PERSONAL INFORMATION

First (Given) Name

Last (Family) Name

Street Address

City and Postal Code

Country

Telephone (Including Country and City Code)

Fax (Including Country and City Code)

E-Mail Address

Gender

Male Female

ACADEMIC INFORMATION

When would you like to enter CSU San Marcos?

Term (Choose One) Fall Spring     Year (Choose One) 2005 2006

What would you like to major in at CSU San Marcos?

(Select either Undergraduate or Graduate and then indicate which discipline you are interested in. You may select more than one undergraduate discipline, but only one graduate field):

Undergraduate Discipline: (Choose One From List) Biological Sciences Business Administration Chemistry Communication Computer Science Economics History Human Development Liberal Studies Literature and Writing Mathematics Political Science Psychology Social Sciences Sociology Spanish Visual and Performing Arts Women's Studies

Graduate Discipline:
(Choose One From List) MBA Biological Sciences Computer Science Education Literature and Writing Mathematics Psychology Sociological Practice Spanish

TOEFL Score (If taken)

Score 

Question/Comment