Jackson State University Graduate Application

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SPECIFIC PROGRAM REQUIREMENTS (continued) DEPARTMENT/PROGRAM DEGREE ENROLLMENT PROGRAM REQUIREMENT ENTRANCE EXAMS College of Public Service SCHOOL OF HEALTH SCIENCES Communicative Disorders M.S. Fall Only Departmental Application GRE Public Health Dr.P.H. Fall Only Departmental Application GRE Public Health M.P.H. Fall Only Departmental Application GECE SCHOOL OF POLICY AND PLANNING Public Administration Ph.D. Fall Only Departmental Application GRE, MAT or GMAT Public Policy and Administration M.P.P.A. F, Sp, Su Departmental Application GRE and GECE Urban and Regional Planning Ph.D. Fall Only Statement of Purpose GRE Urban and Regional Planning M.A. F, Sp, Su GRE and GECE SCHOOL OF SOCIAL WORK Social Work Ph.D. Fall Only Departmental Application GRE Social Work M.S.W. Fall & Sum. Departmental Application GECE College of Science, Engineering and Technology SCHOOL OF ENGINEERING Computer Science M.S. F, Sp, Su GECE Engineering SCHOOL OF SCIENCE AND TECHNOLOGY M.S. F, Sp, Su GRE and GECE Biology M.S. F, Sp, Su GPA > 3.0 GRE and GECE Chemistry Ph.D. F, Sp, Su Statement of Purpose GRE Chemistry M.S. F, Sp, Su GECE Environmental Science Ph.D. F, Sp, Su Statement of Purpose GRE Environmental Science M.S. F, Sp, Su Statement of Purpose, GRE and GECE GPA > 3.0 Hazardous Materials Management M.S. F, Sp, Su GECE Mathematics M.S., M.S.T. F, Sp, Su GRE and GECE Science Education M.S.T. F, Sp, Su GECE Technology M.S.Ed. F, Sp, Su GECE Key: GMAT- Graduate Management Admission Test GRE-Graduate Record Examination MAT-Miller Analogies Test TOEFL- Test of English as a Foreign Language CMEE-Content Mastery Exam F-Fall Su-Summer Sp-Spring GECE-Graduate English Competency Examination: This test is taken during the first term when the student begins work beyond the undergraduate level at Jackson State University. The examination can be taken only once. Applications received after the enrollment deadline for the desired enrollment period will be processed for the next enrollment period. Complete and submit the enclosed application to the: Office of Graduate Admissions The Division of Graduate Studies Jackson State University P. O. Box 17095 Jackson, MS 39217-0195. Out-of-state and international applicants must submit a non-refundable $25.00 application fee to the Division of Graduate Studies with the application. Only Money orders and certified checks are accepted.
JSU IDNUMBER ________________________ Office use only JACKSON STATE UNIVERSITY THE DIVISION OF GRADUATE STUDIES APPLICATION FOR ADMISSION Return to: Graduate Admissions P.O. Box 17095 1400 J.R. Lynch Street Jackson, MS 39217-0195 SECTION I (Please Type or Print) Full Nam _____________________________________________________________________ Last First Middle Other names in which transcript may be listed Social Security Number _______-_______-________ Home Telephone No.______________________ e-mail address: _____________________________ Cell Telephone No. ______________________________ Work Telephone No.______________________ Present Address: ____________________ Street or P.O. Box ____________________ City State Zip Code Country ______________________ Permanent Address: _____________________ Street Address (Not a P.O.Box) _____________________ City State Zip Code Country ________________________ Mississippi Resident: Yes ( ) No ( ) Date Residency Began __________ If yes, indicate County ______________ Gender:* Male ( ) Female ( ) Date of Birth:* Month_______ Day____ Year______ Race:* U.S. citizens and permanent residents only ( ) Hispanic/Latino (of any race) Non-Hispanic ( ) American Indian/Alaskan Native ( ) Asian ( ) Black/African American ( ) Native Hawaiian/Other Pacific Islander ( ) White ( ) Two or More Races ( ) Race/Ethnicity Unknown Non-Resident Aliens-Temporary Residents ( ) *This information is optional and is used for statistical purposes in accordance with applicable federal regulations. SECTION II Field of Study: ______________________________________________ Concentration: __________________________ Semester/Session you wish to enroll: Fall ( ) Spring ( ) Summer Session ( ) 20___ Degree Sought: Doctor of Philosophy……………….. ( ) Doctor of Education…………… ( ) Specialist in Education……………… ( ) Master of Arts………………………. ( ) Master of Arts in Teaching……. ( ) Master of Business Administration… ( ) Master of Science…………………… ( ) Master of Science in Education .. ( ) Master of Science in Teaching ……. ( ) Master of Music Education………… ( ) Master of Social Work ……….. ( ) Master of Professional Accountancy.. ( ) Master of Public Policy and Administration… ( ) Executive Doctor of Philosophy in Urban Higher Education ………… ( ) Master of Public Health: (select one of the following options) Behavioral Health Promotion and Education ( ) Epidemiology ( ) Health Policy and Management ( ) Doctor of Public Health (Dr.P.H.): (select one of the following options) Behavioral Health Promotion and Education ( ) Epidemiology ( ) Health Policy and Management ( ) List in chronological order all colleges and universities attended. (Attach an additional sheet, if needed). Institution City & State Dates (From & To) Degree/Major _____________________________________________________________________________ _____________________________________________________________________________ Please indicate the highest degree earned: Bachelor's ( ) Master's ( ) Specialist ( ) Other ( )___________ SECTION III (International Applicants) Nation of Citizenship ____________________________ Which type of visa do you have or expect to receive? Permanent resident ( ) Student ( ) Diplomatic [A] ( ) Tourist [B] ( ) Exchange [J] ( ) Other, please specify ___________ SECTION IV I hereby affirm that to the best of my knowledge all information furnished on this form is complete and accurate. I understand that withholding information requested or giving false information may make me ineligible for admission and enrollment. I am eligible to return to the last college or university I attended. Your Signature: _____________________________________________________ Date: _____________________ Additional Notes 1. Out-of-state and international applicants must submit a non-refundable $25.00 application fee to the Graduate School with the application. Only money orders and certified checks are accepted. 2. International applicants applying for graduate admission must submit a TOEFL (Test of English as a Foreign Language) Score and a Certified Declaration of Financial Support. Jackson State University is committed to the principles of equal education opportunity, equal employment, and affirmative action. The University does not discriminate on the basis of race, color, sex, handicap, age, religion, national origin, veteran status, or on any other illegal basis.
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Jackson State University Graduate Application

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