COLUMBIA COLLEGE
FORM 401
THE GRADUATE OFFICE
PROGRAM OF STUDY FORM
Signature Approvals:
(The signatures below denote approval of this program of study and verify that the student has fulfilled the appropriate degree requirements as outlined.)
Graduating Student (Printed Name)
Signature
Date
Faculty Advisor (Printed Name)
Signature
Date
Program Chair/Director (Printed Name)
Signature
Date
PART I: BIOGRAPHICAL & CONTACT INFORMATION
1.
Name:
Last (family):
Mr.* Ms.* Other:
First:
Middle:
2.
Birth Date:
OASIS ID#:
3.
Current Mailing Address:
Address Effective Dates: From:
To:
Street Address:
Apt:
City:
State/Province:
Postal Code:
Country:
4.
Contact Information:
Home Phone #:
Work Phone #:
Cell #:
Email Address:
PART II: ACADEMIC INFORMATION
My Graduate Degree Program and Graduate Degree are:
(Check only one program and one degree. Remember, your hours must meet the degree requirements as prescribed by your graduate department and this information must match the
information you provide on your Graduation Application Form. If you submit this form and the information changes, please submit an updated form as soon as possible.)
Art & Design
Creative Writing – Non-Fiction
(221/220) Architectural Studies MFA (60 hrs.)
(524/520) Creative Writing - Non-Fiction MFA (48
Interdisciplinary Arts
(222/220) Interior Architecture MFA (60 hrs.)
hrs.)
(660/660) Interdisciplinary Arts MA (30 hrs.)
(662/660) Interdisciplinary Arts & Media MFA (60 hrs.)
Arts, Entertainment & Media Management
Creative Writing - Poetry
(661/660) Book & Paper Arts MFA (60 hrs.)
(280/280) Art, Entertainment & Media Management
(522/520) Creative Writing - Poetry MFA (40 hrs.)
MAM (49 hrs.)
Journalism
(281/280) Media MA (45 hrs.) or MAM (49 hrs.)
Dance/Movement Therapy & Counseling
(530/530) Journalism MA (36 hrs.)
(283/280) Performing MA (45) or MAM (49 hrs.)
(702/700) Dance/Movement Therapy & Counseling
(282/280) Music MA (45 hrs.) or MAM (49 hrs.)
MA (60 hrs.)
Music Composition for The Screen
(284/280) Visual MA (45 hrs.) or MAM (49 hrs.)
(701/700) GLCMA Graduate Certificate (18 hrs.)
(320/320) Music Composition MFA (54 hrs.)
(285/280) Entrepreneurship MAM (49 hrs.)
(703/700) Alternate Route Graduate Certificate
(286/280) AYCD MAM (49 hrs.)
(30-35 hrs.)
Photography
(704/700) MPACC Graduate Certificate (13 hrs.)
(230/230) Photography MA (36 hrs.)or MFA (60 hrs.)
Creative Writing - Fiction Writing
(551/550) Creative Writing - Fiction MFA (45 hrs.)
Education
Former Programs
(550/550) Combined Creative Writing& Teaching of
(421/420) Elementary Education MAT (41 hrs.)
(425/420) Multicultural Education MA
Writing MFA/MA (63 hrs)
(422/420) Visual Art Education MAT (41 hrs.)
(424/420) Secondary Phys. Sci. MAT
(552/550) The Teaching of Writing MA (39 hrs.)
(423/420) Secondary English MAT
Film & Video
(285/280) Information Mgt. (AEMM) MA
(240/240) Cinema Directing MFA (60 or 52 hrs.)
(426/420) Urban Teaching MAT (42 hrs.)
(241/240) Creative Producing MFA (50 hrs.)
(233/230) Museum Studies MA (36 hr
PART III: OTHER COURSEWORK/CREDIT
(If applicable, please complete the appropriate sections below and attach to this form any necessary documentation, approvals, etc. In many cases, these will already have been
forwarded to the Graduate Office by your Faculty Advisor/Department. None of the information below will be official without the appropriate documentation. )
Required Pre-requisite Courses
Course #
Credit Hours
Course Title
Semester
Year
Grade
Comments
(##-####-##)
Completed Courses Approved for Transfer
Course #
Credit Hours
Course Title
Semester
Year
Grade
Course taken at
(##-####-##)
what institution?
Credit By Examination (CBE)
(List below the Columbia College Chicago courses satisfied by Credit by Examination.)
Course #
Credit Hours
Course Title
Semester
Year
Grade
Satisfied by Exam?
(##-####-##)
Course Substitution Information
Course #
Credit Hours
Course Title
Semester
Year
Grade
Substitutes for
(Also include the Block ltr.- A, B, etc. – where this
(##-####-##)
course is located in the Program of Study Chart.)
which course?
Other:
(Such as CLEP, etc.) Explain:
Please print your full name:
:
( Be sure to complete and turn in both pages of this form.)