THE GRADUATE SCHOOL APPLICATION BOOKLET

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3 Table of Contents Welcome Letter 1 Available Programs. 2 Gallaudet University THE GRADUATE SCHOOL APPLICATION BOOKLET Procedures and Deadlines 3 Goal Statement 3 Financial Aid 3 Test Information 4 International Applicant Information 4 Graduate Application Form 5 Personal Data 5 Education 6 Work Experience 7 Additional Information 8 Letters of Recommendation 10 Additional Requirements for Specific Programs Clinical Psychology 11 Counseling 13 Graduate Special Student Application Form Graduate Certificate Student Application Form Graduate Application Checklist 24

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5 Dear Prospective Graduate Student: Thank you for your interest in Gallaudet University s Graduate School. Gallaudet offers excellent graduate programs where the emphasis is on working with people who are deaf or hard of hearing. Graduate study at Gallaudet provides a rich opportunity for you to attain your educational and career objectives. This graduate application booklet and the Graduate School Catalog will provide you with all the necessary application and program information. Note that only application files that are complete will be evaluated for admission. This application booklet applies primarily to students seeking graduate degrees at Gallaudet. Nevertheless, prospective students interested in taking courses at Gallaudet, but not in seeking admission to a degree program, will find a Special Student application form on pages Students interested in participating in one of Gallaudet s Graduate Certificate programs will find a Certificate application form on pages We encourage you, if possible, to visit the Gallaudet campus and meet the graduate faculty. Please call either or (TTY/Voice) for information on Graduate School Open Houses or to schedule a visit. We look forward to receiving your application for graduate study at Gallaudet University. Please contact us if we can be of assistance to you during the application process. Sincerely, Gaurav Mathur, Ph.D. Dean Graduate School 800 Florida Avenue, NE Washington, DC

6 GRADUATE SCHOOL DEGREE PROGRAMS NOW AVAILABLE Gallaudet University s Graduate School currently offers the following degree programs, listed here under their respective departments. Phone numbers all accessible by TTY and voice are listed by each department. If you have questions that are not addressed in this booklet or the Graduate School Catalog, please contact the appropriate department for assistance. Also, the Graduate School offices can be reached at (800) Please note that application requirements will vary among the programs. Carefully read the Graduate School Catalog and the supplemental information pages in this booklet for specific program and entrance exam requirements. Detailed information about course offerings can be found in the Graduate School Catalog. To clarify, the degree listed below as Psy.S. is Specialist in Psychology; Au.D., Doctor of Audiology; and Ed.S., Education Specialist. American Sign Language and Deaf Studies ( ) Deaf Studies, M.A. Sign Language Education, M.A. (hybrid) Graduate Certificate in Deaf Studies Counseling ( ) Clinical Mental Health, M.A. (hybrid) School Counseling, M.A. Summers and Online School Counseling Program Government and History ( ) Graduate Certificate in Deaf History Government and Public Affairs Master of Public Administration Hearing, Speech and Language Sciences ( ) Hearing, Speech, and Language Sciences, Ph.D. Audiology, Au.D. Speech-Language Pathology, M.S. Education ( ) Critical Studies in the Education of Deaf Learners, Ph.D. Deaf Education Specialist, Ed.S. Deaf Education: Advanced Studies, M.A. Advanced Studies program (face-toface) ASL/English Bilingual ECE (online) Deaf Students w/disabilities (online) Deaf Education: Special Program, M.A. Deaf Education: Master of Arts in Education: Teacher Preparation Program Master of Arts in Early Childhood Education and Deaf Education Master of Arts in Elementary Education and Deaf Education Master of Arts in Secondary Education and Deaf Education Master of Arts in Deaf Education Graduate Certificate in Educating Deaf Students with Disabilities (online) Graduate Certificate in ASL and English Bilingual Early Deaf Education: Birth to 5 (online) Linguistics ( ) Linguistics, Ph.D. Linguistics, M.A. Interdisciplinary Program Educational Neuroscience, Ph.D. International Development, M.A. Deaf and Hard of Hearing Infants, and their Families: Collaboration and Leadership Interdisciplinary Graduate Certificate (hybrid) Interpretation ( ) Interpretation, Ph.D. Interpretation, M.A. Psychology ( ) Clinical Psychology, Ph.D. School Psychology, M.A., Psy.S. Social Work ( ) Social Work, M.S.W. Note: You may take graduate courses from the above-listed departments on a non-degree-seeking basis by being accepted as a graduate special student at Gallaudet. The graduate special student application form can be found on pages of this booklet. (Also, a graduate certificate student application can be found on pages ) 2

