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Give to Messiah

Department of Sociology

Application for Higher Education Graduate Studies

Personal Data

Are you a Messiah College alum? *

Yes

No

Gender:*

Male

Female

Title:

First Name:*

Middle Name:

Last Name:*

Maiden Name:

Preferred First Name:

Other Name(s) under which your records may have been filed:

Address:*

City:*

State:*

Zip*:

Country:

Non-PA Residents are encouraged to review the following information regarding state authorization.

Home Phone:*

Mobile Phone:

Work Phone:

Preferred Contact Number:

Home

Mobile

Work

Email Address:*

Birth Date:*

Social Security Number:*

-

-

Marital Status:

Church Affiliation:

US Citizen: *

(If you are not a US Citizen, please review our International Student Admissions Policies)

Ethnicity:*

(If you are a U.S. citizen, please self-identify by selecting the categories that most accurately reflect your racial and / or ethnic group)

Are you Hispanic or Latino / Latina, or Chicano / Chicana?
Yes No

Please identify your race/ethnic background (select one or more races):*

	Black or African American
	American Indian or Alaska Native	Tribal Affiliation:
	Asian
	Native Hawaiian or Pacific Islander
	White, Non-Hispanic

Have you been convicted of a felony or misdemeanor?*

Yes

No

How did you hear about the Messiah College graduate program?
(Please select all that apply by holding the "Ctrl" button and click on the items)

Program Information:

At this time, I am applying for admission to the following:

Degree

Non-Degree

	College Athletics Management		Individualized pattern of study
	Student Affairs		Undecided

I plan to complete the program in:

	2 years		Undecided
	3 years

Additional Information:
Anticipated Entrance:				Year:

Personal Statement of Purpose

Your 300-500 word statement should describe your preparations for graduate work, your reasons for applying for this particular graduate program at Messiah College and how this graduate program will help you meet your professional and educational goals. Send this to Gradprograms@messiah.edu

Graduate Program in Higher Education Program Essay Question
In a brief essay of approximately 500 words, envision and briefly describe one way that higher education should improve for the future. Describe the characteristics required of higher education leaders to effectively bring about the change you propose. Identify one or more significant experiences and/or personal qualities that have influenced your own ability to be an effective educational leader.

Academic Information

List all colleges / universities attended, regardless of the number of credits earned.
List the schools chronologically with the most recently attended school first.

College / University attended :

City:

State:

Dates attended:

from:

to:

Degree received or number of credits earned:

GPA:

College / University attended :

City:

State:

Dates attended:

from:

to:

Degree received or number of credits earned:

GPA:

College / University attended :

City:

State:

Dates attended:

from:

to:

Degree received or number of credits earned:

GPA:

College / University attended :

City:

State:

Dates attended:

from:

to:

Degree received or number of credits earned:

GPA:

College / University attended :

City:

State:

Dates attended:

from:

to:

Degree received or number of credits earned:

GPA:

Statement and Signature
In making application to Messiah College, I certify the following: Although Messiah College does not require a personal profession of faith for graduate program admittance, I am aware that courses are taught by faculty who affirm the Christian faith. I am willing to participate in meaningful and constructive dialog with instructors and classmates on matters of faith, and to respect the rights and opinions of others who may hold differing views. I have read and am familiar with the Standards of Conduct and Student Expectations found in the Graduate Student Handbook and I willfully agree to abide by these guidelines. I certify that the information provided in this application and any supporting documentation is complete and accurate to the best of my knowledge. I understand that withholding or giving false information will make me ineligible for admission or result in my dismissal from Messiah College. I understand that having a criminal history may prohibit me from obtaining a license or certification (specific to my course of study) and/or restrict me from participating in some practicum and internship placements. I understand that in order to succeed in this program, I must possess basic computer skills and have regular access to a computer with the minimum system requirements. I understand that due to state regulations, Messiah College is not authorized to admit students who will be residing in the following states while taking online courses: Alabama, Arkansas, Iowa, Minnesota, and Wisconsin. I recognize that the application fee is non-refundable and any submitted records are not returnable.
Name:*
	I have read the foregoing statement and acknowledge that checking this box electronically serves the same purpose as affixing my original signature to this document.
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Application Fee
There is a $30 application fee
	Total Due	$30.00