PROPOSED MINOR PROGRAM

(Please print)

Your Name _____________________________________________________________I.D. ____________________

e-mail _______________________________ Area:__________________ Date submitted:_____________________

Minor program field:_____________________________________________________________________________

For the two subjects that constitute your proposed minor program, please enter the MIT or Harvard subject number, subject name, whether it is graduate (H or G) or undergraduate (U). If you have completed the subject, enter the grade.

Subj;#: ______Subject Name___________________________________________H, G, or U:______Grade________

Brief description of your minor area of interest:________________________________________________________

Brief description of your major area of interest:________________________________________________________

Expected doctoral thesis topic:______________________________________________________________________

Graduate Counselor's approval:_____________________________________________________________________

Your signature:___________________________________________________________________________________

Please submit this form to the Graduate Office, 38-444

Area Chair's approval:___________________________________________Date:_________________