Religious Studies Program
255-6275; ReligiousSt@cornell.edu 409 White Hall

MAJOR APPLICATION

Please complete this application and return to the Religious Studies office in order to be eligible to major in this Program.

Please notify the Religious Studies Program whenever you change your address or phone number. Thank You.

(Please Print – Fill out all Blanks - Signatures are Very Important)

Effective Date: ____________________

CU Student Id#____________________

Name (Last, First, MI): ________________________________________________________

Local Address:	_______________________________________________________________
Local Addresi	_______________________________________________________________
	_______________________________________________________________

Local Phone: ______________________ E-mail address: ____________________________

Please indicate until what date_________________________________________________

Home Address:	_______________________________________________________________
Home Addresi	_______________________________________________________________
Home Addresi	_______________________________________________________________

Home Phone: __________________________________________________________________

Major(s): _____________________ Date of Expected Graduation _______________

Religious Studies Courses Taken to Date: _______________________________________

______________________________________________________________________________

Advisor's Name: _______________________________________ Date___________________

Advisor’s Signature______________________________________ Date__________________

DIRECTOR’S SIGNATURE (Professor Dan Boucher – 373 Rockefeller Hall)

_________________________________________________________ Date _______________

Please return this form to:	409 White Hall or email: religiousst@cornell.edu
	Your name will be added to our E-mailing List for Events and Notices