40 Avon Street Keene, New Hampshire Fax:

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1 40 Avon Street Keene, New Hampshire Fax: APPLICATION CHECKLIST Master s and Certificate Programs Your application for admission, credentials, fee, and correspondence should be mailed to: Office of Admissions, Antioch University New England, 40 Avon Street, Keene, NH For application deadlines, please visit: antiochne.edu/application-deadlines. m Application m Application Fee: $50 (nonrefundable) m Professional Work Experience m Personal Statement m Letters of Recommendation (3) Each recommender should submit the form and the letter of recommendation in a sealed envelope with his or her signatures across the seal. The letter can be mailed directly to AUNE from the recommender or you can submit the letter along with your application. m Supplementary Application Clinical Mental Health Counseling Dance/Movement Therapy and Counseling Environmental Studies Experienced Educators: Mindfulness for Educators Marriage and Family Therapy MBA in Sustainability Science Teacher Certification Programs Waldorf Teacher Education m Official Transcript(s) An official transcript from the accredited college or university that granted your bachelor s degree is required. You may be required to submit an official transcript from an institution where you did not earn a degree if you completed a pre-requisite course there. The envelope containing the transcript must be sealed by the registrar s office. The transcript can be mailed directly to AUNE from the institution or you can submit the transcript along with your application.

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4 BIOGRAPHICAL INFORMATION (Continued) How did you learn about Antioch University New England? Person: m Antioch Alumni m Current Student at AUNE m Faculty/Staff at AUNE m Faculty at Other Institution m Other Media: m Social networking site m Radio m Newspaper m Magazine m Mailing m Printed Graduate School Guide m Other Web: m Search Engine m Online Graduate School Guide/directory (i.e. gradschools.com) m Other Website Event: m Graduate School Fair m Conference m Other What is the name of the specific person, publication, or website where you heard about AUNE? Have you attended an Information Session or Visiting Day? m Yes m No Location Date Where else are you applying? EDUCATION Include every college or university where you earned an undergraduate and/or graduate degree. PROFESSIONAL/WORK EXPERIENCE Please submit an up-to-date résumé that includes the following: a) education: formal and informal, dates; b) employment history: position, title, employer, dates; as well as strengths and difficulties you encountered in the job; c) publications and honors, dates; d) community, professional and/ or extracurricular involvement, dates; and e) travel experience and dates, hobbies, interests. PERSONAL STATEMENT In assessing your candidacy, it is important for us to see a demonstration of written competency, evidence of self-directed learning, and an articulation of your professional and educational goals. In short, tell us about yourself in a 2 3 page, typewritten, double-spaced personal statement. In this essay, please focus on the following areas: 1. What have been your most significant learning experiences? Please provide some examples. 2. What is your learning style, and how do you go about solving problems? 3. Why are you considering coming to Antioch University New England at this time in your life? What do you hope to get from the experience professionally and personally? What do you have to contribute to Antioch University New England and to your field?

5 RECOMMENDATIONS Professional and academic recommendations are preferred; do not submit recommendations from friends or family. Three recommendations are required; additional are optional. Recommenders should use the forms provided. List the people who will be submitting recommendation forms. INTERNATIONAL STUDENTS International students must submit certified evidence of financial support for their educational and living expenses while at Antioch University New England. Applicants must request from the Office of Admissions the proper form for submitting this certified information. (This information is required in order to complete the I-20 paperwork for obtaining an F-1 student visa.) CERTIFICATION I have completed service with the following: m AmeriCorps m City Year m Peace Corps Application Fee ($50) m A non-refundable application fee of $50 is enclosed. m Please waive my application fee. I am a City Year corps member, staff, or alumnus. m Please waive my application fee. I am a Peace Corps Master s International applicant. For purposes of licensure and certification, there are certain practice limitations imposed on those within the mental health and teaching professions. We ask this question so that we may be able to advise you appropriately. Have you ever been convicted of, or entered a plea for, or do you have charges pending against you for, a crime other than a minor traffic violation? If yes, please attach a statement of explanation. m Yes m No I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that all the materials submitted become the property of Antioch University New England and are used for admissions purposes only, unless otherwise specified. I also understand that no materials will be returned to me or transferred to a third party. Applicant s Signature Date