcultural Communication
☐ Images and Screen Studies
☐ Interaction and Social Processes
☐ Persuasion and Politics
☐ Technology and Society
____________________________________________________
Student Signature
_________________
Date
Departmental Approval
____________________________________________________
Program Director or Advisor (print name)
____________________________________________________
Signature
_________________
Date