Application for Graduate Admission
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1 Application for Graduate Admission CHECKLIST Complete Application Form Application Fee ($25.00) Transcripts (from all colleges/universities attended) Test Scores (MAT, GRE, GMAT) Recommendation Letters List of references (MBA) Personal Statement (PsyD, Human Sciences, MSW) Résumé (PsyD, MSOL, PhD, MBA, MSW) Teacher Certificate (MEd, MA-Special Ed)
2 GRADUATE ADMISSION APPLICATION USEFUL INFORMATION Prospective Graduate Student Graduate Application Requirements ww.ollusa.edu/gradrequirements Recommendation Letters ww.ollusa.edu/gradrequirements Testing Codes NOTE: Please have official test scores sent directly to OLLU. OLLU s codes are: GRE: 6550 MAT: 2227 GMAT: SAWEC: 5H1-12N-02 HOWEC: 5H1-6H-32 The Miller Analogies Test is administered at the OLLU Assessment Center. Contact the center at least three weeks before your application deadline to arrange for testing. Walter Student Service Center, Room GO or , ext dhperez@ollusa.edu Testing locations and registration information for other exams may be found at Financial Aid Codes OLLU code: Scholarships, grants, graduate assistantships and financial aid are available for graduate students. University scholarships and assistantships are supplemented by private scholarships and federal and state grants and financial aid. Federal financial aid is awarded on a first-come, first-served basis until all funds are exhausted. You should begin the application process at the same time that you apply to the graduate program. To be considered for financial aid, you must complete the Free Application for Federal Student Aid (FAFSA) at Please list Our Lady of the Lake University, federal school code #003598, as one of the schools to receive your application information. HELPFUL PHONE NUMBERS Office of Admission Phone: Fax: Financial Aid Office Phone: , ext Fax: Academic Counseling Center Phone: Fax: Assessment Center Phone: Fax: Student Business Office Phone: , ext. 2353/ Fax: Registrar Phone: Fax: Residence Life Phone: Fax: Information Technology Services Phone: Fax:
3 SECTION A - PERSONAL DATA PLEASE PRINT OR TYPE GRADUATE ADMISSION APPLICATION Legal Name: Last/Family First/Given Middle Preferred Name (if not first name): Former Last Name(s) (if any): 0Female 0 Male Birth Date: Social Security Number: Permanent Home Address: Number and Street (Apt.#, P.O. Box #) City/Town State/Province Zip/Postal Code Country Permanent Home Phone ( ) Work Phone ( ) May we call you at work? 0Yes 0No Cell Phone: ( ) Fax: ( ) Military Service: 0 Active-duty military 0 Active-duty military spouse Branch of Service: Have you ever been convicted of a felony? 0 Yes 0 No Mailing address for all admissions correspondence (if different from above mailing address): Number and Street (Apt.#, P.O. Box #) City/Town State/Province Zip/Postal Code Country SECTION B - EDUCATIONAL HISTORY Important: Official transcripts must be submitted from ALL regionally accredited colleges and universities attended. Transcripts from countries outside the United States must be evaluated by a United States evaluation service. LIST ALL INSTITUTIONS ATTENDED IN CHRONOLOGICAL ORDER WITH MOST RECENT FIRST. Name of Institution City, State Dates Attended Degree Date Conferred List additional schools on a separate sheet of paper and attach to this application. Have you ever been suspended, dismissed or forcibly withdrawn from an institution for non-academic reasons? 0 Yes 0 No Applying for: (1) Financial aid? 0 Yes 0 No (2) VA Benefits? 0 Yes 0 No If you will be attending OLLU in conjunction with a federally funded grant, please give the following information: Name of grant: Name of OLLU contact person: Grant is located: 0 Worden School of Social Service 0 School of Professional Studies 0 Unknown 0 School of Business and Leadership 0 College of Arts and Sciences EDUCATION APPLICANTS: Do you hold a Texas teacher certificate? 0 Yes 0 No 0 In Process (OLLU student) 3
