Fillable 1415648862 Application For Admission - us_gradapp

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1415648862 Application For Admission - us_gradapp

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Tennessee Technological University
Graduate Application for Admission
Box 5012 • Cookeville, TN 38505-0001 • Phone: (931) 372-3866 • Fax: (931) 372-3497
Email: gradstudies@tntech.edu • URL: http://www.tntech.edu/graduatestudies
I understand that withholding information requested in this application or giving false information may make me ineligible for admission to, or continuation at, Tennessee
Technological University. With this in mind, I certify that the information stated on this application is correct and complete. Further, if I am admitted to Tennessee
Technological University, I agree to abide by the rules and regulations of the University. My permission is given to the University to obtain additional information pertinent to
my social and academic records at other schools and to share this information with appropriate University personnel.
Date ______________________ Signature______________________________________________________________
TO APPLY FOR ADMISSION, THE FOLLOWING ITEMS SHOULD BE SUBMITTED TO THE GRADUATE SCHOOL:
_________ Application form
_________ $35 ($40 for international students) nonrefundable application fee must accompany application
_________ College transcripts (official transcripts from all previous institutions)
_________ Three letters of recommendation
_________ Test scores: Graduate Management Admission Test – required for Master of Business Administration
Graduate Record Examination – required for the Colleges of Engineering and Arts and Sciences
Miller Analogies Test or Graduate Record Examination – required for the College of Education
TOEFL, IELTS, PTE-Academic or FLS International Language Center– re
quired for all international students
PREVIOUS TTU ATTENDANCE
Have you ever attended TTU? _____ Yes _____No If yes, last term____________________________ Year_________________
Last attended as _____ Undergraduate _____ Graduate Name under which attended_______________________________________________
PROFESSIONAL EXPERIENCE (begin with last employer)
Dates Employer’s Name City and State
1. ____________________________________________________________________________________________________________________________________________
2. ____________________________________________________________________________________________________________________________________________
MAJOR AREAS OF STUDY LEADING TO GRADUATE DEGREES
College of Arts and Sciences
College of Education
Major Degree
Major Concentration
Biology M.S. Curriculum & Instruction Curriculum
Chemistry M.S. (M.A. and Ed.S.) Early Childhood Education
Computer Science M.S. Elementary Education
English M.A. Library Science
Mathematics M.S. Reading
Envir
onmental Sciences Ph.D. Secondary Education
Special Education
College of Engineering

Major Degree
E
ducational Psychology & Agency Counselor
Chemical Engineering M.S. Counselor Education Case Management and Supervision (M.A. only)
Civil Engineering M.S. (M.A. and Ed.S.) Educational Psychology
Electrical Engineering M.S. Mental Health Counseling (M.A. only)
Mechanical Engineering M.S. School Counselor
Doctoral Study in Engineering Ph.D. School Psychology
Exercise Science, Physical Education and Wellness Onlne Program
College of Business Administration (M.A. only)
Adapted Physical Education
Major Degree
Elem/Middle School Physical Educ
Business Administration M.B.A. Lifetime Wellness
Distance MBA
M.B.A. Instructional Leadership
(M.A. and Ed.S.)
Concentrations
General Management Accounting
Exceptional Learning (1) Applied Behavior Analysis, (2) Literacy,
Finance Management Information System
(Ph.D.) (3) Program Planning and Evaluation,
International Business
Risk Management & Insurance
(4) STEM Education
Human Resource Management
Regent’s Online Degree Program (RODP)
Major Degree
Master of Science in Nursing M.S.N.
Nondegree
Advanced Studies in Teaching and Learning M.Ed.
For applicants who are not interested in pursuing a degree objective. Master of Professional Studies M.P.S.
Educational Technology
Music (MA only)
STEM
Professional Science Master's
Environmental Informatics Manufacturing Sustainability
FOR OFFICE USE ONLY Receipt No. ________________________
Date app. fee paid ______________________
Amount Paid_________________
_______________________________________________________________________________________________________________________________
Personal Information Please print or type. Place and “X” in appropriate boxes.
Application must be completely filled out. Unanswered items may delay processing.
Student ID "T" Number: _____________________________ Email_________________________________________________________
Full Name: ____________________________________________________________________________________________________________________
Last First Middle Jr., III, etc.
Present Address: ________________________________________________________________________________________________________________
Street City State Zip Code
Telephone Numbers: Home (_________)_____________________________ Length of Residence at Present Address ___________ / ____________
Work (_________)_____________________________
Months Years
Previous Address: _______________________________________________________________________________________________________________
Street City State Zip Code
Name and address of ____ spouse ____ parents ____ next of kin (to notify in case of emergency):
____ Mr. ____Ms. ____________________________________________________________________________________________________
Last First Middle
______________________________________________________________________________________________________________________________
Number and Street P.O. Box Apt. No
___________________________________________________________________________ Telephone Number: (_______)_____________________
City State Zip Code (9 digit)
Sex: ____ Female ____ Male Do you consider yourself Hispanic or Latino? ___ Yes ___ No Country of Birth____________________________
Date of Birth: ____ / ____ / ____ Ethnic Origin: ____ Alaskan Native ___ American Indian ___ White ____ Asian
Month Day Year
____ Black or African American ____ Native Hawaiian or Pacific Islander ___ Unknown
Citizenship: ___ U.S. Citizen ___ Permanent Resident ___ Foreign Citizen: ______________________________________________________________
Country of Citizenship
Are you registered for the Selective Service? ___ Yes ___ No For International Applicants: Native Language:_________________________________
Alien Registration Number: _________________________________ Type of Non-Immigrant Visa Requested: ____________________________________
Enrollment Information
Degree Objective ___ Master of Arts ___ Master of Business Administration ___ Master of Education ___ Master of Science ___ Nondegree
Master of Science in Nursing ___ Master of Professional Studies ___ Specialist in Education ___ Doctor of Philosophy
Major of Proposed Graduate Study _______________________________________ Concentration ______________________________________________
If pursuing a Doctor of Philosophy Degree, please indicate specific area: ___________________________________________________________
If pursuing the Nondegree option, please state reason and course(s) you plan to take: _________________________________________________
_____________________________________________________________________________________________________________________
Term and year of intended enrollment: ____ Fall _____ ____ Spring _____ ____ Summer _____
Year Year Year
Educational Information
Last College/University Attended:_________________________________________________ Term Attended:____________________________________
Previous Degrees: List College/University which conferred degree(s)
Bachelor’s Degree: ______________________________________________________________________________________________________________
Address: ____________________________________________________ Degree Received: ___________________ Date Received: _________ / ________
Month Year
Master’s Degree: ________________________________________________________________________________________________________________
Address: ____________________________________________________ Degree Received: ___________________ Date Received: _________ / _____
Month Year
Other institutions attended:
______________________________________________________________________________________________________________________________
Name Address Dates attended Degree received
Do you hold teacher certification: ___ yes ___ no Undergraduate Major:___________________________ Graduate Major:___________________
List the scores and dates of any entrance examinations taken (GMAT, GRE, MAT, TOEFL): ___________________________________________________
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Completed 28 February 2020

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