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Graduate Admission Application Office of Admissions Campus Box 1047 Edwardsville, IL 62026-1047 Phone: (618) 650-3770 Fax: (618) 650-3618 siue.edu/graduatestudents GENERAL INFORTION We are pleased that you have expressed interest in Southern Illinois University Edwardsville. This material provides information about applying for admission as a graduate student. Review it thoroughly before completing the application. Please Note: The quickest and easiest way to apply and pay the application fee is online at siue.edu/apply. SIUE has a dual admission process for degree-seeking status. Applicants must satisfy the admission requirements and be approved for admission to graduate study both by the Graduate School and by the academic program to which the application is made. Earning a baccalaureate degree from SIUE does not guarantee admission into graduate study. Contact the program director of your intended program for specific program admission requirements, such as test scores, personal interviews, personal history forms, letters of recommendation or additional applications. International Applicants: If you hold or require a non-immigrant visa, do not complete this application. Request international application material from Office of Admissions by email intladm@siue.edu or apply and pay the application fee online at siue.edu/apply. Classified (degree-seeking): For classified (degree-seeking) students, the application must be completed at least four weeks before the first day of the term: Spring 2016: December 11, 2015; Summer 2016: April 29, 2016; Fall 2016: July 22, 2016; Spring 2017: December 9, 2016; and Summer 2017: May 12, 2017. However, several departments have deadlines earlier than the general dates above; refer to the Graduate Degree Program list to identify these departments, or check with the Graduate Program Director. Students who want to return to programs in which they were previously admitted may submit applications through the first day of the term. Unclassified (non-degree seeking): For unclassified (non-degree seeking) applications, the deadline is five working days prior to the first day of the term. The graduate catalog and schedule of classes are available online at siue.edu/registrar. APPLICATION FEE There is a $30 application fee for all new graduate applicants and returning applicants who have not attended SIUE as a graduate student for the past nine consecutive terms. Payment should be made in U.S. dollars by check or money order payable to SIUE. Payment may also be made by credit card online at siue.edu/apply. Applications received without the fee will not be processed. This fee is NON-REFUNDABLE. Applicants who decide to change their term of entry after submitting an application or being admitted, will be required to complete a new application for the desired term. Application fees can be updated for the next two terms or one academic year, before the applicant will be required to pay another graduate application fee. PROVIDING ACADEMIC CREDENTIALS Applicants must have official transcripts mailed directly to the Office of Admissions by the institution(s) granting the baccalaureate degree or where the degree is in progress. We recommend requesting official transcripts from all institutions at which post-baccalaureate work has been completed. This is not necessary for applicants who graduated from Southern Illinois University Edwardsville. Hand-carried and faxed documents are not acceptable. Please direct all transcripts to: SIUE, Office of Admissions, Campus Box 1047, Edwardsville, IL 62026-1047. Electronic transcripts submitted through Parchement Exchange, Credentials Solutions, and the Illinois Electronic Transcript Exchange (XAP) are accepted. Electronic transcripts can also be sent to etranscripts@siue.edu directly from the institution. If a transcript is received through this account from the student, it will not be considered official. FINANCIAL SUPPORT INFORTION Assistantships: Three types of graduate assistantships are available to degree-seeking students: general, research and teaching. Stipends vary according to the percentage of appointment and the length of service. Assistants are eligible for tuition remission. Academic departments and other units on campus award assistantships. Openings are posted in the individual departments and online at siue.edu/graduatestudents. Awards: First-time graduate degree-seeking students may apply for a Graduate Scholar Award which provides waiver of tuition or Competitive Graduate Award which provides a stipend and a waiver of tuition. Application forms are available online at siue.edu/graduatestudents, click on Fellowships & Grants. For additional information, contact the Graduate School at graduateschool@siue.edu or (618) 650-3010. Check the website for application deadlines. Student Employment, Loans and Grants: Graduate students may be eligible for student employment, loans or grants to support their studies. Information is available online at siue.edu/financialaid. Students in unclassified, non-degree seeking status are not eligible for assistantships, awards, veterans educational benefits or most other forms of financial assistance. If you have questions concerning financial assistance, please contact Student Financial Aid at (618) 650-3880 before applying as an unclassified graduate student. SIUE now offers in-state tuition to master s-level graduate students who are residents of Missouri and other regional states. For more information, visit siue.edu/instatetuition. RESTRICTIONS Some graduate courses are restricted to degree-seeking majors. Please refer to the class schedule or graduate catalog for prerequisite and restriction information. Only a limited amount of credit earned while in unclassified status may be used to satisfy degree requirements should you subsequently be admitted to a degree program.

