APPLICATION FOR GRADUATE ADMISSION

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Part I: PERSONAL INFORMATION

Name

Salutation:

Given/First name:

Please enter your first name

Middle name:

Surname/Family/Last name:

Please enter your last name

Maiden/other:

Permanent Address

Street or P.O. Box:

Please enter your permanent street

Address 2:

City:

Please enter a city

State:

Please choose a state

Postal or Zip Code:

Please enter a valid zip code

Country:

Please select a country.

Mailing Address

Same as permanent address:

Street or P.O. Box:

Please enter your mailing street

Address 2:

City:

Please enter your mailing city

State:

Please choose your mailing state

Postal or Zip Code:

Please enter a valid zip code

E-mail/Phone

Preferred e-mail:

Please enter your email address

(Please include area codes)

Home phone:

Please enter a valid phone number

Work phone:

Cellular phone:

Date of Birth(mm/dd/yy)

Please enter your date of birth

Gender

Male Female

Please state your gender

Immigration Status

U.S. Citizen

International (ALL non-U.S. Citizens)

Please enter citizenship status

If you are an International Applicant check one of the following:

     Permanent Resident
     Non-Immigrant Student (F-1)
     Non-Immigrant Other (please state)
     Asylee
      Country of Birth:
      Country of Citizenship:

Ethnicity (optional), check all that apply: (U.S. applicants only)

Asian
Black/African American
Caucasian
Hispanic, Latino, or Spanish origin
Native American, American Indian or Alaska native
Native Hawaiian or Other Pacific Islander

Term and year applying for

(Note: International F-1 students may only start in fall or spring semesters)

Please select a term

Fall 20	May Interim 2 (eight weeks) 20
Spring 20	Summer 1 (June) 20
January Interim 20	Summer 2 (July) 20
May Interim 1 (Three weeks) 20

Part II: How did you find out about Bradley's graduate school?

Please state how you found out about Bradley's graduate school

Friend
Professor
Graduate Catalog
Bradley Web site
Other Web site
Previously Attended Bradley
Print Ad
Radio/TV Ad
Other

Part III: ACADEMIC INFORMATION/PREVIOUS ENROLLMENT

Please indicate if previous attendance at Bradley

Previous attendance at Bradley: Yes No
Name at the time of attendance:
BU ID:

List all post-secondary institutions you have attended. Omission will delay application processing and may be cause for cancellation. Level of study refers to undergraduate (UG) or graduate (GR) level study.

Please enter at least one instituion

Please state the dates of attendance

Please state your level of study

Please state the degrees conferred or expected

Please state the date transcripts were ordered

Name and Location of Institution	Dates of attendance (From /to)	Level of study (UG or GR)	Degrees conferred or expected	Date transcripts ordered (mm/dd/yy)

Indicate the date you took or plan to take any of the standardized exams listed below.

GMAT:

GRE:

MAT:

TOEFL:

IELTS:

Part IV: GRADUATE PROGRAM INFORMATION

Please specify the program for which you are applying (check one):

Please select a program of study.

Doctoral Program: Physical Therapy (1)

Certificate Programs:

Curriculum & Instruction (post-Masters)
Curriculum & Instruction (post-Bach.)
School Counseling
Nurse Administered Anesthesia (1)

Educational Administration (Type 75 Certificate)
Clinical Mental Health Counseling (post-Masters)
Nursing Education (post-Masters)
Management (post-Bach.)

Master's Programs:
(1) Requires an additional application form; * Cohort program. Check the Graduate Catalog or write the Graduate School for specific start dates.

Non-Degree Seeking Student (Graduate Student at Large)

Non-Degree Seeking Student seeking teaching endorsements (Graduate Student at Large-Teaching)

Do you intend to apply to a degree or certificate program in the future? Yes No

If so, which program?

I will be attending (check one): Part-time (less than 9 hours) Full-time (9 hours). International F-1 students are required to be full-time.

Part V: FINANCIAL ASSISTANCE (Available only to degree-seeking applicants. NOTE: The Professional Educators Scholarship is also available to certificate-seeking applicants in education and counseling certificate programs.)

The Graduate School awards Graduate Tuition Scholarships on a competitive basis to qualified applicants at the time of admission. Graduate Tuition Scholarship decisions are based on previous academic performance and the availability of funds. Applicants must complete all the requested information in this section to apply for financial assistance from the Graduate School.

Separate applications are available for Graduate Assistantships and the Caterpillar Masters Fellowships.

Graduate Tuition Scholarship

Employee Development Scholarship (Applicants must be seeking a MBA or MSA degree and be employed full-time at a participating company).

Professional Educators Scholarship (Applicants must be full-time, practicing educators)

Employer Information

Employer:

Employer Address:

Full-time employed Part-time employed

Please identify other scholarships or sources of aid you receive:

Specify the dollar amount or percentage of tuition reimbursement you will receive from your employer or other source.

$ per semester hour

$ annual total

Part VI: ADMISSION ESSAYS

Applicants must provide a short admission essay on each of the following topics:

A) Explain achievements and work experience that you consider relevant to your interest in and capacity for graduate study.

Please enter your essay below.

Please paste your essay.

B) Briefly state your career objectives and how the graduate program you have selected will assist you in attaining these goals * Note: specific programs may require additional essays.

Please enter your essay below.

Please paste your essay.

Part VII: LETTERS OF RECOMMENDATION

The Graduate School requires a minimum of two letters of recommendation. Specific programs may require additional letters. Letters from the following persons will be sent directly to the Graduate School:

Please enter a minimum of two letters of recommendation.

1.

2.

3.

4.

Part VIII:

The Graduate School must receive all supporting documents, including the application fee, before the application will be processed. The application form must be certified by the applicant.

You must agree in order for submission of application.

By checking this box, I certify that the information I have provided on this application and in supporting documents is complete and accurate. Misrepresentations or omissions may result in rescinding of admission or financial aid.

Please sign the application

Please date the application

Name: Date:

Application fee and supporting documents: $40 US citizen and $50 For non-US citizens. The application fee and other supporting documents should be submitted to:
The Graduate School, Bradley University
1501 W. Bradley Ave.
Peoria, IL 61625

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