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Application

First Name	Last Name

Street Address

Street Address (con't)

City	State	Zip

Email Address

Phone (including area code)	Gender	Date of Birth
	M F
Secondary School Name

Location		Year Graduated

College Name

Location		Year Graduated

Dates Attended		Major

Have you ever attended Brown before?		Yes No
If yes, what year?
Semester you desire to start:
Fall Term (Sept) Spring Term (Jan) Summer Term (June)
In what specific courses (or areas of study) will you enroll if admitted?
Fall Term



Spring Term



Summer Term


If accepted, do you plan to enroll for credit or audit
	Credit Audit

A complete application must also include:

1) official transcript(s) from all institutions from which you hold college/university degrees
2) letter of recommendation
3) statement of interest
4) application fee of $75

Applicants will be notified of the status of their application in writing once the Admissions Committee has reviewed their materials.

Admission as a Special Student is not in any way linked to admission to Brown for degree purposes. Any student wishing to apply to Brown for admission as a graduate student should request application materials from the Brown Graduate School, Box 1867, Providence, RI 02912, (401) 863-2600.

Brown University/Office of Summer & Continuing Studies 42 Charlesfield St., Providence, RI Summer@Brown.edu