APPLICATION FOR GRADUATE ADMISSION

APPLICATION FOR GRADUATE ADMISSION International students (except for Permanent Resident Aliens) should not complete this application. Contact the International Office at 214-333-5427 for an International Student Admission Application. Apply online at http://webreg.dbu.edu/gradapps BIOGRAPHICAL INFORMATION (Please Print) Mr. Miss Mrs. Ms. Last First Middle Dr. Rev. Permanent address: Street Apt. # City County State ZIP E-mail: Home telephone: Cell: Business telephone: Social Security Number: Birthplace*: Date of Birth: *If born outside of the U.S., please provide proof of citizenship or permanent residency. Are you a veteran of the U.S. Armed Forces? Yes No Are you receiving veteran benefits? Yes No List other name(s), including maiden, under which we might receive documents for your file: If not a U.S. citizen, complete the following: Approved as a Permanent Resident Alien Approved as a Non-resident Alien Approved as a Refugee Approved under Political Asylum Country of citizenship: Dallas Baptist University is authorized under Federal Law to enroll non-immigrant students. DEMOGRAPHIC INFORMATION (Optional) Marital Status: Married Single Divorced Widowed Gender: Male Female Information which is requested regarding gender, marital status, and age is based upon various governmental and institutional reporting obligations, and it will have no effect on your request for admission to Dallas Baptist University. EMERGENCY CONTACT INFORMATION Relationship: Spouse Sibling Parent Friend Other Telephone: Mr. Miss Mrs. Ms. Dr. Rev. Last First Middle

FULL-TIME EMPLOYMENT INFORMATION Employer: Not currently employed full time Business address: City State ZIP Country Work telephone: Ext.: Occupation/Position: E-mail: How many total years have you worked full time? Please attach a current résumé of previous employment experience. ACADEMIC INFORMATION List below all colleges or universities in which you have been officially enrolled (attach extra pages if necessary). Include dates of attendance and degrees (if any) with dates awarded. Failure to list all schools attended will be considered an intentional omission and lead to denied admission or forced withdrawal. An official transcript, printed within the last six months from each school attended other than DBU, must be submitted. Former DBU students who submitted official transcripts from other schools need not resubmit those transcripts unless the last enrollment at DBU was more than five years ago. Official transcripts, once submitted, are the property of the University and cannot be returned. Date degree awarded College or University City/State Degree or years of attendance Have you taken the Graduate Management Admission Test (GMAT) or the Graduate Record Examination (GRE) or the Miller Analogies Test (MAT)? Yes GMAT: verbal quant. analytical total score month/year GRE: verbal quant. analytical writing MAT: scaled score No Date you plan to take the GMAT, GRE, or MAT month/year What is your approximate grade point average on all college courses? Have you previously been denied admission to Dallas Baptist University? Yes No GMAT/GRE/MAT not required for anticipated degree on a scale If yes, when, and for which program? Were you ever admonished, reprimanded, censured, put on probation, dropped, suspended, or expelled by any school, college, graduate school or professional school for academic or disciplinary reasons, or were you allowed to resign or withdraw in order to avoid academic or disciplinary action? Yes No If yes, please attach a separate sheet explaining the circumstances of your academic suspension or dismissal. Have you ever been convicted of violating any laws, other than minor traffic violations, or are there currently any outstanding warrants for your arrest? Yes No If yes, please explain: NOTE: Affirmative disclosure does not automatically disqualify you from consideration for admission, but will result in a review by appropriate university officials.

ANTICIPATED ENROLLMENT INFORMATION Semester/Year you plan to enroll: Fall Winter Spring Summer year Check only one program and indicate your desired program concentration. Master of Arts in Children s Ministry Master of Arts in Christian Education Master of Arts in Christian Ministry Master of Arts in Communication Master of Arts in Counseling Master of Arts in Family Ministry Master of Arts in Global Leadership Master of Arts in Management Master of Arts in Professional Development Master of Arts in Sport Management Master of Arts in Student Ministry Master of Arts in Teaching Master of Arts in Theological Studies Master of Arts in Worship Leadership Master of Business Administration Master of Education in Bilingual Education Master of Education in Curriculum and Instruction Master of Education in Educational Leadership Master of Education in Higher Education Master of Education in Kinesiology Master of Education in Reading and English as a Second Language Master of Education in School Counseling Master of Education in Special Education Master of Liberal Arts Program Concentration Dual Master s Degrees M.A. in Children s Ministry/M.A. in Christian Ministry M.A. in Children s Ministry/ M.A. in Counseling M.A. in Children s Ministry/M.A. in Management M.A. in Children s Ministry/ M.A. in Children s Ministry/M.B.A. M.A. in Children s Ministry/Master of Liberal Arts M.A. in Christian Education/ M.A. in Christian Ministry M.A. in Christian Education/M.A. in Counseling M.A. in Christian Education/ M.A. in Global Leadership M.A. in Christian Education/M.A. in Teaching M.A. in Christian Education/ M.A. in Christian Education/M.B.A. M.A. in Christian Ministry/M.A. in Communication M.A. in Christian Ministry/ M.A. in Global Leadership M.A. in Christian Ministry/ M.A. in Student Ministry M.A. in Christian Ministry/ M.A. in Christian Ministry/ M.A. in Communication/M.A. in Management M.A. in Communication/ M.A. in Communication/M.B.A. M.A. in Communication/ M.Ed. in Curriculum and Instruction M.A. in Communication/ M.A. in Global Leadership/M.A. in Management M.A. in Global Leadership/ M.A. in Student Ministry M.A. in Global Leadership/M.A. in Teaching M.A. in Global Leadership/ M.A. in Global Leadership/M.B.A. M.A. in Management/M.A. in Student Ministry M.A. in Management/ M.Ed. in Curriculum and Instruction M.A. in Management/ M.A. in Management/M.Ed. in Kinesiology M.A. in Student Ministry/M.A. in Teaching M.A. in Student Ministry/ M.A. in Student Ministry/ M.A. in Student Ministry/M.B.A. M.A. in Student Ministry/ M.A. in Teaching/ / M.B.A./M.Ed. in Educational Leadership M.B.A./ M.Ed. in Curriculum and Instruction/ M.Ed. in Educational Leadership M.Ed. in Curriculum and Instruction/ M.Ed. in Curriculum and Instruction/ M.Ed. in Reading and ESL M.Ed. in Educational Leadership/ M.Ed. in Reading and ESL M.Ed. in Educational Leadership/ M.Ed. in School Counseling M.Ed. in Educational Leadership/ M.Ed. in Special Education /M.Ed. in Kinesiology M.Ed. in Reading and ESL/ M.Ed. in Special Education Are you seeking a certificate or certification only? Yes No If so, which one? Teacher Certification Status: I am am not presently certified to teach: Are you planning to pursue a ministry-related career? Yes No If so, what type of ministry? Have you previously been enrolled at Dallas Baptist University? Yes No If yes, the date last enrolled: Type of Program you prefer: Online only Classroom only Combination Location where you prefer to take classes: Main Campus DBU North DBU Hurst-Colleyville DBU Mansfield Online/Internet Extension site:

