Graduate Application

Applica tio n for Admi ssio n School of Gradua te Studie s and R esearch ■ Indiana U niversity of Pennsylvani a Stright Hall, Room 101, 210 South Tenth Street, Indiana, Pennsylvania 15705-1048 ■ Phone: 724-357-2222 ■ Fax: 724-357-4862 ■ E-mail: [email protected] ■ Website: www.iup.edu/graduate

□ Mr. □ Ms. Last Name/Family Name

First

Former Name

Middle_________

Social Security No.

Permanent Address: Street City

_________

_______________________

Home Phone Number______________________________ State/Province

Zip Postal Code

County (if in PA)

Country _______________________

E-Mail Address_____________________________________

Mailing Address: Street City

State

Zip Code

Country__

_______________

Work Phone Number___________________________________________Cell Phone Number____________________________________________ Country of Citizenship; if not U.S_____________________________________

□ U.S. Citizen

□ Permanent Resident (copy of Resident Alien Card must accompany application) □ Other (specify VISA type) ___________

Pennsylvania Resident # Yes # No If yes, how long (yrs) __________ If no, State or Country where you reside___________________________ Have you previously applied for graduate admission to IUP? Were you ever convicted of a felony?

□ Yes □ No

□ Yes □ No

If yes, when? ____________________________________________

(If yes, additional information will be sent to you).

This information is voluntary. It is intended for statistical purposes only and will not be used as a factor in determining your admission to the university. □ American Indian/Alaskan Native □ Black or African-American Non-Hispanic □ White Non-Hispanic

□

Asian/Pacific Islander

Gender □ Male

□

Female

□

□

Hispanic or Latino

Other___________________________

Birth Date: ________/_________/_________

Employment History: Employer

Position

Inclusive Dates___________________________________

Foreign Languages Read/Spoken, Computer Language Proficiency (Specify Level):____________________________________________________ Fellowships, Scholarships, Academic Honors Received – List and Give Dates: ________________________________________________________ _______________________________________________________________________________________________________________________ List in chronological order all colleges/universities attended. An official transcript of each is required. College/University Country/State From Mo./Yr To Mo./Yr Major

Degree and Date

Program of Interest: List code (Please refer to the program code, applications deadlines, information located on the back of this application): #Program Name: ______________________________________________________ Location: □ Indiana □ Harrisburg □ Monroeville □ Northpointe (Check the Program Codes for Location) Other_____________________________________ Intended Enrollment – Term: □ Spring □ Summer

□ Fall

Year 20____

□ Full-time □ Part-time

I understand that any misrepresentation of facts on this application will be cause for refusal or cancellation of my admission to the School of Graduate Studies and Research at Indiana University of Pennsylvania. Applicant’s Signature

Date___________________________________________

Program Codes, Application Deadlines, Information School of Graduate Studies and Research " Indiana University of Pennsylvania Program Names: Administration/Leadership Studies Part-time program – domestic students only Administration/Leadership Studies Human Service Deadline: Feb 15 Fall start cohorts: Indiana (even years) & Harrisburg (odd years) Requires GREs, resume, writing sample and three letters of recommendation Adult & Community Education - Monroeville also Adult Education Communications Technology

Codes: ALS-ED-DED ALS-HS-PHD

ACE-MA ACE-CMNT

Art, MA Art, Master of Fine Arts Fall Start Deadlines: Early Fall – Feb 15; Final – Jun 1 Requires three letters of recommendation and slides Biology

ART-MA ART-MFA

Business/Workforce Development, Undecided Business/Workforce Development, Administration Business/Workforce Development, Business Business/Workforce Development, Workforce Business - MBA - Requires 450 GMAT Business - Executive MBA Off Campus Sites only GMAT required Chemistry, MA Chemistry, MS Clinical Psychology Deadline: December 15 Requires three letters of recommendation and GREs including subject scores Community Counseling - Monroeville also Counseling Licensure - Monroeville also Counselor Education (School Counseling, Elementary or Secondary) – Monroeville –secondary only Counseling Certification (School Counseling) Deadlines: Indiana Early April Monroeville Early April and Early June Criminology - Monroeville also Criminology, PHD Requires GREs, writing sample and three letters of recommendation Curriculum and Instruction (Professional Studies) – Indiana (even years) Monroeville (odd years)

