Graduate School of Arts and Sciences

Georgetown University

Graduate Admissions, Box 571004

3520 Prospect Street, NW Room CB-207

Attn: GHD Application (MGHD)

Washington, DC 20057-1004

Global Human Development Supplementary Data Sheet

To the Applicant: Please fill out this required form and limit each response to the space provided. Click on the highlighted areas to enter your responses to the questions and double click on the check box to enter a check mark.

Name: ______

Applicant’s Last/Family Name Applicant’s First/Given Name Middle

______

Date of Birth (mm/dd/yyyy)

REQUIREMENTS FOR ENROLLMENT AND GRADUATION

1. a) Please note the status of your economics and statistics courses below. One course in Microeconomics, one course in Macroeconomics, and one course in Statistics, earning a B or better in all, are required prior to August enrollment.

Principles of Microeconomics Principles of Macroeconomics Statistics

Completed Completed Completed

In-Progress In-Progress In-Progress

Need to Enroll Need to Enroll Need to Enroll

b) Please list economics and statistics university coursework counted for the prerequisites (list full course title, grade, term taken, and number of credits).

Check box if applicable: Economics major Economics minor

Micro:

______

Macro:

______

Statistics:

______

c) Discuss your plans to fulfill any outstanding economics and statistics requirements: (limit 300 characters)

______

2. In order to graduate from MGHD, each candidate must successfully complete a foreign language proficiency examination consisting of reading and speaking about current affairs. Proficiency exams are administered by Georgetown’s language departments. For the purposes of this graduation requirement, proficiency is defined as the ability to use the foreign language in a clear conversational manner and with sufficient fluency and accuracy to be able to read about and discuss political, economic and international issues. Non-native speakers of English, may choose to use English as the proficiency language, or another language that is not their native tongue.

a) Language likely to be evaluated for MGHD Proficiency Exam:

______

b) Level of fluency/length of study:

Beginner/1st Year Major/4+ Years

Intermediate/2nd Year Proficient

Advanced/3rd – 4th Year Fluent

c) Additional comments on level of fluency/length of study:

______

ACADEMIC INFORMATION

1. What areas might you chose for an elective specialization. Choose no more than two. For more information on specializations, please visit here.

Education and Human Capital

Environment and Climate

Food, Agriculture, and Rural Livelihoods

Global Health

Global Social Enterprise and Social Innovation

African Studies Certificate

Arab Studies Certificate

Asian Studies Certificate

Certificate in Diplomatic Studies

Eurasian, Russian and East European Studies Certificate

International Business Diplomacy Honors Certificate

Refugees and Emergencies Certificate

Self-Design

2. Cumulative GPA: ______

3. Standardized Test Scores:

GRE: (raw score/percentile) OR GMAT (raw score/percentile) ______/______%

Verbal: ______/______%

Quantitative: ______/______%

Analytical Writing: ______/______%

TOEFL: OR IELTS______

Paper:______

Computer:______

Internet: ______

4. Affiliations (for internal tracking purposes only):

Pickering Fellow Fulbright Scholar

AmeriCorps Volunteer Jet Program Participant

Phi Beta Kappa Peace Corps Volunteer

Public Policy & International Affairs Fellow (PPIA) Project 1000

Institute for International Public Policy Fellow (IIPP) Truman Scholar

GENERAL INFORMATION

1. How did you find out about the MGHD program? Please check all that apply.

Online Research

Social Media

Google Ads

Online/Print Ad

Grad/Career Fair

Colleague

Academic Advisor/Professor

SFS Alum

Other

2. List other universities/programs you are applying to:

______

3. If you or any relatives have attended/attend or have worked/work at Georgetown University, please list below:

______Name Relationship School/Department

4. We strongly encourage in-person visits whenever possible. Have you visited Georgetown and met with any GHD staff or faculty? (limit 300 characters)

5. Have you ever had to withdraw or repeat a term at any educational institution? If so, please attach a brief explanation.

yes no

6. Have you ever been dismissed from any school, college, or university? If so, please attach a brief explanation.

yes no

By typing in my name, I hereby certify that the information provided by me is my own work and is true, complete and accurate to the best of my knowledge. I understand and agree that any deliberate misrepresentation may be cause for denial or revocation of admission or subsequent dismissal from Georgetown University. I understand that all admissions materials (originals and photocopies) submitted in support of this application become part of my Georgetown University record and are not returnable.

Signature: ______Date: ______