4 SECTION C - EDUCATIONAL OBJECTIVE - DEGREE PROGRAM If you are interested in obtaining a graduate degree, choose one program and location from the list below. If you are interested in a NON-DEGREE PROGRAM, please see page 5. HOUSTON WEEKEND DEGREE PROGRAM MASTER OF ARTS (MA) 0 Human Sciences MASTER OF BUSINESS ADMINISTRATION (MBA) Please select the desired specialization: 0 Management 0 Psychology Marriage and Family Therapy DOCTOR OF PHILOSOPHY (PhD) 0 Leadership Studies DOCTOR OF PHILOSOPHY (PhD and MBA) 0 Combined PhD in Leadership Studies and MBA RIO GRANDE VALLEY DEGREE PROGRAM DOCTOR OF PHILOSOPHY (PhD) 0 Leadership Studies SAN ANTONIO WEEKDAY/EVENING DEGREE PROGRAM DOCTOR OF PSYCHOLOGY (PSYD) 0 Counseling Psychology MASTER OF ARTS (MA) 0 Communication and Learning Disorders 0 English English Communication Arts English Education English Language and Literature Writing 0 Human Sciences 0 Special Education MASTER OF EDUCATION (MEd) 0 Curriculum and Instruction Bilingual / Bicultural Early Childhood Integrated Math Teaching Integrated Science Teaching Master Reading Teacher Reading Specialist 0 Principal 0 School Counseling 0 Psychology Counseling Psychology Marriage and Family Therapy School Psychology MASTER OF SOCIAL WORK (MSW) 0 Regular Program (54 semester hours) Services to Children and Families 0 Advanced Standing Program for BSW graduates (31 semester hours) Services to Children and Families GRADUATE ADMISSION APPLICATION SAN ANTONIO WEEKEND DEGREE PROGRAM DOCTOR OF PHILOSOPHY (PhD) 0 Leadership Studies DOCTOR OF PHILOSOPHY (PhD and MBA or MSOL) 0 Combined PhD in Leadership Studies and MBA 0 Combined PhD in Leadership Studies and MS in Organizational Leadership MASTER OF ARTS (MA) 0 Human Sciences 0 Teaching Interdisciplinary Education Math Education Science Education Special Education MASTER OF BUSINESS ADMINISTRATION (MBA) Please select the desired specialization: 0 Finance 0 Management MASTER OF BUSINESS ADMINISTRATION (MBA) AND 0 Combined MBA and MS in Organizational Leadership 0 Accounting 0 Information Systems and Security Information Assurance and Security 0 Organizational Leadership AND MASTER OF BUSINESS ADMINISTRATION (MBA) 0 Combined MS in Organizational Leadership and MBA ONLINE DEGREE PROGRAM MASTER OF BUSINESS ADMINISTRATION (MBA) 0 Management MASTER OF EDUCATION (MEd) 0 School Counseling 0 Nonprofit Management 0 Organizational Leadership MASTER OF SOCIAL WORK (MSW) 0 Advanced Standing Program for BSW graduates (31 semester hours) 4
5 GRADUATE ADMISSION APPLICATION ENROLLMENT PLANS FOR DEGREE PROGRAMS ENTERING TERM (Please check program information to verify starting dates.) 0 Fall Year: 0 Spring Year: 0 Summer Year: ACADEMIC LOAD 0 Full time - (6 hours or more per semester) 0 Part time - (5 hours or less per semester) NON-DEGREE PROGRAMS If you are interested in obtaining a certificate or endorsement, choose one program listed below. Check the desired certification HOUSTON WEEKEND NON-DEGREE PROGRAM CERTIFICATES 0 Violence Prevention and Intervention-Level II ONLINE NON-DEGREE PROGRAM CERTIFICATE 0 Information Assurance and Security SAN ANTONIO WEEKEND/ EVENING NON-DEGREE PROGRAM CERTIFICATES 0 Bilingual Special Education 0 Finance 0 Psychological Services for Spanish-Speaking Populations 0 Violence Prevention and Intervention-Level II SPECIAL INTEREST 0 PERSONAL OR PROFESSIONAL PURPOSE (Please enclose a brief statement of purpose and number of courses you intend to take.) SAN ANTONIO WEEKDAY/EVENING NON-DEGREE PROGRAM CERTIFICATIONS (EDUCATION) 0 Principal 0 Reading Specialist 0 School Counselor 0 Special Education (Supplemental Certification) 0 Educational Diagnostician CERTIFICATES 0 Finance If you are interested in taking courses for a purpose other than obtaining a degree or certificate, please indicate the purpose below. Discipline/Department: Location: 0 San Antonio 0 Rio Grande Valley 0 Online 0 Houston 0 TRANSIENT (taking course to transfer to degree-granting/home institution) Name of degree-granting/home institution Courses desired Discipline/Department: Location: 0 San Antonio 0 Rio Grande Valley 0 Online 0 Houston SECTION D - CURRENT EMPLOYMENT INFORMATION (if applicable) Place of Employment: Job Title: Address: Phone: ( ) SECTION E - ADMISSIONS TEST STATUS Test must have been taken within the last five years. Not required for applicants with master s degrees from regionally accredited institutions. (Excludes MS Psyc, PhD and PsyD applicants.) PHD LEADERSHIP STUDIES AND MBA APPLICANTS: GMAT, GRE or MAT taken? 0 Yes 0 No If yes, circle test (GMAT, GRE, MAT) and give date taken (month/year): / If no, circle test to be taken (GMAT, GRE, MAT) and give scheduled test date (month/year): / PSYD APPLICANTS: GRE, including psychology subject test taken? 0Yes 0No If yes, circle test (GRE, Psychology subject test) and give date taken (month/year): / If no, circle test to be taken (GRE, Psychology subject test) and give scheduled test date (month/year): / APPLICANTS FOR ALL OTHER DEGREE PROGRAMS (if required): GMAT, GRE, or MAT taken? 0 Yes 0 No If yes, circle test (GMAT, GRE, MAT) and give date taken (month/year): / If no, circle test to be taken (GMAT, GRE, MAT) and give scheduled test date (month/year): / NOTE: Please have official test scores sent directly to OLLU. OLLU s codes are: GRE: 6550 MAT: 2227 GMAT: SAWEC: 5H1-12N-02 HOWEC: 5H1-6H-32 5
