SUPPLEMENTAL APPLICATION FOR ADMISSION
(Each applicant must also submit a Graduate School Application.)
School of Information and Library Science
University of North Carolina at Chapel Hill
CB# 3360, 100 Manning Hall
Chapel Hill, NC 27599-3360

SECTION I -- Personal Information

Program applying for:

Semester you wish to enter:

First Name: Middle Name: Last Name:

Date of Birth: Gender: Ethnicity:

Home Phone: Work Phone: Fax:

Email Address:

Current Mailing Address:
Address 1:
Address 2:
Address 3:
City:          State or Province: Country:
Postal Code:

The above address is valid until (mm/yyyy) or permanent:

US Legal State of Residency:
Non USA Legal Country of Residency:

Permanent Street Address: (if the same as above leave blank)
Address 1:
Address 2:
Address 3:
City:          State: Country:
Postal Code:

Person to be notified in case of an emergency:
First Name: Last Name: Phone Number:

SECTION II -- Education and References

Undergraduate School Name 1: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:

Undergraduate School Name 2: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:

Undergraduate School Name 3: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:

Undergraduate School Name 4: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:


Graduate School Name 1: City/State: Major:
Date Started: Leave Date:
Degree Received
If "other" please specify
Please enter year if degree was completed

Graduate School Name 2: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:

Graduate School Name 3: City/State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:

Graduate School Name 4: City/ State: Major:
Date Started: Leave Date:
Degree Received:
If "other" please specify:
Please enter year if degree was completed:
REFERENCES:
Provide the complete names and positions of three people to whom you are sending the reference forms. Two or more references should be from persons having first-hand knowledge of your academic capabilities. The references should be the same as those listed on the Graduate School Application.

First Name: Last Name: Position or Title:
First Name: Last Name: Position or Title:
First Name: Last Name: Position or Title:

SECTION III -- Interests and Financial Aid

Please indicate your primary area(s) of interest. These will be used to assign temporary advisors. (Masters and CAS applicants only.)

Information Science Work Environment:
Primary Areas of Interest:
Primary Areas of Interest:
Primary Areas of Interest:

Library Science Work Environment:
 Primary Areas of Interest:
Primary Areas of Interest:
Primary Areas of Interest:

Finacial Aid:
Do you wish to be considered for School of Information and Library Science financial aid?
IF Yes, indicate your preference(s):
Service Awards (require approximately 20 hours/week of work)
Research Assistant for Faculty
Computer Lab Assistant
Carolina Academic Library Associate (for those anticipating a career in Academic Libraries/Archives)

Non-service Fellowships
Kathleen McNiece Moore Fellowship in Children's Library Services
Fellowship for Library Work with Children and Young Adults
Carnegie Tuition Fellowships (requires five hours/week unpaid service in library, in-state applicants only)
Evelyn J. Bishop Tuition Fellowships (in-state applicants only)
Lester Asheim Fellowship (PhD applicants only)
Other fellowships
Requesting consideration has no effect on admission. Awards are made on a merit basis, after admission to a program.

PLEASE CAREFULLY PROOFREAD YOUR APPLICATION BEFORE YOU SUBMIT IT.
The University of North Carolina at Chapel Hill is committed to the principle of equal opportunity. It is the policy of this University not to discriminate on the basis of race, sex, color, national origin, religion, or handicap with regard to its students, employees, or applicants for admission or employment. Such discrimination is also prohibited by federal law. Any complaints alleging failure of this institution to follow this policy should be brought to the attention of Ms. Susan H. Ehringhaus, Assistant to the Chancellor, at (919) 962-1219.