BUWD-UNDC BUWD-ADMIN BUWD-BUSN BUWD-WRKF MBA EMBA

*Fall Cohort – Deadline: Mar 15 Educational Psychology, MED Post-Master’s Certification School/Educational Psychology, DED Deadlines: February 1 Requires GREs Supervisor of Pupil Services Certification Elementary Education, MED – Monroeville only * Option 1: Initial Certification Option 2: Second Certification English - Teaching (MATE) English - TESOL, MA English - Composition & TESOL, PhD Summer or Fall Start Only English - Generalist, MA English - Literature, MA English - Literature & Criticism, PhD Food & Nutrition Geography – MA Geography - MS - Cartography Geography - MS - Regional Planning Geography - Environmental Planning All Geography programs require GREs Health & Physical Education – MED Health Services Administration Part-time domestic only History - Requires GREs

BIOL-MS

CHEM-MA CHEM-MS CNPC-PSYD

CNSS-CMCN CNSS-LICENSE COUN-MED COUN-NDCRTN

CRIM-HH-MA CRIM-HH-PHD CURR-DED

EDPC-MED SPSY-CERT SPSY-DED-III SPSY-NDCRTN ELED-MED ENGL-MATE ENGL-TESOL ENGL-CTSL-D ENGL-GNLS-MA ENGL-LITR-MA ENGL-LTCR-D FDNT-MS GEOG-MA GEOG-CART GEOG-RGPL GEOG-ENVP HPED-MED HSAD-MS HIST-MA

Program Names: Industrial & Labor Relations

* Monroeville and Northpointe Information Technology – MS GRE combined 900 or GMAT > 450 Level II Certification - Requires Level I certificate, Application Fee Literacy, MED Literacy Certification Master of Education, Professional Studies (K-12)

Codes: ILR-MA BUIT-TSTM BUIT-MISM LEVEL-2-CERT LTCY-MED LTCY-NDCRTN MEDU-MED

*Monroeville (even yrs) and Northpointe (odd yrs) only Math Education – Elementary and Middle School Math Education – Secondary Math Applied, MS Music – Performance Music – Education Music - Theory/Composition Music - History/Literature Nursing – Education Track also Monroeville Nursing – Administration track

*Monroeville (Fall start) and Northpointe Nursing , Ph.D. Requires GREs, résumé, and writing sample One Course Only, Nondegree (one 3-credit course) Physics, MA Physics, MS Principal Certification Deadlines: Spring – Nov 11 previous year; Summer – Apr 1; Fall – Jul 1 Professional Growth, MA Professional Growth, MED Professional Growth, MS Public Affairs (Political Science), MA Requires GREs Safety Sciences – Management track Safety Sciences – Technical track Require résumé for both tracks Available online –Summer start only Safety Sciences - Certificate of Recognition (online) Science for Disaster Response, MA Requires a résumé and military certificates Sociology - Requires GREs Special Education & Clinical Services Special Education Certification Deadlines for Special Education Programs: Spring – Jul 15 previous year Summer and Fall – Mar 1 Special Status-Nondegree Recommendation letters are not required. Speech-Language Pathology Deadline: Mar 1 Sport Science – Undecided Sport Science – Aquatic Sport Science – Exercise Science Sport Science – Sports Management Sport Science – Sports Studies Student Affairs in Higher Education Deadline: Feb 1

ELMA-MED MAED-MED MATH-MS MUSC-PERF-MA MUSC-EDUC-MA MUSC-TCMP-MA MUSC-HIST-MA NURS-NUED NURS-ADMIN URS-PHD GSR-OCO PHYS-MA PHYS-MS PRIN-CERT-ED PRGW-MA PRGW-MED PRGW-MS PUAF-MA SAFE-SAMG SAFE-SATC SAFE-GCOR SDR SOC-MA EDEX-MED EDEX-NDCRTN

GSR-SPST SPLP-MS SPSC-UNDC SPSC-AQMG SPSC-EXSC SPSC-SPMG SPSC-SPST SAHE-MA

* Please contact the School of Graduate Studies and Research at 724-357-2222 for specific cohort start dates and terms. Information is current at time of printing; for up to date information visit www.iup.edu/graduate.