STER S DEGREE PROGRA The chart below lists the majors offered with corresponding degrees and required standardized tests. Since more than one degree may be available for the same major, you must indicate your degree selection and the specialization, if applicable. If more than one standardized test is listed for your major, the department will generally accept the results of either test. Not all programs require a standardized test. Information about standardized tests is available at Testing Services, 1246 Student Success Center, or online at siue.edu/is/test. Program - Specialization Degree Required Test Program - Specialization Degree Required Test Accountancy A GRE or GT Environmental Sciences*** GRE Accountancy - Business Analytics A GRE or GT Accountancy - Taxation A GRE or GT Applied Communication Studies Geographical Studies History** Industrial Engineering Applied Communication Studies - Health Communications Instructional Technology Ed Applied Communication Studies - Interpersonal Communications Integrative Studies, Applied Communication Studies - Organizational Communications Cultural Heritage and Resources Management, Applied Communication Studies - Public Relations Diversity Training, Art Sustainability, Art - Studio** MFA Organizational Design Thinking, Art Therapy Counseling** GRE Biological Sciences***, GRE Business Administration MBA GRE or GT Business Administration - Business Analytics MBA GRE or GT Business Administration - Management Information Systems MBA GRE or GT Kinesiology Kinesiology - Exercise Physiology Kinesiology - Exercise and Sport Psychology Kinesiology - Physical Education & Coaching Pedagogy Learning, Culture and Society Ed Ed Chemistry Literacy Education Ed Civil Engineering Civil Engineering - Environmental Engineering/Water Resources Marketing Research MMR GRE or GT Marketing Research - Business Analytics MMR GRE or GT Civil Engineering - Geotechnical Engineering Mass Communications Civil Engineering - Structural Engineering Mathematics Civil Engineering - Transportation Engineering Mathematics - Computational & Applied Mathematics College Student Personnel Administration Ed Mathematics - Postsecondary Mathematics Education Computer Management and Information Systems GRE or GT Computer Mgmt and Information Systems - Business Analytics GRE or GT Computer Science GRE Mathematics - Pure Mathematics Mathematics - Statistics & Operations Research Mechanical Engineering Curriculum and Instruction Ed Music Economics and Finance, GRE or GT Music - Music Education MM Economics and Finance - Business Analytics GRE or GT Music - Music Performance MM Educational Administration Ed Nursing Electrical Engineering** GRE English Nursing - Health Care & Nursing Admin** Nursing - Nurse Educator** English - Literature English - Creative Writing English - Teaching English as a Second Language English - Teaching of Writing Psychology Psychology - Clinical Psychology** GRE Psychology - Clinical-Adult** GRE Psychology - Industrial-Organizational** GRE Environmental Science Management*** PSM GRE Public Administration MPA ** These programs may have a deadline that differs from the general University deadline. Contact the academic department for details or visit siue.edu/apply. *** GRE required if G.P.A. is below 3.00 on a 4.00 scale. Grayed areas indicate program/degree. Program listing current as of 6/30/15. For a complete, up-to-date listing visit: siue.edu/academics. Social Work** W Social Work - School Social Work** W Sociology Special Education Ed Speech Language Pathology** GRE The application, all transcripts, GRE scores and letters of recommendation for Speech Language Pathology applicants are to be submitted through the Centralized Application Service (CSDCAS) portal link at: https://portal.csdcas.org/.