7 APPLICATION PROCEDURES AND DEADLINES This booklet contains one set of application materials. If you wish to apply to more than one program, you will need to make photocopies of the pertinent parts of the booklet prior to filling out application forms. (See below for applying to multiple programs.) A $75 application fee, payable to Gallaudet University in U.S. dollars, must be sent with the application. Application materials should be sent to the following address: Graduate Admissions Gallaudet University, Kendall Hall Florida Avenue, NE Washington, DC Only completed files will be forwarded for review by the department to which you are applying. Be sure to review the application checklist on page 24 to ensure you have included all the appropriate materials (essays, goal statements, transcripts, TOEFL for international students, and test scores), as required by the specific program(s) to which you are applying. Applications (and all required admissions materials) are due by February 15 for fall semester admission or November 15 for spring semester admission. PLEASE NOTE: Only a few programs offer spring admission. While many programs do not strictly adhere to the February 15th deadline, others have earlier deadlines. Please review the graduate catalog for program-specific information.) If applying to multiple programs: Fill out an application form completely for EACH program to which you are applying. The first application fee is $75. Add $40 for each additional application submitted at the same time; if one is submitted later, the fee is $75 each.. Separate goal statements, letters of recommendation, and transcripts are required for EACH application you submit. GOAL STATEMENT On separate sheets of paper, completely answer the following questions about yourself. If you are applying to more than one program, write separate goal statements for each program, clearly indicating which program each statement applies to. Write as much as you wish; you need not be brief. Return your responses along with your application(s). Please type your responses. 1. What kind of career or vocational objective would you like to follow and in what setting (public school, residential school, research center, clinic, corporation, etc.)? 2. How did you first become interested in your chosen field of study? When did you decide to pursue a degree in this field? 3. What do you consider to be your greatest asset as a future professional in your chosen field? 4. Provide any other information that will help us better understand you as an individual and better evaluate you as an applicant for this program. Some departments require an essay in addition to the goal statement while for other departments the essay is in lieu of the goal statement. Please review all requirements carefully. FINANCIAL AID A complete financial aid packet will be sent to all students (U.S. citizens or permanent residents) after they have been accepted. The packet contains applications and detailed information about several funding programs designed to meet students financial aid needs. Graduate students can obtain aid from the following major sources: Gallaudet Grant-In-Aid, College Work-Study, Perkins or Stafford student loans, and scholarships (after you have been accepted). A limited number of student stipends, waivers, or assistantships may be available. Contact your department (after you have been accepted) directly to inquire about the availability of these types of financial aid. Individual student 3

8 awards (for any type of aid) are made only after all necessary materials are received. The awarding process for the fall semester begins in April. The Financial Aid Office is available to discuss your particular needs and can be contacted at (800) (TTY/V) or (202) (TTY/V). TEST INFORMATION Be sure to check for the standardized testing requirements (in the catalog), for your designated degree program. All students applying to the Education Department are encouraged to contact the department for specific standardized test information. You must make your own arrangements to take entrance exams and have your results sent directly to the Office of Graduate Admissions. The ETS institutional code for Gallaudet University is R5240. The GRE can now be taken by computer. Test companies normally require six to eight weeks to report official scores to the University. Gallaudet will not accept test scores that are more than five years old. For further information concerning testing, contact the test provider at the phone numbers listed below. Graduate Record Exam (GRE) (800) GRE-CALL (voice recording only) (609) (V) (609) (TTY) Website: Praxis Series (National Teacher s Examination) (800) (V) (609) (V) (609) (TTY) Website: Test of English as a Foreign Language (TOEFL) (609) (FAX) (609) (V) (609) (TTY) Website: Miller Analogies Test (MAT) (800) (V) (210) (FAX) (800) (TTY) Website: Please contact the appropriate testing service at the numbers listed above for further information, test dates, and deadlines. Have your results sent directly to the Office of Graduate Admissions. Applications are not considered complete until test scores have been submitted (except for applications to the Education Department). INTERNATIONAL APPLICANT INFORMATION Financial aid from Gallaudet is not generally available for international students. All international students must show proof of financial support for the first year of study. If you are an international applicant, please contact local agencies in your home country to arrange for financial assistance. International students are strongly advised to submit their applications early to allow for the extra time often needed to evaluate international applications. Candidates must submit all materials in English. Terminal degrees granted in some foreign countries may not be equivalent to the baccalaureate degree granted by U.S. colleges and universities. Refer to the Graduate School Catalog for additional information. International students admitted to the University will be provided with details concerning the process for obtaining a student visa. The Immigration and Naturalization Service of the federal government requires that all graduate students in the United States on a student visa be full-time students making satisfactory progress toward their academic goals. International students may apply for graduate special student (non-degree seeking) status under certain circumstances which are described on page 17. 4

9 GRADUATE APPLICATION FORM PROGRAM SELECTION I am applying for admission to the following department/program: /, as a (check appropriate boxes) full-time part-time student, beginning in the Fall Spring Summer of (year). PERSONAL DATA Full Legal Name: Last (Surname) First Middle Previous Name(s) Used (if any): Current Mailing Address: Street or P.O. Box Apartment Number City State Zip/Postal Code Country TTY VP V Area Code/Phone Number Fax Number (if any) Address Additional Address (if any) Use mailing address until (date). After this date, all materials will be sent to your permanent address. Permanent Address (Check here if same as above: ) Street or P.O. Box Apartment Number City State Zip/Postal Code Country TTY VP V Area Code/Phone Number Fax Number (if any) Address Are you currently a Gallaudet Employee? Yes No If employed at Gallaudet, are you Faculty Staff Are you a Gallaudet employee s immediate family member? Yes No Have you ever been enrolled at Gallaudet University? Yes No If previously enrolled, were you enrolled as an (check all that apply)? undergraduate student graduate student undergraduate special student graduate special student other Are you interested in Financial Aid? Yes No Are you interested in On-Campus Housing? Yes No Social Security Number: - - Birth Date: mo./day/yr. Age: Sex: Male Female Marital Status: Single Married Widowed Divorced Have you ever been convicted of a felony? Yes No (Some programs require police background checks prior to practicum or internship assignments.) If yes, please describe and explain: 5

