BS/MS Science, Technology, and Public Policy
Simplified Graduate Application Form
Please complete this form and submit to Department Office along with a statement that
explains your interest in public policy and what area(s) of policy (i.e. energy or health
care or environmental or computer security or other…) you are interested in pursuing.
Bring the form and writing sample to Peggy Mack in the building 1, Room 1313.
University ID# ___________
Name:___________________________________________________________
Last
First
Middle Name
Local Address____________________________________________________
Number and Street
________________________________________________________________
City
State
Zip Code
_____________________________________________________________
Email
________________________________________________________
Home Department
Undergraduate Advisor
Please indicate when you plan to begin your studies, as well as your intended fulltime or part-time status.
Calendar Year _____ Semester ______ Fall _____ Spring _____ Summer
Current GPA ______________
Current year standing_________________
If your current GPA is below 3.0 you should use the RIT Graduate Application
Form to apply for consideration to the MS Public Policy degree program.
Scholarships and Assistantships
Have you discussed your financial aid options with your RIT Financial Aid
Advisor?
Yes
No
Are you planning to apply for a graduate assistantship?
Yes
No
Are you receiving or seeking support services from RIT’s National Technical
Institute for the Deaf?
Yes
No
Signature and Date
________________________________________________________________
Signature
Date
Once signed – next step: Complete Change of Program Form