The chart below lists post-baccalaureate and post-master s certificate programs. A certificate is an organized program of study that leads to a specific set of skills or knowledge. A certificate confirms that a student has mastery of the content of a clearly defined sub-field of an academic major field of study. A certificate provides in-depth training, but not to the breadth of a graduate degree. Program Certificate Required Test English American & English Literature Teaching English as a Second Language Teaching of Writing History Museum Studies Instructional Technology Web-based Learning Literacy Education Literacy Specialist Mass Communications Media Literacy Music Piano Pedagogy Vocal Pedagogy Nursing** Family Nurse Practitioner** Health Care & Nursing Admin** Nurse Educator** Special Education Special Education SIUE now offers in-state tuition to master s-level graduate students who are residents of Arkansas, Indiana, Iowa, Kentucky, Missouri, Tennessee and Wisconsin. ILLINOIS RESIDENT GRADUATE TUITION AND FEES* For a complete listing of tuition and fees, please visit siue.edu/apply/tuition. 3 Semester Hours = $1,363.10 6 Semester Hours = $2,518.35 9 Semester Hours = $3,498.45 12 Semester Hours = $4,478.55 *Academic Year 2015-2016. Reflects costs available at time of printing. For admission information: graduateadmissions@siue.edu For Graduate School information: siue.edu/graduatestudents Additional post-baccalaureate certificate programs and post-master s certificate programs are being developed. Please check siue.edu/graduatestudents for the most up-to-date listing of certificate programs. If you have confirmation that a certificate program is offered but it is not listed on the application, please indicate the program appropriately on the application. **These programs have a deadline that differs from the general University deadline. Contact the academic department for details. SPECIALIST AND DOCTORAL PROGRA Cooperative doctoral students must complete admission requirements at both SIUE and SIUC. Degree will be granted from SIUC. Pharmacy and Dental students should complete a different admissions application. **These programs have a deadline that differs from the general University deadline. Contact the academic department for details. Program Degree Degree Required Test Cooperative Programs with Southern Illinois University Carbondale Computer Science** PhD from SIUC GRE Educational Administration** PhD from SIUC Engineering** PhD from SIUC GRE History** Educational Administration** Educational Leadership** Nursing Doctoral Practice** Nurse Anesthesia** Family Nurse Practitioner** PhD from SIUC EdS EdD DNP DNP DNP School Psychology** SD GRE Abbreviations EdS - Education Specialist - Master of Arts MBA - Master of Business Administration MFA - Master of Fine Arts MM - Master of Music MMR - Master of Marketing Research MPA - Master of Public Administration - Master of Science A - Master of Science in Accountancy Ed - Master of Science in Education W - Master of Social Work - Post-Baccalaureate Certificate - Post-Master s Certificate PSM - Professional Science Master s SD - Specialist Degree GRE - Graduate Record Examination GT - Graduate Management Admissions Test DNP - Doctor of Nursing Practice EdD - Doctor of Education

DISCLOSURE (siue.edu/disclosure) Southern Illinois University Edwardsville (SIUE) prohibits discrimination on the basis of age, ancestry, arrest record, citizenship status, color, disability status, gender, language, marital status, national origin, order of protection status, race, religion, sex (including sexual harassment and sexual assault), sexual orientation, unfavorable military discharge or veteran status regarding but not limited to the administration of educational programs, admission of students, employment actions, athletics or other sponsored activities. The University complies in letter and spirit with appropriate federal and state legislation, including, but not limited to, Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, the Americans with Disabilities Act of 1990 (ADA) and the Illinois Human Rights Act as amended. Anyone seeking information concerning the University s obligations as an equal opportunity and affirmative action institution should be directed to the Office of Equal Opportunity, Access and Title IX Coordination (618) 650-2333, Rendleman Hall, Room 3310, Campus Box 1025, Edwardsville, IL 62026-1025. SIUE is committed to student privacy and confidentiality of information. Although submitting your Social Security is voluntary, it is recommended because the Social Security number expedites matching of credentials for admission review and processing. It is also required of those students applying for financial aid. SIUE also needs your Social Security number in order to furnish Form 1098T, Tuition Payments Statement, used to claim an income tax credit for the Hope and Lifetime Learning Education Credits. Your social security number will not be shared with any third party without your knowledge. In accordance with Illinois State law, the SIUE Police Department shall disclose the name, address, date of birth, place of employment, school attended, and offense or adjudication of all sex offenders required to register under Section 3 of the Sex Offender Registration Act [730 ILCS 150/3] upon request. Please contact the SIUE Police Department for all question and/or inquiries. The SIUE ANNUAL SECURITY REPORT is available online at siue.edu/securityreport. The report contains campus safety and security information and crime statistics for the past three calendar years. This report is published in compliance with federal law, titled the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act. You also may access this report online at: siue.edu. For those without computer access, a paper copy of the report may be obtained from: Office of the Vice Chancellor for Administration, Rendleman Hall, Room 2228, (618) 650-2536. Printed by authority of the State of Illinois, 7/15, 1500, 15030819