10 ADDITIONAL PERSONAL DATA (Information provided is not used in a discriminatory manner.) If you wish to be identified with a particular group, please check all that apply: 1) Are you of Hispanic/Latino? Yes, Hispanic or Latino (including Spain) No 2) Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: American Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled? Yes No If yes, please enter Tribal Enrollment Number Asian (including Indian subcontinent and Philippines) Black or African American (including Africa and Caribbean) Native Hawaiian or Other Pacific Islander (Original Peoples) White (including Middle Eastern) Please describe your background CITIZENSHIP Are you a U.S. citizen? Yes No Are you categorized as a Permanent Resident by the INS? Yes No If yes, please enclose a copy of your Alien Registration Card (green card) with your application. If not a citizen of the United States, of what country are you a citizen? Visa type (if any) and expiration date: Please be aware that international students are not eligible for financial assistance until the end of their first year of study. All international students admitted to the Graduate School must provide a Certification of Finances in order to receive their Immigration Form I-20 to enter the United States. International students are accepted on a first-come, first-served basis until all available slots are filled. International students are encouraged to apply as early as possible. VETERANS INFORMATION Are you a veteran of the U.S. Armed Services? Yes No If yes, are you eligible for the Yellow Ribbon Program through the Department of Veteran Affairs? Yes No If yes, select the branch of military: Air Force Army Coast Guard Marines Navy What were the dates of your military service? From: To: EDUCATION Starting with your most recent college enrollment, list names and locations of all undergraduate and graduate institutions attended. Be sure to have official transcripts forwarded from all of these colleges to Graduate Admissions. International transcripts must be translated into English and certified by the translator to be honestly represented. 1) College Name: Street or P.O. Box City State Zip/Postal Code Dates attended: From: To: Major/Degree Program: Degree completed? Yes No If yes, name of degree: If no, how many credits earned? Final GPA: 2) College Name: Street or P.O. Box City State Zip/Postal Code 6

11 Dates attended: From: To: Major/Degree Program: Degree completed? Yes No If yes, name of degree: If no, how many credits earned? Final GPA: 3) College Name: Street or P.O. Box City State Zip/Postal Code Dates attended: From: To: Major/Degree Program: Degree completed? Yes No If yes, name of degree: If no, how many credits earned? Final GPA: NOTE: Please attach additional sheets for other college experience, if necessary. WORK EXPERIENCE List your employment experiences, including teaching, clinical work, or other experiences likely to be of importance to the admissions committee in the program for which you are applying. Start with your most recent work experience. 1) Employer s Name: Your Position: Your Duties: Dates Employed: From: To: To what extent did the nature of your work include interaction with deaf, hard of hearing, or hearing people? 2) Employer s Name: Your Position: Your Duties: Dates Employed: From: To: To what extent did the nature of your work include interaction with deaf, hard of hearing, or hearing people? 3) Employer s Name: Your Position: Your Duties: Dates Employed: From: To: 7

12 To what extent did the nature of your work include interaction with deaf, hard of hearing, or hearing people? 4) Employer s Name: Your Position: Your Duties: Dates Employed: From: To: To what extent did the nature of your work include interaction with deaf, hard of hearing, or hearing people? NOTE: Please attach additional sheets if necessary. ADDITIONAL INFORMATION Optional: Hearing Status (check one): Deaf Hard of Hearing Hearing I prefer not to reply. Required: Rate your ability to communicate expressively and receptively in sign language: Fluent Good Fair Poor None How much during a typical week do you communicate in sign language? All of the time Most of the time Part of the time Seldom Never In which kinds of situations have you communicated with deaf people? How did you learn to sign? Do you know sign languages of countries other than the U.S.? Yes No If yes, please explain: List honors, awards, or extracurricular activities relevant to your application: Provide present and past memberships in educational, professional, or academic organizations: List any publications you have authored or co-authored: Do you hold a teaching or other professional certificate? Yes No If yes, what kind and from which state(s)? Why did you choose to apply to Gallaudet? How did you learn about Gallaudet s Graduate School? (Please be specific.) 8

13 APPLICATION CERTIFICATION I certify that the enclosed application information is true and complete to the best of my knowledge. I fully realize that omission or falsification of information will be considered sufficient reason for rejection or dismissal. I am aware that professional certification standards for some disciplines prohibit the certification or licensure of individuals convicted of certain felonies or other criminal acts. I certify that I have not omitted any information that would disqualify me for practice in the field to which I am applying. I agree to hold the university harmless if such information becomes known after I am admitted to a program of studies. I am also aware that some programs require medical tests or examinations and police background checks prior to practicum or internship assignments. Full Name (please print): Last First Middle Applicant s Signature: Date: (Original signature, in ink, not photocopied) 9

