THE FASHION AND TEXTILE MUSEUM
APPLICATION FOR GRADUATE STUDY PROGRAMME


The application fee of $50.00 must accompany this Application for the Graduate Programme in Fashion and Textile Design or in Fashion Business for enrollment in 2004.

Please check a box for the quarter you wish to attend:

Fall: September 6 to October 1, 2004 (dates to be confirmed)

Spring: 2005 (dates to be confirmed)

Please check a box for the 6 week course you wish to attend:

Fashion and Textile Design Fashion Business
The candidate wishes housing assistance? Yes No Undecided
Personal Information
Last Name:
First Name:
Middle Name:
Maiden Name:
Social Security #:
(US Applicants Only)
- -
Sex:
Male

Female

Permanent Mailing Address
Address:
City:
State:
Country:
Zip Code:
Telephone (Permanent):
Current Mailing Address (if different from Permanent)
Address:
City:
State:
Country:
Zip Code:
Telephone (Current):
E-Mail:
Date of Birth / /
Citizen of:
Marital Status:
Single

Married

Post Secondary Education

School Name:
Address:
City:
State:
Country:
Zip Code:

Emergency Contact Information

Name:
Relationship to You:
Address:
City:
State:
Country:
Zip Code:

Father or Guardian

Name:
Address:
City:
State:
Country:
Zip Code:
Occupation:
Business Address :
Telephone (Business):
Telephone (Home):

Mother or Guardian

Name:
Address:
City:
State:
Country:
Zip Code:
Occupation:
Business Address :
Telephone (Business):
Telephone (Home):

List in chronological order any colleges or post-secondary schools you have attended:

Name of College:
City:
State:
Dates Attended
Degree:
Name of College:
City:
State:
Dates Attended
Degree:

List two references (other than members of the family).

Name:
Address:
City:
State:
Country:
Zip Code:
Telephone:
Name:
Address:
City:
State:
Country:
Zip Code:
Telephone:

Applications must include a letter of reference from each of the individuals listed above. These references should be individuals who you have previously been employed by or received academic instruction from.

Additional Information
Is English your primary language?
Yes

No

If "No," indicate your primary language:
How would you describe yourself? (Optional)
American Indian or Alaskan Native
Asian or Pacific Islander
Black (non-Hispanic)
Hispanic (including Puerto Rican)
Middle Eastern
White, Anglo, Caucasian (non-Hispanic)
Other (Please specify)
Signatures

By signing this form, I understand the following:

  • I understand that the application fee is Non-Refundable.
  • I understand this application gives the Fashion and Textile Museum the authority to obtain transcripts and references necessary for processing. This application does not obligate the applicant to the Fashion and Textile Museum Graduate Study Programme in Fashion and Textile Design and in Fashion Business in any way. Enrollment and financial arrangements will be completed on acceptance.
  • If I am accepted for admission, I agree to abide by the regulations and policies set forth in the catalogue, Enrollment Agreement and as stated in this application.
  • I certify that the information I have provided in this application is true to the best of my knowledge. I fully realize that omission or falsification of information will be sufficient reason for rejection of this application or for dismissal.

Applicant's Signature

/ /

Date

Parent's Signature
(if applicant is under 18 years old)

/ /

Date