The American Numismatic Society 96 Fulton Street New York, NY 10038 tel: (212)571-4470  fax: (212)571-4479

                                                               Graduate Seminar Application (Due 2/13/09)

Note: students invited to the attend the Seminar are subject to an intensive criminal background check as a safeguard to the collections.

Name _________________________________________________________________________

Email _________________________________________________

Present address __________________________________________________________________

Tel. __________________________________ Fax.  ____________________________________

Permanent address (if different) _______________________________________________________

Tel. ___________________________________ Fax._____________________________________

Current academic affiliation ___________________________________________________________

Department ______________________________________________________________________

Status (Ph.D. candidate, instructor, etc.) _________________________________________________

Area of specialization ________________________________________________________________

Employment aside from study (graduate assistant, research fellow, reader, museum assistant) ___________

_________________________________________________________________________________

Previous study: list all graduate and undergraduate institutions attended, most recent first. Use a separate sheet if necessary.

Institution _________________________________________________________________________

Department ___________________ Inclusive dates ______________________________________

Degree(s) received _____________ Area of specialization _________________________________



Thesis, if any _______________________________________________________________________


A transcript of your graduate record is requested but, since transcripts are frequently uninformative with regard to course content, please list all graduate courses taken (most recent first) and grades received:


















Grants, scholarships, and awards received:




Publications:



What languages do you read? (indicate fluency):



Foreign travel:


Numismatic background, if any:







What is the bearing of numismatics on your field of concentration?















What role will numismatics play in your future career?






Additional comments:Have you applied before?____ If so, when? _____________________________

If you applied for one of the last two Graduate Seminars and three evaluations were submitted at that time, you need only supply two references.

Give the names of the three individuals—preferably instructors under whom you have done graduate work—to whom you have given evaluation forms.



Name and title ________________________________________________________________________

Department __________________________________________________________________________

Address _____________________________________________________________________________

____________________________________________________________________________________




Name and title ________________________________________________________________________

Department __________________________________________________________________________

Address ____________________________________________________________________________

___________________________________________________________________________________




Name and title _____________________________________________________________________

Department________________________________________________________________________

Address __________________________________________________________________________

_________________________________________________________________________________







Additional references are welcome but not necessary: they need not be submitted on the forms provided.

It is advisable to remind your referees that evaluations must reach New York before February 15. Applications or evaluations received after that date will not be considered.
Please do not staple forms together. Use paper clips.





Signature _____________________________________________ Date ______________________