PERSONAL STATEMENT - Please write a personal statement indicating why you want to attend graduate
school and Fisk University. Share any information that you feel will allow the admission committee members to
gain insight about you and indicate career objectives.
WORK AND PROFESSIONAL EXPERIENCE – Please list work experience since graduation from high school.
Dates
From To Position Company/Location
______________________________________________________________________________
______________________________________________________________________________
TEST INFORMATION
Please indicate which standardized tests you have taken, the dates and scores.
If you have taken the GRE in the
past five years, please have the scores forwarded to the Office of Admissions at Fisk. The GRE general scores are
required.
GRE Scores: Verbal_______ Quantitative________ Analytical________ ____________
Date taken
Subject:___________________ ______________
Date taken
TOEFL: (Required for non-native English speakers) __________ ________ ___________ ____________
Date Score
Written Computer
OTHER: _____________________________________________________________________________________
Name of Test Date taken Score
ACADEMIC HONORS AND ACCOMPLISHMENTS
List below any academic honors, scholarships, memberships in honorary societies and scholarships that you have
received. List also any research papers you have authored or co-authored, and other research experience.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
REFERENCES – Please list the names and addresses of three persons you have asked to provide a
recommendation. At least two should be former instructors in the major field, acquainted with your educational
background and personal character. The letters of reference should be mailed directly to our Office of Admissions.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
FINANCIAL - Will you require financial assistance? Yes No
I certify that the above statements are correct and complete. Deliberately falsifying information may result in
dismissal from the University without a degree.
________________________________________________________________________________
Name (Typed or Printed) Signature Date
Mail or deliver this completed application form to: Office of Admissions, Fisk University, 1000 – 17
th
Ave. N., Nashville, TN
37208. Please enclose a $50.00 check or money order payable to Fisk University for the application fee. To facilitate prompt
review of your application, send a copy of the application form to the Chair of the graduate program to which you are applying.
Rev. 04.07
