NAME__________________________________________________

 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 declare a Minor in Archival Studies and Community Documentation and would like to come in to meet with Abby Tallmer, Acting Coordinator of the Minor program, in order to complete an official "Declaration of Minor" form. Please contact me at ___my email address as entered above, or ___ by telephone at the following number:____________.

 ___I would like academic counseling for the minor in Archival Studies and Community Documentation. Please contact me at ___my email address as entered above, or ___ by telephone at the following number:____________.

 ___I would like counseling about careers related to community history and documentation. Please contact me at ___my email address as entered above, or ___ by telephone at the following number:____________.
 

Please send this completed form to:

Professor Anthony M. Cucchiara
Brooklyn College Archives and Special Collections
Brooklyn College Library
2900 Bedford Ave
Brooklyn, NY 11210.