Westminster College Application for Admission. Graduate Study. Founded 1852 New Wilmington, Pa.

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1 Westminster College Application for Admission Graduate Study Founded 1852 New Wilmington, Pa.

2 Please print or type. Westminster College Application for Admission Graduate Study Name of Applicant Last Name First Name Middle Name Permanent Address Telephone Number and Street County City State Zip Code Daytime Telephone Cell Phone Social Security # Date of Birth Sex M F Month/Day/Year Veteran Y N Purpose of enrollment in Graduate Studies: Master s degree only Yes No Master s degree plus certification Yes No Certification only (Prior Master s degree required) Yes No Probable Graduate Curricula: (check) o Counselor Education Elem.* o Education o Counselor Education Sec.* o Special Education* (New for ) o Principal K-12* o Special Education/Reading Specialist* (New for ) o Reading Specialist K-12* o Other o Superintendent* *Certification Programs Have you been a student at Westminster before? Date last attended When do you wish to begin graduate study at Westminster? Major field of study in undergraduate work Type of teaching/administrative certificates held State Type of administrative certificates held State Academic and professional training: Date Institution Place Degree When Received Work Experience (Teaching, other): Date Institution Place Degree Subjects and Position

3 Assessments of Educational Potential Each applicant must submit two assessments of educational potential. Assessments for applicants who are current students or are not employed in a school should be completed by professors or other professionals. Assessments for school system employees should be completed by school administrators. The forms, which are included with this application, should be returned directly to the Graduate School office. Please list the names of those you have asked to submit the assessments. Name Title Signature of Applicant Date of Application An application fee of thirty-five dollars ($35.00) must accompany this application (check to be made payable to Westminster College). This fee is not refundable and will not be applied toward the student s account. Official transcripts from all undergraduate and graduate academic work must be submitted before a student can be approved as a candidate for graduate study or for a master s degree. In some cases an interview may be required. For practicum and internship experiences in the public school, appropriate security clearances are required. No student may register in any course for graduate credit until all admission requirements are met. Applications with official transcript and fee must be submitted at least two weeks prior to registration for the next term or summer session. Return this form to: Office of Graduate School Westminster College McKelvey Campus Center 319 S. Market Street New Wilmington, PA

4 Westminster College is related to the Presbyterian Church (U.S.A.) through the Synod of the Trinity. Westminster College does not discriminate, and will not tolerate discrimination, on the basis of race, color, national origin, ethnic origin, sex, sexual orientation, age, or handicap or disability as those terms are defined under applicable law, in the administration of any of its educational programs, activities, or with respect to admissions and employment. In its employment practices, the College may consider the individual s support of the philosophy and purposes of Westminster as stated in the Undergraduate Catalog. Otherwise, Westminster does not discriminate, and will not tolerate discrimination, on the basis of religion or creed. Inquiries may be directed to the Equal Opportunity Officer, Westminster College, New Wilmington, PA , (724) /13

5 REQUIREMENTS FOR ADMISSION TO THE GRADUATE SCHOOL 1) Completed Application for Admission to Graduate School 2) $35.00 non-refundable fee made payable to Westminster College 3) Official transcripts - all undergraduate and graduate academic work 4) Undergraduate QPA of or master s degree 5) A copy of teaching certificate (if applicable) 6) Two Assessments of Educational Potential from faculty or administrators which include an assessment of academic potential and academic and professional competence. 7) A writing sample please respond to one of the following items (200 words) a) Discuss a challenge or setback that you faced in your life and the manner in which you addressed it. b) Discuss a significant current educational issue and suggestion remedies to address it. Application Deadline Dates Fall Semester July 26 Spring Semester December 4 Summer Sessions April 6 Revised

6 Graduate School in Education Assessment of Potential Candidate The above named individual is a candidate for admission to the graduate school at Westminster College. Your professional judgment of the candidate s potential is sought for the criteria listed below. I have known this candidate for Leadership Qualities Decisiveness Judgment Leadership Intellectual Ability years. Top 5 Percent Superior Average Below Average Unable To Judge General Competencies Problem Analysis Organizational Oral Written Communication Ability Communication Personal Qualities Personal Motivation Educational Values Range of Interests Sensitivity Stress Tolerance Remarks: Signature Print or Type Name Position Address Date Please return to: Office of Adult and Graduate Studies Westminster College 319 S. Market Street New Wilmington, PA Fax: I hereby waive do not waive my access to this data under the provisions of the Family Educational Rights and Privacy Act. Candidate s Signature