REFERENCES Please list the names of two non-family persons from whom you are requesting recommendations. Recommendations should be from individuals capable of assessing your academic and/or professional qualifications, such as professors, supervisors, etc. Name Relationship to you Company/Church/Organization Referral Information Please list friends or family members whom you believe would appreciate learning about DBU. Be sure to include their names, addresses, and phone numbers. Please feel free to include additional information on a separate page or go to www.dbu.edu/patriotreferral. Referral #1 First Name Last Name Mailing Address City State ZIP E-mail Phone Number Referral #2 First Name Last Name Mailing Address City State ZIP E-mail Phone Number DENOMINATION/CHURCH INFORMATION Religious affiliation: Baptist Other: Please give the name (and city) of the church you attend: City Located in: INSTITUTIONAL RESEARCH How did you first hear about DBU? Advertisement Friend Program Director Corporate/University Agreement Internet Search/Web site Relative DBU Admissions Counselor Location Other (please specify) DBU Faculty/Staff DBU Student or Alumni Minister By submitting this application, I am aware of the requirements and regulations of Dallas Baptist University as stated in the current Graduate Catalog, and I agree to abide by them. I also affirm that all information requested on this application is complete and accurate. I further understand that an omission or misrepresentation of facts on this application could result in my immediate disqualification from consideration for admission or in my dismissal from the University. I understand that items submitted as part of my application are non-returnable, including the application fee. Moreover, if I accept an offer of admission, I hereby authorize Dallas Baptist University to print or publish any photograph, video, or reproduced likeness of me (with or without specifically listing my name) in any advertisement or publication regarding DBU. I release DBU from any liability for printing or publishing a photograph, video, or reproduced likeness of me, and I understand that this authorization can only be revoked in writing with a countersignature by an authorized DBU representative. Applicant s signature: Date:

Office of Graduate Programs Mission Statement The Office of Graduate Programs at Dallas Baptist University exists to recruit, admit, and guide capable individuals through the graduate programs. By providing services and support to prospects, students, faculty, and staff, we seek to fulfill our mission of integrating Christian faith and learning to produce servant leaders. Dallas Baptist University Mission Statement The purpose of Dallas Baptist University is to provide Christ-centered quality higher education in the arts, sciences, and professional studies at both the undergraduate and graduate levels to traditional age and adult students in order to produce servant leaders who have the ability to integrate faith and learning through their respective callings. Applicant Checklist Did you remember to include... Completed application form $25 application fee Statement of Purpose Other requirements specific to individual degree program Current professional résumé Proof of citizenship or residency if born outside of the U.S. Did you remember to request... Official transcripts (must be printed within the last six months) Two recommendations (please use Request for Recommendation forms) Official GMAT/GRE/MAT scores (if required) INTERNATIONAL STUDENTS (except for Permanent Resident Aliens) should not complete this application. Contact the International Office at 214-333-5427 for an International Student Admission Application. For specific admission criteria, log on to www.dbu.edu/graduate/admissions.asp Office of Graduate Programs 3000 Mountain Creek Parkway Dallas, Texas 75211-9299 (214) 333-5242 Fax (214) 333-5579 Campus Security Statement In accordance with federal law, Dallas Baptist University prepares an annual security report that is available upon request to the Campus Security Department. The report contains information about the Campus Security Department, how to report and respond to criminal activity, and statistical information regarding campus crimes, if any. Statement of Non-Discrimination Dallas Baptist University complies with all applicable federal and state nondiscrimination laws and does not engage in unlawful discrimination on the basis of age, gender, disability, veteran status, race, color or national origin in any employment practice, admissions, education program, or educational activity. Under federal and state law, the University may discriminate on the basis of religion in order to fulfill its purposes.