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Government Seminar Request Form

*Student ID:

*First Name:

Middle:

*Last Name:

*E-mail Address:

*Class:

Please specify what seminar you would like to enroll in: (example: 83.14)

for the *Term

Please specify what requirement you would like this seminar to fulfill:

Culmination Experience
Second Seminar
Other

Please provide us with your intellectual rationale for choosing this seminar:

If we are unable to grant you permission for the requested seminar, which seminar would be your second choice?

Please provide us with your intellectual rationale for your second choice:

Last Updated: 10/12/07