Southern Illinois University Edwardsville
Department of Mass Communications
Graduate Program Application
*required fields

Please complete on-line, print, and mail to: Director of Graduate Studies, Dept. of Mass Communications, SIUE, Box 1775, Edwardsville, IL 62026-1775

*Name (Last, First MI)

Personal Information---------------------------------------------------------------------------------------------------------------------------
*Street Address *City *State *Zip
Phone: day Phone: night *Email Address

Educational Background------------------------------------------------------------------------------------------------------------------------  
*Undergraduate degree(s): University  
 
*Degree  
*Major
Minor
*Date of Graduation

Additional Academic Coursework-----------------------------------------------------------------------------------------------------------
University
Degree

Statement of Purpose---------------------------------------------------------------------------------------------------------------------------
Please provide a statement of purpose. In the statement discuss such things as, what you would like to study in the master’s program, what type of work you would like to do upon completion of the degree, and how the degree will help you in these career goals. Please attach this to the Application.
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NOTE: This form does not take the place of the SIUE Graduate School’s "Application for Admission to Graduate Study."