14 LETTERS OF RECOMMENDATION Copy this page as many times as necessary to meet the requirements (see catalog) of the program(s) to which you are applying. Applicants to the Department of Counseling, see page 13 for special application instructions and forms. For applicants to all other programs, fill out the top part (Part A) of this form. Part B should be filled out by the recommender and sent along with a letter of recommendation to the Graduate Admissions office. Letters should attest to your ability to succeed in graduate school in your chosen field. PART A: (to be filled out by applicant) Applicant s Name: Department/Program You Wish to Enter: Beginning in the Fall Spring Summer of (year) Public Law allows the applicant a choice regarding access to letters of recommendation. Letters submitted in confidence generally carry greater weight. It is essential that the applicant complete the following statement: I hereby WAIVE DO NOT WAIVE access to this letter. Applicant s Signature: PART B: (to be filled out by recommender) To the Recommender: Please complete this recommendation form and an accompanying letter of recommendation as quickly as possible. The applicant has indicated above whether or not he or she wishes to see the letter of recommendation. After completing the form and letter, please return them to Gallaudet University s Office of Graduate Admissions (address below). If you are ing them, PLEASE send them to gradapplications@gallaudet.edu. We appreciate your help. In your letter, please assess the applicant s potential for graduate study and his or her suitability for the field for which application is made. You should consider the applicant s motivation for graduate work, intellectual ability, personal integrity, dependability, understanding of self or maturity, interpersonal communication skills, and ability to express ideas in writing. You may attach additional materials as appropriate. Information about Recommender: How long have you known the applicant? In what capacity? Your Full Name (please print): Last First Middle Position: Where held? Home Address: Street or P.O. Box Apartment Number City State Zip/Postal Code Daytime Phone: ( ) TTY VP V Area Code/Phone Number Fax Number (if any) Address Signature: Please return this form with the letter of recommendation to: 10 Graduate Admissions Kendall Hall 101 Gallaudet University 800 Florida Avenue, NE Washington, DC

15 ADDITIONAL REQUIREMENTS FOR THE CLINICAL PSYCHOLOGY DOCTORAL PROGRAM Applicants for the Clinical Psychology Program are screened in two stages. First, the credentials submitted by all applicants by the deadline are reviewed. A group of finalists is selected and invited to be interviewed by the Psychology Department faculty. Students for the program are selected from among these finalists, based on the totality of their credentials and their interview performance. All information must be received by February 1. Students are admitted for fall matriculation only. Program faculty review all written material during the last half of February. Finalists are generally contacted in early March to schedule interviews. Students selected for the program are notified of their status as soon as admissions decisions are made. If a selected student declines or withdraws from consideration, then another finalist may be selected from the waiting list. SCREENING CRITERIA It may be helpful to applicants to know what characteristics and experiences the screening committee looks for in evaluating applicants. The program s goals in selecting graduate students in clinical psychology are as follows: To select a group of students with the academic ability and skills to successfully complete a rigorous doctoral program in psychology. To select a group of students who will be as diverse as possible in background, ethnicity, race, sex, and other variables. Qualified deaf and hard of hearing applicants are especially sought. To select students who have had personal and professional experiences that will allow them to take on the responsibilities of a professional clinical psychologist, with a high level of self-understanding and an ability to master the skills and ethical demands of such a profession. Please complete the following information form and mail this page along with all application materials, to the Graduate School Admissions Office. Full Legal Name: Mailing Address: Phone Number where you can be reached during February, March, and April of this school year: Daytime ( ) TTY VP V Evening ( ) TTY VP V To help us understand how you meet the above goals, on a separate sheet of paper please: List all psychology courses you have taken. Do a SEPARATE list and calculation for undergraduate and graduate courses. Include title, number of credit hours, and your grade for each course. Then, calculate your grade point average (GPA) using the following scale: A=4, B=3, C=2, D=1, F=0. (Multiply each grade by credit hours to find your psychology GPA.) List all mathematics and statistics courses you have had and your grades in these courses. Name of Test or Subtest: Date Taken: Score: NARRATIVE SUMMARIES* Please answer the following questions on separate pages, typed, double-spaced. Send your answers, along with a résumé and other required application materials, to the Graduate School Admissions Office. 1. Please write a one- to two-page narrative summary of your current and potential strengths as you see them in the following areas: A. A career in clinical psychology. B. Working specifically with deaf and hard of hearing individuals. (Please mention any special qualities you possess that may uniquely qualify you for a career as a clinical psychologist working with deaf and hard of hearing people.) 2. Please write a one- to two-page narrative summary of experiences you have had (in academic, professional, personal, cultural, or other contexts) that relate to your interest in and qualifications for graduate study in psychology at Gallaudet University. 3. Describe your current interests (in both the clinical and research areas) in the field of psychology. As a clinical psychologist what population(s) do you envision yourself working with, and in what settings? * * NOTE: These narrative summaries substitute for the goals requested on page 3. You do not need to complete the Goals section to apply to the Clinical Psychology Program. [continued on back] 11