Graduate Admission Application Send application and fee to: Southern Illinois University Edwardsville Office of Admissions Campus Box 1047 Edwardsville, IL 62026-1047 You may apply online and submit $30 fee via credit card at siue.edu/apply PLEASE PRINT CLEARLY 1. Semester for which you are applying Fall Spring Summer 20 (yr) 2. You are applying as a Classified (Degree-Seeking) Unclassified (Non-Degree Seeking) 3. Legal Name Last First Middle Suffix Maiden or former last name(s) 4. Permanent Home Address 5. Mailing Address If different from permanent address Address/Street/Apt # City State ZIP Phone: ( ) - Address/Street/Apt # City State ZIP Phone: ( ) - 6. Gender Female Male 7. Date of Birth (MM/DD/YY) / / 8. Personal Email SIUE Email (if applicable) 9. Social Security Number (See Disclosure) 10. Are you a U.S. Citizen? Yes No If not, state your Alien Registration Number Permanent Residents must provide a copy of their Alien Registration Card (Green Card) for review. 11. Please answer the following questions to assist SIUE s efforts to comply with civil rights legislation and mandatory reporting to federal and state agencies. Your responses to the following questions will NOT affect your admission decision. Do you consider yourself Hispanic or Latino? Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Yes, I am Hispanic or Latino. No, I am not Hispanic or Latino. In addition, please select one or more of the following racial categories that describe you: American Indian or Alaska Native A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. Asian A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, Philippine Islands, Thailand and Vietnam. Black or African American A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander A person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands. White A person having origins in any of the original peoples of Europe, the Middle East or North Africa. 12. Have you ever served or are you currently serving in the United States armed forces? Yes No 13. Please answer the following question to determine your residency for tuition purposes. Applicants failing to respond to these questions will be assumed to be out-of-state residents. SIUE now offers in-state tuition to residents of Arkansas, Indiana, Iowa, Kentucky, Missouri, Tennessee and Wisconsin. For more details, visit siue.edu/indstatetuition. I am a resident of the following state I have resided in this state for years months. 14. Select the graduate program to which you wish to apply (please refer to program list for appropriate information) Unclassified non-degree seeking Cooperative doctoral SIUE/SIUC Planning to take courses in (Cooperative doctoral students must complete admission requirements at both SIUE and SIUC.) Post-Baccalaureate Certificate Master s/specialist Degree (circle one):,, MBA, MFA, A, MM, Ed, MMR, MPA, W, PSM, EdS, SD Post-Master s Certificate Doctoral Degree: EdD, DNP Major/Specialization/Option PLEASE CONTINUE ON THE BACK OF THIS PAGE.

15. This section should be completed only by applicants who have had prior enrollment at SIUE as a graduate student but have not been enrolled for the past three semesters, or by currently enrolled graduate students seeking a new or second major. Check the appropriate category: I am applying for the same graduate major on record for my last term of enrollment at SIUE (for returning students only). I am applying for a new graduate major and understand that my current graduate major on record will be dropped (for returning and currently enrolled graduate students). I am applying for a second graduate major and understand that my current graduate major will be retained (for currently enrolled graduate students only). 16. Academic History: Applicants must complete this section. List all institutions attended, including SIUE, in chronological order using the complete name of the school. It is extremely important that we have your complete academic history, including the dates of attendance and degree(s) earned or expected. Missing information will delay the review of your application. Baccalaureate Degree Name of School City, State and Country Start Date - End Date Name of Degree Earned/Expected Post-Baccalaureate Course Work with Degrees Name of School City, State and Country Start Date - End Date Name of Degree Earned/Expected 17. Have you been convicted of a felony, pleaded guilty to a felony, or are you currently under an indictment/information for felony charges? Yes No Southern Illinois University Edwardsville is committed to maintaining a safe environment for all members of the University community. The University requires applicants who are under indictment or have been convicted of a crime (other than a routine traffic offense or in a juvenile proceeding) to disclose this information as a mandatory step in the application process. A previous conviction or current indictment does not automatically bar admission to the University, but does require review. Complete information must be sent by Certified Mail at the time of application for admission to: Southern Illinois University Edwardsville; Director of Admissions; Campus Box 1600; Edwardsville, IL 62026-1600. Applicants are responsible for verifying receipt by the University and for maintaining a copy of the receipt certifying submission. Information to be submitted includes: a brief explanation, a location (city, state, country) of the conviction or current indictment, dates and court disposition. This statement also must include a grant of permission to the University for complete access to criminal records, if any. For more information about this requirement, call 618-650-3705. 18. CERTIFICATION: This certification must be signed and dated by the applicant before action can be taken on this admission application. I understand that withholding information requested on this application or giving false information may make me ineligible for admission to the University or subject to dismissal. I certify that the statements I have made on this application are correct and complete. Print Name Signature Date