GRADUATE APPLICATION FOR ADMISSION

Boston University School of Education Graduate Admissions Office Two Silber Way, Room 124 Boston, MA 02215 Phone: 617-353-4237 Fax: 617-353-8937 Email: sedgrad@bu.edu GRADUATE APPLICATION FOR ADMISSION Prior to starting the application, please review the instructions on the SED website at www.bu.edu/sed. Information can be found regarding Deadlines & Enrollment Information, Application Components, Policies & Procedures, and Financial Assistance. Personal Information Salutation Name Last name/family name/surname First name Middle name Suffix Previous name(s) (i.e., maiden name) Social Security number (optional)* Date of birth Month/Day/Year Gender Male Female Citizenship: U.S. citizen U.S. permanent resident All others Country of citizenship (All non-u.s. citizens and U.S. permanent residents must indicate a country of citizenship) Ethnicity Are you Hispanic/Latino? Yes Race(s) (Select ALL that apply from the following groups): African American or Black American Indian or Alaska Native Asian Native Hawaiian or Pacific Islander White *Please note for U.S. citizens and permanent residents omitting your Social Security number may cause delays in processing federal aid such as Federal Stafford loans and Federal Work-Study, if admitted to the University. Program Selection Degree/Certificate program Master of Arts in Teaching (MAT) Master of Education (EdM) Master of Mathematics for Teaching (MMT) Doctor of Education (EdD) Certificate of Advanced Graduate Study (CAGS) Dual Degree: Master of Education (EdM) in Special Education and Master of Social Work (MSW) Dual Degree: Doctor of Education (EdD) in Special Education and Master of Social Work (MSW) Program of interest Sub concentration (if applicable) Intended student status for academic year Full-time Part-time Date of intended enrollment* Semester Fall Spring Year *SED only accepts applications for the Fall and Spring semesters. However, some programs recommend a Summer start. If you wish to start as a degree candidate during the Summer I or Summer II term, please select Fall as your date of intended enrollment. If admitted, you will have the option to start your program during the summer. 1

Application for Admission Boston University School of Education Graduate Programs Address Information Email address Permanent address Street City State Zip code Country Phone Present address (if different from permanent address) Street City State Zip code Country Phone Present until Month/Day/Year Mobile phone Educational Background List all higher education institutions (all universities and graduate or professional schools) attended. You must submit an official transcript for each institution listed. Attach additional sheets if necessary. Boston University alumni and students do not need to submit their Boston University transcripts. City, State, Dates Degree Degree Institution Country Attended Awarded Month/Yr Major Do you believe your grades accurately reflect your ability? Yes If no, please attach a brief explanation to your application. Employment Information Please list all employment positions you have held since you began undergraduate studies. You may complete the section below or include your résumé with your application materials. City, State, Dates of Employer Position Industry Country Employment Test Score Information Please self-report your test results or specify an approximate date as to when you plan to take a specific test in the table below. An official score report must be sent directly to the School of Education from the testing service. For information about which tests are required, visit the SED website. Test Description Score Percentile* Test Month (planned or taken) GRE-AW Analytical Writing GRE-QU GRE Quantitative GRE-VR GRE Verbal MAT Miller Analogies TOEFL TOEFL Total Score IELTS IELTS Overall Band Score *Not for TOEFL or IELTS Test Year (planned or taken) 2