16 ADDITIONAL REQUIREMENTS FOR THE CLINICAL PSYCHOLOGY DOCTORAL PROGRAM, Continued RÉSUMÉ On a separate sheet, attach a chronological summary of your educational and work experiences. Please include brief explanations of any gaps. WRITING SAMPLE The Clinical Psychology doctoral program, and the work of clinical psychologists, requires a high degree of professional and scholarly writing skills. To help us in evaluating this area, each applicant is asked to submit a copy (nonreturnable) of a paper in psychology or a related field. This can be a class paper, a published article,or other written work that displays your skills. Please do not submit a paper that is co-authored or the work of a team. We prefer scholarly papers, rather than case reports. If you choose to submit a case report, please make sure all information that might identify the individual you discuss is deleted. APPLICANT SELF-TEST As a self-test, applicants may wish to ask themselves the following questions. These are similar to the questions the reviewers will consider in evaluating each application. 1. Can I present evidence that I can handle difficult academic work, through my grades in undergraduate and/or graduate courses, GRE scores, or other methods? 2. Do I have solid basic undergraduate training in psychology, either as a psychology major or through taking a number of core psychology courses? 3. Do I have quantitative skills and competencies necessary for understanding and using statistical and quantitative methods for conducting psychological research? Can I present evidence through courses, test scores, or work experience to demonstrate such competencies? 4. Do I have a good basic understanding of human biology and physiology acquired through courses, reading, or other methods? 5. Do I have effective interpersonal communication skills? 6. Do I have an interest in learning about and understanding people from a wide variety of backgrounds? Do I have the emotional maturity, tolerance for difference and diversity, and empathetic skills necessary for such an enterprise? 7. Do I have a good level of self-understanding and the ability to be flexible and receive feedback about myself? 8. Do I have the ability to be self-motivated, originate ideas, and keep myself on track while pursuing goals? 9. Do I have any experience in working with deaf or hard of hearing people? Do I have sign language communication skills? If not, do I have good ability in learning languages? Or, do I have other skills that may help me acquire a high level of sign language competency once I begin using it regularly? (Note: Otherwise qualified applicants who have limited background in deafness and sign language may be asked to participate in intensive training in these areas at Gallaudet before beginning the program in the fall.) 10. Am I able to make a commitment to at least five years of full-time graduate study to complete this program? 12

17 ADDITIONAL REQUIREMENTS FOR ALL COUNSELING APPLICANTS (including the summers only program) Applicants for the School Counseling and the Mental Health Counseling programs are evaluated through separate admissions committees for each program. It is, therefore, very important that you apply for the program that is most appropriate to your professional goals. Each applicant is required to submit a short essay answer to each of the topics listed below. The resulting four short essays are required in addition to the general application requirements (including the goal statements requested on page 3). These essays will be evaluated by the Selection Committee for clarity in describing the factors that contributed to your choice of school counseling and guidance or mental health counseling as a profession and to your decision to undertake graduate study at this time. Each essay should be typed, double-spaced, and about one-half to three-fourths of a page in length. SCHOOL COUNSELING and MENTAL HEALTH COUNSELING Essay Questions Identify and discuss your character strengths and attributes and how you perceive them to contribute to your desire to become a professional counselor and, particularly, a counselor who works with deaf/hh populations. Identify and describe your weaknesses and how these may present potential challenges in your journey to becoming a professional counselor? Describe a helping situation where you were the helper and/or provided support to another person(s) and/ or organization/community. How did you understand the need and how did this impact your feelings, thoughts, behaviors? What was your motivation to take on this helping role? How did you provide the help and/or support? What outcome did you expect, and how did it compare to the actual outcome? In hindsight, what, if anything, would you have done differently today? Describe either a work situation OR an interpersonal interaction with someone in which you experienced considerable disagreement, conflict, discriminatory behavior and/or attitude. Identify and reflect on specific feelings, thoughts and critical analyses that came up for you during the situation what was your reaction, the reaction and response of the other person(s) involved? How did you end up handling the situation? What insights did you gain about yourself, your ability to relate to other people, and how you deal with the kind of circumstances with which you were faced? The Department has a strong emphasis on multiculturalism and social justice in counseling. We consider a professional counselor to be a social change agent who not only addresses change on an individual level but has the responsibility to address change on the group/organizational and systemic levels. In your personal and/or professional life, can you provide an example of your participation, advocacy, or leadership in helping to improve and/or change the current social status, for the better, of a cultural/racial-ethnic/or religious group? Describe your role in detail, your motivations, how you became involved, and the result of your participation as a social change agent for that group of people. In addition, as you consider making a professional commitment to becoming a counselor specializing in working with deaf/hh populations, describe what it means to you to be a social change agent within, and on behalf of the American Deaf/HH community in our society today? What do you consider are the most relevant social justice issues that need to be addressed for this community? One ADDITIONAL Essay Question for SCHOOL COUNSELING ONLY In this country, the deaf/hh student aged population has changed considerably over the years, as has the American Deaf Community overall. What, in your opinion, are the primary challenges (academic, personal and social, career) facing deaf/hh students today in their school programs, and what do you envision the school counselor s role to be in addressing these issues and needs? Identify at least two challenges and explain your choices. Please refer to the department website ( for additional requirements. Please call the Department of Counseling if you have questions concerning program requirements or need further information: (202) (voice) or (202) (VP). Thank you for your interest in the Department of Counseling. 13

