.

I. GENERAL INFORMATION
First Name:  *    Last Name:  *    Email Address:  *
Graduation Term: *   
School Info
Street 1: Street 2:
City: State: Zip Code:
Phone:
Home Info
Street 1: Street 2:
City: State: Zip Code:
Phone:

II. MAJOR REQUIREMENTS

Please be sure to check each box indicating that you have met all requirements to declare a major in Communication:





In the space below, please list the communications courses you have taken and the grades you have achieved.

Course Grade

III. WHY COMMUNICATION?

Please write a brief paragraph explaining why you are interested in pursuing a major in Communication:

IV. FACULTY ADVISOR

Please select your preference for a faculty advisor.

V. COGNATE COURSES

Students must choose 3 courses from ONE of the following clusters: Communication & Culture; Communication & Behavior; or Communication & Commerce. Students may select courses from up to 3 different departments. No more than one introductory course is permitted among the 3 courses. Students that select the Communication & Commerce must take either an Economics or Business & Public Policy Course. Please contact Alison Berstecher (215-898-8892 or aberstecher@asc.upenn.edu) or the various departments to determine which classes are considered introductory.





Please explain briefly why you have chosen this particular cluster: