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** Please type your application and attach to the Special Requirements Section of the online GradApp.
The Counselor Education Program offers course work leading to the Master of Arts in Counseling. Those applying for
the admission must complete the following steps to ensure all requirements have been fulfilled.
Application Date: ____________________________
A. Personal Information
Legal Name: __________________________________________ Previous Name(s): _________________
Mailing Address (Current): ________________________________________________________________
City, State, Zip Code: ________________________________________________________________
Home Telephone: ____________________________ Work Telephone: ____________________________
Email Address: _________________________________________________________________________
Citizenship: ____________________ Date of Birth: __________________ Banner ID: ________________
Ethnic Background
(UNM is required by Federal law to request this information for statistical reporting. Your response is voluntary.)
1) Do you consider yourself to be Hispanic/Latino?
Yes
No
2) In addition, select one or more of the following categories to describe yourself:
American Indian or Alaska Native - Principal tribe/s: ________________
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
B. Application Information
Check which semester you plan to enroll and indicate year.
FALL or SPRING
Check the area in which you plan to specialize.
Clinical Mental Health Counseling (formerly Community) School Counseling
Dual Track (both school & clinical)
Have you applied to Office of Admissions? YES or NO
Have you applied to this program before? YES or NO; If yes, Semester and Year
C. Education History
List the most recent degree and/or institution first. Official transcripts of ALL post-secondary work must
be submitted to the Office of Admissions. Please verify receipt prior to application deadline. Attach
unofficial transcripts to the online GradApp in the Educational Background.
Institution GPA Major Minor
Degree
Received
Date
Attended
Individual, Family & Community Education Department
D. Work/Volunteer History
1. List paid, volunteer, and homemaking positions/experiences from most recent to least recent. Include all
positions. Add columns in this section or use a separate sheet of paper if necessary. Please be as specific
as possible.
Employer/Organization:
Dates Employed:
# of Hrs/wk
Address:
Position:
Phone Number:
Supervisor:
Employer:
Dates Employed:
# of Hrs/wk
Address:
Position:
Phone Number:
Supervisor:
Employer:
Dates Employed:
# of Hrs/wk
Address:
Position:
Phone Number:
Supervisor:
Employer:
Dates Employed:
# of Hrs/wk
Address:
Position:
Phone Number:
Supervisor:
E. References
List the three academic/professional references you listed on the online GradApp, who have agreed to
submit a letter on your behalf. Letters from three references MUST be correctly and completely filled
out and received through the online GradApp before the application deadline for your application to be
considered complete. The academic full-time professors and/or work supervisors references are expected.
Reference 1: Name ____________________________________ Title ____________________________
Reference 2: Name ____________________________________ Title ____________________________
Reference 3: Name ____________________________________ Title ____________________________
F. Research Experience
List all relevant research experience below.
G. Languages Spoken
List fluency in languages other than English. Include type of fluency and number of years experience.
Language Type of Fluency (Oral, Written) Years of Experience
H. Course Work
1. List the 18 most recent undergraduate credits you completed in social/behavioral sciences. List courses
graded ‘P’, ‘S’ or ‘U’, or ‘CR’ or ‘NC’, etc… Work from graduation backwards until 18 semester hours,
or 27 quarter hours. If the university that you graduated from does not use the letter grade system, please
provide an explanation for the grading system.
Course:
Hours
Grade
Points
2. List all graduate courses completed in the social/behavioral sciences.
University
Course
Hours
Grade
I. Personal Statement
On the online GradApp, upload a Personal Statement that gives a supporting rationale for pursuing a
Master’s Degree in Counselor Education. Include your long- and short-term goals and your personal
qualities and characteristics to support your pursuit of the counseling degree. Also discuss your
experiences with cultural diversity and cultural background. Your statement must be typed. Limit your
statement to three (3) double-spaced pages using 10-12 point font.
Disclosure:
Admission into the Counseling/Counselor Education program in no way guarantees placements
(e.g., Traverse, practica, internship), licensure, and/or employment. Additionally, fingerprinting
and background checks may be required.
Please attach this form to the Special Requirements Section of the online GradApp.
Revised: 02/16
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Completed 20 July 2021

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