18 ADDITIONAL REQUIREMENTS FOR ALL COUNSELING APPLICANTS (including the summers only program), Continued Special Instructions Concerning Recommendations for Applicants to the Department of Counseling This section is to be filled out by student: (Page 1 of 2) Applicant s Name: Counseling Program You Wish to Enter: Public Law allows the applicant a choice regarding access to letters of recommendation. Letters submitted in confidence generally carry greater weight. It is essential that the applicant complete the following statement: Check one: I hereby WAIVE DO NOT WAIVE access to this letter. Applicant s Signature: Name of Evaluator Position INSTRUCTIONS TO EVALUATOR: We appreciate your taking the time to comment on the student whose name appears above and is applying to our Counseling Program. Within Gallaudet s Department of Counseling, we believe that, in addition to content knowledge, there are certain traits or qualities that characterize a successful graduate student and counselor. The following is a list of some of these dispositions. As part of the application process, we ask students to assess themselves on the same traits. We are asking you to assess the applicant from your perspective by writing an X in the appropriate spot after each trait. Disposition This is one of her/his strengths Could improve Cannot assess Self-Awareness Open-Mindedness Flexibility/Adaptability Optimism Integrity Responsibility Commitment Compassion Sense of Humor Cherishing Cultural Diversity Valuing Clear Visual Communication Valuing Clear Written Communication 14 (Continued on back of this page)

19 Special Instructions Concerning Recommendations for Applicants to the Department of Counseling, Continued (Page 2 of 2) Please comment on this person s potential to become a successful counselor by identifying three qualities (dispositions) that are most memorable for you related to your association with this applicant. Please also explore one or two dispositions that you feel may need attention. How many years have you known this applicant? In what capacity? Your Full Name (Please print) Last First Middle Position/Title Institution/Company State Home Address: Street or P.O. Box Apartment Number City State Zip/Postal Code Daytime Phone: ( ) TTY VP V Fax Number (if any) Address Signature of Evaluator Date Please fill out, remove from booklet, and mail pages 14 and 15 to: 15 Graduate Admissions Kendall Hall 101 Gallaudet University 800 Florida Avenue, NE Washington, DC

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21 Guidelines for Graduate Special Students at Gallaudet University What does it mean to be a Graduate Special Student at Gallaudet? Anyone wishing to register for a graduate class (both Gallaudet employees and non-employees) must apply and be accepted for graduate special student status. Graduate special students may enroll in graduate-level courses offered by departments but do not pursue a program of study leading to a graduate certificate or degree. Graduate special student status is limited to U.S. citizens and permanent residents only. Graduate special students are not eligible for financial support from Gallaudet University (except those who are also employees of Gallaudet University, and who qualify for ordinary employee benefits for waiver of tuition). Continuation as a graduate special student depends on the academic standards that apply to all graduate students. What are the requirements for Graduate Special Student status? To take courses as a graduate special student, you must have a bachelor s degree with at least a B (3.0 on a 4.0 scale) cumulative grade point average. You must complete this short application form and pay a $75 application fee. I took a graduate-level course five years ago as a graduate special student. Do I need to apply again before I may take another course as a special student? No. We keep your graduate special students status active for five years. If it has been more than five years since you took a course, you will need to reapply. Are there limitations on the courses that I can take as a graduate special student? As a graduate special student, you must obtain the instructor s permission to register for any course. Not every course is open to graduate special students. Enrollment in certain graduate courses is limited to degree-seeking students. Check with the department to be sure. Can international students take courses as Graduate Special Students? Admission as a graduate special student is available to international students in two ways. First, an international student holding an appropriate visa (F-1 or J-1) during the semester he or she wishes to take a Gallaudet graduate course, may become a graduate special student if he or she is taking a course on the Gallaudet campus or an extension course elsewhere in the United States and will be physically present for classes. Second, an international student taking an on-line course from a department within Gallaudet University who is not physically in the United States may be permitted graduate student special status without visa restrictions. In both cases, all other Gallaudet University restrictions apply, including the tuition surcharge for international students. Registering for Classes as a Graduate Special Student How do I register for classes at Gallaudet as a Graduate Special Student? 1. Once you have been accepted as a graduate special student, obtain and fill out a Course Selection Form. 2. Check with the departments offering the courses you want to take. You must meet all prerequisites, and you must obtain the instructor s signature, granting permission to take each class. 3. Obtain the signature of the Graduate Special Student advisor in the Office of the Dean of the Graduate School. 4. Submit the course selection form to the Registrar s Office, then complete Business Registration with the Student Accounts office What if I want to become a full-time Gallaudet graduate student after taking a few courses as a special student? Admission as a graduate special student neither implies nor guarantees subsequent admission to a degree program at Gallaudet University. There may be a limit on the number of credits that may be applied to a degree program. If you plan to seek admission as a degree-seeking student in the future, you should check with an advisor in the department to ensure that the courses you take as a graduate special student will be acceptable for the program. 17

