grad school application 2012

8/13/2019 Grad School Application 2012

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Graduate School 800 South Tucker Drive • Tulsa, OK 74104-9700 • 918-631-2336 • 1-800-882-4723 toll free

NOTE: The applicant is responsible for supplying OFFICIAL transcripts of all academic work (in Certified English) to theGraduate School Office. A nonrefundable application processing fee of $40 should accompany each application. All requiredapplication materials, i.e., test scores, official transcripts, and three letters of recommendation, must be submitted.

Name - Last First Middle Social Security Number

Preferred First Name Previous Name(s)

Current Address - Street

City State Zip + 4 Country

Home Phone( )

Cell Phone( )

Email Address Sex: ■ Male ■ Female

Ethnicity (optional) ■ White, non-Hispanic ■ African American ■ Native American, Alaska Native ■ Hispanic ■ Asian American ■ International

This information is voluntary and will be used in a nondiscriminatory manner, consistent with applicable civil rights laws.

Country of citizenshipVisa type: ■ F1 ■ J1 ■ Other

Are you a Permanent Resident Alien (PRA)?■ Yes ■ No If yes, list your PRA number:

Date of Birth Place of Birth (if other than U.S.) city, state or province, country

FOR OFFICIAL USE ONLY DO NOT WRITE IN THIS SPACE

GMAT Score GRE Scores TOEFL Scores GPA

ACTION Admit Status: Academic Level: STATUS ■ Official ■ Provisional ■ Probational ■ Masters ■ Doctoral ■ Defer ■ Deny

Remarks:

Graduate Advisor Date Chairperson Date Graduate School Date

GRADUATE SCHOOL APPLICATION

Term Enrolled

Application Fee Paid



Do you plan to live in university housing? ■ Yes If yes, please indicate your preference: I plan to live:■ Campus Apartment ■ University-Owned House ■ Residence Hall ■ Off Campus

Do you plan to apply for financial aid? (optional) ■ Yes ■ No Do you want to be considered for a teaching/research assistantship?■ Yes ■ No

List any academic honors you have received:

If yes, please mail a current resume or CV with your other application materials to the Graduate Scho

College/University Attended

College/University Attended City State Country

Major Degree Earned Degree Date (Mo./Yr.) Dates Attended











Have you ever been placed on academic or disciplinary probation?■ Yes ■ No If yes, please explain and specify which term(s) and college(s):

Have you ever been suspended or dismissed from any colleges attended?■ Yes ■ No If yes, please explain and specify which term(s) and college(s):

Have you ever been convicted of a felony? ■ Yes ■ No If yes, please explain:

Are you currently incarcerated? ■ Yes ■ No If yes, please explain:

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d e r g r a d u a t e

G r a d u a t e



Emergency Contact The following information is about your: ■ Parent ■ Guardian ■ Other

Name - Last First Middle

Address - Street City State Zip + 4 Country

Phone ( ) Email Address

Employer InformationEmployer (Company Name)

Name - Last First Middle


Phone ( )

Your Occupation

Permanent AddressIf there is an address other than your current address where we might reach you, please complete:

After what date should we use this address: / /


Phone ( ) Email Address

Educational PlanDo you plan to be: ■ Degree seeking ■ Non-degree seeking ■ Part time ■ Full time Planned term of entrance to the university: Year

■ Fall ■ Spring ■ Summer

Anticipated degree: ■ M.A. ■ M.B.A./J.D. ■ M.S. ■ M.S. Math/Science Education ■ M.B.A. ■ M. Accountancy ■ M. Teaching Arts ■ Ph.D. ■ M. Energy Business ■ M.A./J.D. ■ M. Engineering (non-thesis) ■ Combined Bachelors/Masters ■ M.S. Finance ■ M.S./J.D. ■ M.S. Engineering (thesis) ■ Special Student Status ■ M.S. Finance/Applied Math ■ M.S. Finance/J.D. ■ Master of Fine Arts

Anticipated Major Anticipated Degree Date (Month/Year)

How did you hear about this program?

Have you previously been enrolled in a TU graduate program?■ Yes ■ No



Please outline in general terms your reasons, goals, and other considerations relevant to undertaking graduate studies. This will greatly aid the selection committee inevaluating your application. Use another sheet if necessary. (Please type or write legibly.)

I certify that all of the foregoing information is complete and correct. I agree to abide by university rules, policies, and regulations now or hereafter existing. I recognizeright of the university to change its curricula, policies, rules, and regulations from time to time.

Signature of Applicant Date of Application

The University of Tulsa does not discriminate on the basis of personal status or group characteristics including but not limited to the classes protected under federal and state law in its programservices, aids, or benefits. Inquiries regarding implementation of this policy may be addressed to the Office of Human Resources, 800 South Tucker Drive, Tulsa, Oklahoma 74104-9700, 918-2616. Requests for accommodation of disabilities may be addressed to the University’s 504 Coordinator, Dr. Jane Corso, 918-631-2315. To ensure availability of an interpreter, five to seven dnotice is needed; 48 hours is recommended for all other accommodations. TU#12312

grad school application 2012

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