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For Further Info Contact:
Dr. Miguel Vasquez, Coordinator
Southwest Studies Program
NAU Box 15200
Flagstaff, AZ 86001
(520) 523-9506
Miguel.vasquez@nau.edu

If you are interested in the Hispanic Presencia Project please fill out the application form below and on a separate piece of paper, in 150 words of less, explain why you would like to participate in the Project.

Please submit application to Office of the Dean, College of Social and Behavioral Sciences, SBS 200.

Deadline for application is May 1, 2000

Application Form (click here for printer friendly version)

Name:_____________________________________

Student ID:_________________________________

Local Address:_______________________________

___________________________________________

Local Phone #:_______________________________

Are you a Southwest Studies minor:  Yes:____  No:____

Have you applied for on-campus housing?

Yes:____  No:____

(I understand that if I am accepted into the program and there is space available in Gabaldon Hall, my housing assignment will automatically be moved, regardless of any previous assignment.)

Current residence Hall:_________________________

Roommate Choice (Name and ID#):_________________

__________________________________________

Signature:__________________________________