Apply to the HSTM Minor

Use this form to apply for the minor in History of Science, Technology, and Medicine.

If you would like to apply for the minor in History, please use this other form.

Name

First

Middle

Last

Class Year

PUID

Major

Explain your goals for your program of study in the HSTM minor:

Progress toward completion of requirements: Coursework

Have you taken HIS 390? If you have not, please tell us the semester in which you plan to take the course OR write 'To be determinded'.

Please provide course numbers and semester taken for any of the following courses you have *completed* to date: two (2) courses in the history of science, technology, or medicine; one (1) course in history; one (1) additional course.

Please provide course numbers and semester for any of the following courses in which you are *currently enrolled*: two (2) courses in the history of science, technology, or medicine; one (1) course in history; one (1) additional course.

For any/all of the required coursework you have not yet taken and in which you are not currently enrolled: If known, please list the course number(s) and the semester(s) in which you plan to fulfill those requirements. If you're not sure, please put TBD.

Progress toward completion of requirements: Independent Research Requirement

As of this time, have you completed your Independent Research Requirement and received approval from the Undergraduate Program Director for History of Science?

Progress toward completion of requirements: Independent Research Requirement

Please describe your plan to complete your Independent Reseach Requirement:

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