22 Special Student GRADUATE ^ APPLICATION FORM Gallaudet University Graduate School, 1/2003 Applying for academic year beginning 20 Applying for which semester? [ ] Fall [ ] Spring [ ] Summer Are you currently a Gallaudet employee? [ ] Yes [ ] No If employed at Gallaudet, are you: [ ] Faculty [ ] Staff Are you a Gallaudet employee s immediate family member? [ ] Yes [ ] No Have you ever been enrolled at Gallaudet University? [ ] Yes [ ] No If previously enrolled, were you enrolled as an (check all that apply): [ ] undergraduate student [ ] graduate student [ ] undergraduate special student [ ] graduate special student If previously enrolled, what semester(s) and year(s) were you enrolled at Gallaudet? If previously enrolled, what was your Gallaudet ID number? How did you learn about Gallaudet s Graduate School? (please be specific): APPLICANT INFORMATION Full Legal Name: last (surname) first middle Previous Name(s) Used (If any): Mailing Address: street or P.O. box apt. number city state zip/postal code country [ ] TTY [ ] VO [ ] V area code/phone number fax number (if any) address (if any) Use mailing address until (date). After this date, all materials will be sent to your permanent address. PERMANENT ADDRESS Check here if same as above. [ ] street or P.O. box apt. number city state zip/postal code country [ ] TTY [ ] VP [ ] V area code/phone number fax number (if any) address (if any) PERSONAL DATA Social Security Number: - - Birth Date: Age: Gender: [ ] Male mo./day/yr. [ ] Female Have you ever been convicted of a felony? [ ] Yes [ ] No If yes, please describe and explain. CITIZENSHIP Are you a U.S. citizen? [ ] Yes [ ] No Are you a Permanent Resident? [ ] Yes [ ] No If yes, enclose a copy of your Alien Registration Card (green card). If not a citizen of the United States, of what country are you a citizen? Visa type (if any) and expiration date: Name: 18 ID#: (For office use only.)

23 VETERANS INFORMATION Are you a veteran of the U.S. Armed Services? [ ] Yes [ ] No If yes, are you eligible for the Yellow Ribbon Program through the Department of Veteran Affairs? [ ] Yes [ ] No If yes, select the branch of military: [ ] Air Force [ ] Army [ ] Coast Guard [ ] Marines [ ] Navy What were the dates of your military service? From: To: ADDITIONAL PERSONAL DATA (Information provided is not used in a discriminatory manner.) If you wish to be identified with a particular group, please check all that apply: 1) Are you of Hispanic/Latino? [ ] Yes, Hispanic or Latino (including Spain) [ ] No 2) Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: [ ] American Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled? [ ] Yes [ ] No If yes, please enter Tribal Enrollment Number [ ] Asian (including Indian subcontinent and Philippines) [ ] Black or African American (including Africa and Caribbean) [ ] Native Hawaiian or Other Pacific Islander (Original Peoples) [ ] White (including Middle Eastern) Please describe your background Hearing Status (check one): [ ] Deaf [ ] Hard of Hearing [ ] Hearing [ ] I prefer not to reply EDUCATION List names and locations of all undergraduate and graduate institutions attended. Please start with the most CURRENT enrollment. International applicants must be eligible for an F-1 or J-1 Visa. International transcripts must be translated first into English and certified by the translator to be honestly presented. Do not send transcripts without an English translation. 1) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? 2) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? 3) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? Name: 19 ID#: (For office use only.)

24 APPLICATION CERTIFICATION I certify that the enclosed application information is true and complete to the best of my knowledge. I fully realize that omission or falsification of information will be considered sufficient reason for rejection or dismissal. I certify that I have not omitted any information that would disqualify me for practice in the field to which I am applying. I am aware that professional certification standards for some disciplines prohibit the certification or licensure of individuals convicted of certain felonies or other criminal acts. I agree to hold the university harmless if such information becomes known after I am admitted to a program of studies. Full Name (please print): last first middle Applicant s Signature: Date: A. This Graduate Special Student Application Form must be submitted to Office of Graduate Admissions along with: 1. A copy of the undergraduate transcript (official or unofficial) which shows the awarding of your BA/BS degree. 2. The $75 application fee. (The application fee is not required of Gallaudet employees or their immediate family members.) 3. Mail to: Office of Graduate Admissions, Kendall Hall 101, Gallaudet University, 800 Florida Ave, NE, Washington, DC OR B. Fax your completed application to (202) (Office of Graduate Admissions, Gallaudet University) and mail in your undergraduate transcripts and the $75 application fee. You must STILL send in the original paper copy with an original signature. Questions? CONTACT: GRADUATE ADMISSIONS, Kendall Hall 101 Gallaudet University 800 Florida Avenue, NE Washington, DC (202) (V/TTY) or (V/TTY) or Visit our website at: Note: Information on the web and in the graduate catalog is subject to change. For Office Use Only Term: Adtype: Adstatus: Card Sent: ID#: App Fee: CK#: MO#: VR#: Bank I.D.#: D/E: end of special Name: 20 ID#: (For office use only.)

