Employee information form
REL 376g – Religion and Human Rights: Citizenship in a Global EraUSC Problems without Passports | Summer 2016STUDENT INFORMATIONFull Name:LastFirstM.I.Student ID #: Email:Major(s):Minor(s):Year in School:Cumulative GPA: Major GPA: Expected Graduation Date: Profession Considering:RELATED COURSESList Course Number, Professor, and GradeADDRESSLocal Address:Street AddressApartment/Unit #CityStateZIP CodeLocal Phone:Permanent Address:Street AddressApartment/Unit #CityStateZIP CodePermanent Phone:Student Signature: Date:NAME AND CONTACT INFO FOR RECOMMENDERS1.Name and title Email and phone2.Name and titleEmail and phoneApplication Checklist Application form and the names of two professors we can contact to obtain a recommendation for youStars Report (Accessible on OASIS)ResumeOne paragraph explaining why you would like to participate in the PwP courseIf possible, please scan documents into one PDF file and email to usclevan@dornsife.usc.edu Course InstructorDr. Lyn Boyd-Judson, Director of the USC Levan Institute for Humanities and Ethics, and Executive Director of the Oxford Consortium for Human Rights. The course will be taught in partnership with the Oxford Institute for Ethics, Law and Armed Conflict. SURFStudents in this program may apply for a Summer Undergraduate Research Fund (SURF) grant, for more info go to . The amount of the stipend is up to $3000 (but depends on the costs associated with the project.) Please review the SURF website for eligibility requirements. ................
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