Application for Admission to Graduate School
www.wichita.edu/gradschool
See back for list of required materials to be submitted, including application fee and transcripts
1. Last or Family Name Previous Last name(s)
First or Given Name Middle Name
2. Social Security Number* myWSU ID number (if known)
*optional, HOWEVER, required for accurate IRS education tax credits AND/OR if applying for Federal financial aid
3. Gender: Male Female 4. Date of Birth (mm/dd/yy)
5. Please respond to the following questions related to your ethnicity and race. (Optional)
1. Are you Hispanic or Latino? Yes No
2. Select one or more of the following racial groups.
Asian American Indian or Alaskan Native □ White
Black or African American Native Hawaiian or other Pacific Islander
6. Are you a Veteran of the United States Military? □ Yes □ No
7. Are you a U.S. Citizen? Yes No If “No”, please identify the following:
Country of Citizenship: Country of Birth:
Are you a Permanent Resident of the U.S.? Yes No (if yes, refer to Permanent Resident requirements on the back)
If you are in the United States on a Visa, what Visa type do you hold?
If a student visa, please indicate the school
that issued your I-20 form:
8. Kansas Residency information. All questions left blank will be considered evidence of a non-Kansas resident
8a. Are you a resident of Kansas? Yes No. If YES, when did you begin living continuously in Kansas?
8b. Have you lived solely in Kansas for the past 12 months? Yes No
8c. Are you in Kansas primarily to attend school or perform military service with your home in another state? Yes No
8d. If you are not a resident of Kansas, in what state are you a legal resident?
8e. Are you a legal Kansas resident who was out of state for the primary purpose of school or military service? Yes No
9. Address information: (International applicants must provide BOTH a mailing address and permanent foreign address)
Mailing address:
Street ____________________________________
Street ____________________________________
City-State/Country __________________________
Postal or Zip Code __________________________
Permanent address:
Street ____________________________________
Street ____________________________________
City-State/Country __________________________
Postal or Zip Code __________________________
Phone number(s):
Email address:
10. Entry Term: (select semester and write in year) □ Fall Spring Summer . Year: 20
11. Study Objective (mark only one)
Doctorate Specialist Masters Non-Degree Category A Non-Degree Category B One semester Guest
12. Study Area (use 4 digit major code from back of form)
13. List ALL institutions you have attended, including community colleges, and institutions from which you have only taken a course or
two. See reverse for information on what transcripts must be submitted. (attach additional sheet if more than three schools)
Institution Name City/State/Country Attendance Dates Major Degree Awarded/Date Awarded
I certify that all answers I have given in this application are accurate to the best of my knowledge. I understand that failing to disclose or falsifying
information could result in my dismissal from Wichita State University. Social Security number and student status may be provided to other state agencies
for use in detection of fraudulent or illegal claims against state monies.
Signature
Date
Wichita State University does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age, sexual orientation, marital status, political
affiliation, status as a veteran, genetic information or disability. The following person has been designated to handle inquiries regarding nondiscrimination policies: Director, Office of Equal
Employment Opportunity, Wichita State University, 1845 Fairmount, Wichita KS 67260-0205; telephone (316) 978-6791.
APPLICATION REQUIREMENTS
PROGRAMS AND CODES
DEGREE BOUND APPLICANTS
US Citizens or Permanent Residents
Program
Degree
Code
Non-Degree
Codes
A
Application deadlines*: Fall July 15; Spring December 1
Graduate School Application form
$50.00 Application fee, payable to WSU Graduate School
Official transcripts from ALL colleges or universities you have attended,
including community colleges, workshop credits, college credit earned in
high school, etc.**
For permanent residents, we will also require a notarized copy of your
permanent resident card.
Any departmental requirements in addition to those listed above. It is the
applicant’s responsibility to ensure all requirements are submitted in a
timely manner.
International Students
Application Deadlines*: Fall April 1; Spring August 1
Graduate School Application form
$65.00 Application fee, payable to WSU Graduate School
Official or attested transcripts from ALL colleges or universities you have
attended. If your degree award is not posted on the transcript, then we will
also require an official or attested degree certificate.**
Official, acceptable scores on the TOEFL or IELTS. For most programs, the
minimum TOEFL is 79 (iBT) and the minimum IELTS is a 6.5 overall band
score. Some programs require higher scores.
Official Financial Support statement, with proper signatures and certification
as described on the form.
Any departmental requirements in addition to those listed above. It is the
applicant’s responsibility to ensure all requirements are submitted in a
timely manner.
NON-DEGREE APPLICANTS
(Not open for applicants requiring F-1 Visa)
Category A
Graduate School Application form
$50.00 Application fee, payable to WSU Graduate School
Official transcripts reflecting the award of a Master’s degree or higher. If no
graduate degree has been awarded, then we will require official transcripts
from ALL colleges or universities you have attended, including community
colleges, workshop credits, college credit earned in high school, etc., even if
it is not relevant to the program to which you are now applying.**
For permanent residents, we will also require a notarized copy of your
permanent resident card.
Any departmental requirements in addition to those listed above. It is the
applicant’s responsibility to ensure all requirements are submitted in a
timely manner.
Category B
Graduate School Application form
$50.00 Application fee, payable to WSU Graduate School
Official transcripts reflecting the award of a Bachelor’s degree OR a copy of
your current Kansas Teaching Certificate.**
Guest Admission
Graduate School Application form
$50.00 Application fee, payable to WSU Graduate School
A signed letter from your home graduate school certifying your standing in a
graduate program at that institution.
This status is valid for ONE semester only. If additional semesters of enrollment are
needed, application should be made for either Non-Degree Category A or Category B.
*Note about Deadlines
Some programs have earlier deadlines. All materials for both the program and the
Graduate School must be submitted by whichever deadline is earlier. Refer to the
Graduate School website for program deadline information.
**Note about WSU transcripts
You do NOT need to order transcripts of work completed at Wichita State University,
or work already transferred to WSU and posted as a part of your WSU record. Our
staff will access that information when you apply and print our own transcripts.
Contact Information:
The Graduate School
Wichita State University
1845 Fairmount
Wichita KS 67260-0004
USA
316-978-3095
www.wichita.edu/gradschool
3-7-12
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