Additional Information Licensure/Certification To qualify for employment in most professional positions in U.S. public schools one must be properly credentialed, i.e., have appropriate state teacher/educator/support personnel/administrative licensure or certification. Public schools nationwide adhere to this requirement. Will you be seeking licensure/certification in conjunction with your academic program? Yes Do you hold a license qualifying you to be employed in a U.S. public school? Yes If yes, which state? If Massachusetts, do you hold a Preliminary license? Yes If Massachusetts, do you hold an Initial license? Yes Are you seeking licensure as a psychologist? Yes If yes, you must pursue the Licensure Track of the EdD in Counseling Psychology. Financial Assistance Only applicants intending to enroll full-time during the academic year (Fall and Spring semesters) at the School of Education will be considered for SED General Scholarships. SED General Scholarship awards apply to tuition for the academic year only. If you are admitted, you will receive detailed information about financial assistance including scholarships, loans, Work-Study, etc. In addition, you will receive information about how to apply for graduate assistantships. In the meantime, you are encouraged to submit a Free Application for Federal Student Aid (FAFSA). If you plan to fund all or part of your degree with loans, you will need to provide your Social Security number at some point in the process if you do not do so on this application. Do you wish to be considered for SED General Scholarships? If you select Yes, your application will be considered for SED General Scholarships. No additional materials are needed for consideration. Your response to this question will not impact your admissions decision. Yes SED applicants are welcome to apply for additional scholarship opportunities. Detailed information about the following opportunities including eligibility can be found on the SED website. Please indicate which, if any, opportunities you plan to apply for by selecting the appropriate choice(s) below. Supplemental essays for consideration for these opportunities should be submitted with your application for admission unless otherwise indicated. Ansin Intercultural Research Fund Glenn Fellowship (doctoral candidates only) The Kelly Elizabeth Stephens Memorial Scholarship (Indonesian candidates only) Martin Luther King, Jr. Scholarship Robert Noyce Scholarship Programs for Mathematics Education (separate application process) Whitney M. Young, Jr. Scholarship (separate application process) Awards and Activities Please attach a sheet with the information requested below or include a resume with your application. Please list awards, scholastic honors, and other achievements (including publications). Please list, in order of importance to you, all significant activities (college and community) in which you have participated. Also list any offices held. Other Information Please indicate the city/state or country where you attended high school. City State Country How did you first hear about Boston University School of Education? Have you applied for admission to a graduate program at the School of Education within the last year? Yes 3

Application for Admission Boston University School of Education Graduate Programs Letter of Reference Information List the names of persons whom you have asked to complete letters of reference. Only two letters of reference are required. 1. 2. 3. 4. International Student Information City of birth Country of birth Country of legal permanent residence Are you currently in the U.S.? If yes, please indicate your current U.S. immigration status When does this immigration status expire? Permanent foreign address (United States Immigration Services require that you provide a non-united States address) Signature Your signature below attests that all information contained in this application is complete, factually correct, and honestly prepared. Your application may be void or rescinded if any information submitted is discovered to be incomplete, not factually correct, or not honestly prepared. If accepted, your enrollment may be void or rescinded. Signature Date 4

Supplemental Materials The following items are required for a complete application. Please submit the following items to the Graduate Admissions Office. For more details on the required items, please visit the SED website. Statement of Qualifications and Objectives: Enclose a statement describing your qualifications and the objectives of your professional career. The statement should be 1 2 pages. Analytical Essay (doctoral applicants only): Enclose an essay identifying key arguments on a current educational or social issue pertinent to your field. This essay should be 500 to 700 words. Optional Essay (optional): Applicants may enclose an additional essay with any information they want to bring to the Admissions Committee s attention. Named Scholarship Essay (optional): Ansin Intercultural Research Fund Essay: Attach an essay explaining your commitment to increasing intercultural understanding among cultural, ethnic, and/or religious groups in pre-k grade 12 or adult education settings in the United States or internationally. Glenn Fellowship Essay (doctoral applicants only): Attach an essay with your response to the following: What is your experience with conducting research and how do you plan to apply the research training you will receive at SED in your future career? Discuss your interest in being a Glenn Fellow and your qualifications for the Fellowship. The Kelly Elizabeth Stephens Memorial Scholarship Essay (Indonesian applicants only): Attach an essay explaining why you would like to study at Boston University School of Education, how the Stephens Scholarship would help you achieve your goals, and your professional plans for the decade following graduation. Martin Luther King, Jr. Scholarship Essay: Attach an essay describing your accomplishments in and commitment to social justice and community involvement. Resume (optional) Official Admissions Test Scores Official Transcripts Two Letters of Reference Application Fee of $70: Checks should be made payable to Boston University. Boston University prohibits discrimination against any individual on the basis of race, color, religion, sex, age, national origin, physical or mental disability, sexual orientation, or marital, parental, or veteran status. This policy extends to all rights, privileges, programs, and activities, including admissions, financial assistance, employment, housing, athletics, and educational programs. Boston University recognizes that nondiscrimination does not ensure that equal opportunity is reality. Because of this, the University will continue to implement affirmative action initiatives which promote equal opportunity for all students, applicants, and employees. Inquiries regarding the application of this policy should be addressed to the Associate Vice President for Human Resources, 25 Buick Street, Boston, MA 02215. 5