25 Certificate Student GRADUATE ^ APPLICATION FORM Gallaudet University Graduate School, 1/2003 Applying for academic year beginning 20 Applying for which semester? [ ] Fall [ ] Spring [ ] Summer Applying for the certificate program in: Are you currently a Gallaudet employee? [ ] Yes [ ] No If employed at Gallaudet, are you: [ ] Faculty [ ] Staff Are you a Gallaudet employee s immediate family member? [ ] Yes [ ] No Have you ever been enrolled at Gallaudet University? [ ] Yes [ ] No If previously enrolled, were you enrolled as an (check all that apply): [ ] undergraduate student [ ] graduate student [ ] undergraduate special student [ ] graduate special student If previously enrolled, what semester(s) and year(s) were you enrolled at Gallaudet? If previously enrolled, what was your Gallaudet ID number? APPLICANT INFORMATION Full Legal Name: last (surname) first middle Previous Name(s) Used (If any): Mailing Address: street or P.O. box apt. number city state zip/postal code country [ ] TTY [ ] VP [ ] V area code/phone number fax number (if any) address (if any) Use mailing address until (date). After this date, all materials will be sent to your permanent address. PERMANENT ADDRESS Check here if same as above. [ ] street or P.O. box apt. number city state zip/postal code country [ ] TTY [ ] VP [ ] V area code/phone number fax number (if any) address (if any) PERSONAL DATA Social Security Number: - - Birth Date: Age: Gender: [ ] Male mo./day/yr. [ ] Female Have you ever been convicted of a felony? [ ] Yes [ ] No If yes, please describe and explain. CITIZENSHIP Are you a U.S. citizen? [ ] Yes [ ] No Are you a Permanent Resident? [ ] Yes [ ] No If yes, enclose a copy of your Alien Registration Card (green card). If not a citizen of the United States, of what country are you a citizen? Visa type (if any) and expiration date: Name: 21 ID#: (For office use only.)

26 VETERANS INFORMATION Are you a veteran of the U.S. Armed Services? [ ] Yes [ ] No If yes, are you eligible for the Yellow Ribbon Program through the Department of Veteran Affairs? [ ] Yes [ ] No If yes, select the branch of military: [ ] Air Force [ ] Army [ ] Coast Guard [ ] Marines [ ] Navy What were the dates of your military service? From: To: ADDITIONAL PERSONAL DATA (Information provided is not used in a discriminatory manner.) If you wish to be identified with a particular group, please check all that apply: 1) Are you of Hispanic/Latino? [ ] Yes, Hispanic or Latino (including Spain) [ ] No 2) Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: [ ] American Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled? [ ] Yes [ ] No If yes, please enter Tribal Enrollment Number [ ] Asian (including Indian subcontinent and Philippines) [ ] Black or African American (including Africa and Caribbean) [ ] Native Hawaiian or Other Pacific Islander (Original Peoples) [ ] White (including Middle Eastern) Please describe your background Hearing Status (check one): [ ] Deaf [ ] Hard of Hearing [ ] Hearing [ ] I prefer not to reply EDUCATION List names and locations of all undergraduate and graduate institutions attended. Please start with the most CURRENT enrollment. International applicants must be eligible for an F-1 or J-1 Visa. International transcripts must be translated first into English and certified by the translator to be honestly presented. Do not send transcripts without an English translation. 1) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? 2) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? 3) College Name: street or P.O. box city state zip/postal code Dates Attended: From: To: Major/Degree Program: Degree completed? [ ] Yes [ ] No If yes, name of degree: If no, how many credits earned? Final GPA? Name: 22 ID#: (For office use only.)

27 APPLICATION CERTIFICATION I certify that the enclosed application information is true and complete to the best of my knowledge. I fully realize that omission or falsification of information will be considered sufficient reason for rejection or dismissal. I certify that I have not omitted any information that would disqualify me for practice in the field to which I am applying. I am aware that professional certification standards for some disciplines prohibit the certification or licensure of individuals convicted of certain felonies or other criminal acts. I agree to hold the university harmless if such information becomes known after I am admitted to a program of studies. Full Name (please print): last first middle Applicant s Signature: Date: How did you learn about Gallaudet s Graduate School? (please be specific): This Graduate Certificate Student Application Form must be submitted to Office of Graduate Admissions along with: 1. A copy of the undergraduate transcript (official or unofficial) which shows the awarding of your BA/BS degree. 2. The $75 application fee is required of all applicants. 3. Mail to: Office of Graduate Admissions, Kendall Hall 101, Gallaudet University, 800 Florida Ave, NE, Washington, DC Questions? CONTACT: GRADUATE ADMISSIONS, Kendall Hall 101 Gallaudet University 800 Florida Avenue, NE Washington, DC (202) (V/TTY) or (V/TTY) or Visit our website at: Note: Information on the web and in the graduate catalog is subject to change. For Office Use Only Term: Adtype: Adstatus: Card Sent: ID#: App Fee: CK#: MO#: VR#: Bank I.D.#: D/E: end of certificate Name: 23 ID#: (For office use only.)