FIVE COLLEGE INTERNATIONAL RELATIONS CERTIFICATE PROGRAM
STUDENT RECORD SHEET
(Print out a Hard Copy of this Form to Fill Out)

Name:_______________________________________Student ID No.:_______________

School: _________________Class:___________ Major:_________________________

Permanent Address:________________________________________________________

__________________________________________________________________________

Campus/Local Address:_____________________________________________________

__________________________________________________________________________

Local Telephone:__________________E-Mail Address:_________________________

 

Requirement Category

Course(s)

Semester/Year

Grade

1. Introductory World Politics

 

 

 

2. Global Institutions and Problems

 

 

 

3. Int. Financial or Commercial System

 

 

 

4. Modern IR History

 

 

 

5. American Foreign Policy

 

 

 

6. Foreign Languages *

 

 

 

7. Foreign Area Studies (two courses)

 

 

 

* If requirement fulfilled with other than a course, please specify:

Date Requirements Completed:________ Advisor's Signature______________________________________

The grades on this sheet must be verified by the home institution's Registrar, and then sent to: Vincent Ferraro, International Relations Program, 103 Skinner Hall, Mount Holyoke College, South Hadley, MA 01075