NAME__________________________________________________

STUDENT ID____________________________________________

 ADDRESS_______________________________________________

 CITY________________________STATE_____________________

 ZIP____________

 TELEPHONE (home)___________________(work)_____________

 EMAIL_________________________________________________
 
 

 MAJOR_________________________________________________

 NUMBER OF CREDITS EARNED TO DATE__________________
 
 

If you are currently taking or have completed any courses that are included in the minor in Archival Studies and Community Documentation, please list them below:

______________________________________________________

 _____________________________________________________
 
 

 ___I wish to delcare a Minor in Archival Studies and Communtiy Documentation.

 ___I would like academic counseling for the minor in Archival Studies and Community Documentation.

 ___I would like counseling about careers related to community history and documentation.
 

Please send the completed form to:

Professor Anthony Cucchiara
Acting Coordinator, Archival Studies and Community Documentation
Department of History and Brooklyn College Library
Brooklyn College
2900 Beford Ave
Brooklyn , New York 11210-2889.