6 GRADUATE ADMISSION APPLICATION SECTION F - INTERNATIONAL APPLICANT Are you a U.S. citizen? 0 Yes 0 No If no, are you a permanent resident? 0 Yes 0 No If yes, A#: Date of Approval: If no, do you have or will you apply for student (F-1) visa or any other type of temporary non-immigrant visa? 0 Yes 0 No Type of Visa What is the country of your birth? What is the country of your citizenship? If international, give: Date of birth: Place of Birth: Country of citizenship (if different from place of birth): Do you require a student I-20 A/B through OLLU? 0 Yes 0 No SECTION G - STATISTICAL INFORMATION THIS SECTION IS OPTIONAL Our Lady of the Lake University does not discriminate against any applicant because of race, sex, national origin, disability, or religious affiliation. To comply with state and federal reporting regulations, we ask you to assist by answering the questions below. This section is optional and the information will not be used in the admission process. CHECK BOX(ES) WHICH YOU MOST READILY IDENTIFY WITH: ARE YOU HISPANIC/LATINO? (choose only one) 0 Yes, Hispanic/Latino 0 No, not Hispanic/Latino The above question is about ethnicity, not race. No matter what you selected above, please continue to answer the following by marking one or more boxes to indicate what you consider your race to be. WHAT IS YOUR RACE? (choose one or more) 0 American Indian or Alaska Native 0 Asian 0 Black or African American 0 Native Hawaiian or Other Pacific Islander 0 White Place of Birth: First language, if other than English: Primary language spoken at home: Marital Status: 0 Never married 0 Married 0 Widowed 0 Separated 0 Divorced U.S. Armed Services Veteran: 0 Yes 0 No HOW DID YOU HEAR ABOUT OLLU? 0 Alumni 0 Direct Mail 0 Employer 0_Newspaper 0_OLLU Representative 0 Radio 0 TV 0 Web site 0_Other: RELIGIOUS PREFERENCES 0 Anglican 0 Assembly of God 0 Baptist 0 Buddhist 0 Catholic 0 Christian 0 Church of Christ 0 Eastern Orthodox 0 Episcopalian 0 Hindu 0 Islam 0 Jewish 0 Lutheran 0 Methodist 0 Pentecostal 0 Protestant 0 Seventh Day Adventist 0 Other 0 None READ AND SIGN AFTER COMPLETING APPLICATION: I certify that the information on this application is complete and correct and understand that the submission of false information is grounds for denial of my application, withdrawal of any offer of admission, cancellation of enrollment or appropriate disciplinary action. I understand that the University expects a high standard of conduct from its students, and if accepted for admission, I will abide by all rules and regulations of the University as set forth in University publications. I authorize the University to verify the information I have provided. I agree to notify the proper University official of any changes in the information submitted. Applicant s Signature: Date: 6
7 CAMPUS MAP N LEGEND 01 Providence Hall 02 Ayres Hall 03 International Folk Culture Center (IFCC) 04 Flores Cyber Cafe 05 Metz Hall 06 Flores Hall 07 Moye Hall 08 Pacelli Hall 09 Thermal Plant 10 Centennial Hall 11 Walter Student Service Center Constantineau Chapel 12 Sister Elizabeth Anne Sueltenfuss Library 13 Main Building/Admissions Center 14 St. Martin Hall Annex 15 Bookstore 16 Harry Jersig Center 17 St. Ann s Hall 18 Worden School of Social Service 19 Fine Arts Building/24th 21 Street Theatre 20 St. Martin Hall 21 Thiry Auditorium 22 St. Martin Hall Gym 23 Our Lady of Lourdes Grotto 24 Durango House 25 Sacred Heart Conventual Chapel 27 Convent 29 St. Joseph Hall 31 Annunciation Chapel 33 Reagan Hall 35 McCullough Hall 37 Elliott House 39 Casa Caritas 41 Maintenance Shop 43 University Wellness and Activities Center (UWAC) 45 Tennis Courts Convent Buildings 65 Soccer Field PARKING DISABLED PARKING EMERGENCY CALL BOX CROSSWALK
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