Office of Graduate AdmissionsStudent Interest Form If you are interested in receiving a graduate application, please fill out all information in the way that you would like it to appear on your records. Thank you. Prefix: Mr Ms First Name: Last Name(Family Name): M.I.: Sex:MaleFemale Citizenship: US Citizen US Perm Resident International Email Address: Street Address:Apartment, PO Box, or Street 1 Street 2 Street 3 City: State: Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Fmr Yugoslav Rep of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Vincent and the Grenadines Sth Georgia & Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands West Bank Western Sahara XYZ Country Yemen Yugoslavia Zambia Zimbabwe Zip: Social Security Number: Telephone: Include Area Code Birthdate: Day Month JanuaryFebruaryMarchApril MayJuneJulyAugustSeptemberOctoberNovemberDecember Year Academic Areas of Interest. You must select at least one. 1. Accounting Africana Studies Anthropology Art Atmospheric Science Biological Science Biomedical Science Biometry & Statistics Business Administration Chemistry Classics Communication Computer Science Counseling Psychology Criminal Justice Curriculum Economics Educational Administration Educational Psychology English Environmental Health Epidemiology French Geography Geology Health Policy & Management History Information Science Latin American & Caribbean St Liberal Studies Library & Information Science Mathematics Nanosciences & Nanoengineering Philosophy Physics Political Science Psychology Public Administration Public Affairs and Policy Public Health Public Policy Reading Russian School Psychology Social Studies Social Welfare Sociology Spanish Special Education Taxation Teacher Education Undecided Urban & Regional Planning Women's Studies 2. Accounting Africana Studies Anthropology Art Atmospheric Science Biological Science Biomedical Science Biometry & Statistics Business Administration Chemistry Classics Communication Computer Science Counseling Psychology Criminal Justice Curriculum Economics Educational Administration Educational Psychology English Environmental Health Epidemiology French Geography Geology Health Policy & Management History Information Science Latin American & Caribbean St Liberal Studies Library & Information Science Mathematics Nanosciences & Nanoengineering Philosophy Physics Political Science Psychology Public Administration Public Affairs and Policy Public Health Public Policy Reading Russian School Psychology Social Studies Social Welfare Sociology Spanish Special Education Taxation Teacher Education Undecided Urban & Regional Planning Women's Studies I plan on applying to Albany for the term Summer 2008 Fall 2008 2008 - 2009 School Year Spring 2009 Summer 2009 Fall 2009 Spring 2010 Summer 2010 Fall 2010 Spring 2011 Summer 2011 Fall 2011 Spring 2012 Summer 2012 Fall 2012 Spring 2013 Summer 2013 Fall 2013 Spring 2014 Summer 2014 Fall 2014 Spring 2015 Summer 2015 Fall 2015 Spring 2016 Summer 2016 Fall 2016 Application Type Degree Non-Degree College GPA GRE Verbal Quantitative Analytical GMAT Verbal Quantitative Total