Application for Graduate Admission

Transcription

Application for
Graduate Admission
CHECKLIST
Complete Application Form
Application Fee ($25.00)
Transcripts (from all colleges/universities attended)
Test Scores (MAT, GRE, GMAT)
Recommendation Letters
List of references (MBA)
Personal Statement (PsyD, Human Sciences, MSW)
Résumé (PsyD, MSOL, PhD, MBA, MSW)
Teacher Certificate (MEd, MA-Special Ed)
210-431-3961 • 800-436-6558 • ollusa.edu
Graduate Admissions • 411 S.W. 24th Street • San Antonio, TX 78207
G R A D U AT E A D M I S S I O N A P P L I C AT I O N
USEFUL INFORMATION
Prospective Graduate Student
www.ollusa.edu/GradAdmissions
Graduate Application Requirements
ww.ollusa.edu/GradRequirements
Recommendation Letters
ww.ollusa.edu/GradRequirements
Testing Codes
NOTE: Please have official test scores sent directly to OLLU.
OLLU’s codes are:
GRE: 6550
MAT: 2227
GMAT: SAWEC: 5H1-12N-02
HOWEC: 5H1-6H-32
The Miller Analogies Test is administered at
the OLLU Assessment Center.
Contact the center at least three weeks before your application
deadline to arrange for testing.
Walter Student Service Center, Room GO3
210-431-3998 or 800-436-6558, ext. 2331
E-mail: dhperez@ollusa.edu
Testing locations and registration information for other exams
may be found at www.ollusa.edu/GradRequirements
Financial Aid Codes
OLLU code: 003598
Scholarships, grants, graduate assistantships and financial aid
are available for graduate students. University scholarships and
assistantships are supplemented by private scholarships and federal
and state grants and financial aid.
Federal financial aid is awarded on a first-come, first-served basis until
all funds are exhausted. You should begin the application process
at the same time that you apply to the graduate program. To be
considered for financial aid, you must complete the Free Application
for Federal Student Aid (FAFSA) at www.fafsa.ed.gov. Please list Our
Lady of the Lake University, federal school code #003598, as one of the
schools to receive your application information.
HELPFUL PHONE NUMBERS
Office of Admission
Phone:210-431-3961
800-436-6558
Fax: 210-431-4036
Financial Aid Office
Phone: 210-434-6711, ext. 2299
800-324-4310
Fax: 210-431-3958
Academic Counseling Center
Phone: 210-431-3966
Fax: 210-431-4017
Assessment Center
Phone: 210-431-3998
Fax: 210-431-4017
Student Business Office
Phone: 210-434-6711,
ext. 2353/2354
800-390-9433
Fax: 210-431-4082
Registrar
Phone: 210-431-3959
800-436-6558
Fax: 210-436-2314
Residence Life
Phone: 210-431-3941
800-436-6558
Fax: 210-431-4064
Information Technology Services
Phone: 210-431-3908
800-260-8130
Fax: 210-431-4020
210-431-3961 • 800-436-6558 • ollusa.edu
2
SECTION A - PERSONAL DATA
PLEASE PRINT OR TYPE
Legal Name: _____________________________________________________________________________________________________________________________________
Last/Family
First/Given
Middle
Preferred Name (if not first name): _______________________________________________ Former Last Name(s) (if any):__________________________________________
0Female 0 Male
Birth Date:__________________________________________ Social Security Number:_____________ -___________ -___________________
E-mail:______________________________________________________________________
Permanent Home Address:________________________________________________________________________________________________________________________
Number and Street (Apt.#, P.O. Box #)
City/Town __________________________________________________________________________________________________________________________________________________
State/Province
Zip/Postal Code Country
Permanent Home Phone (________)__________________________ Work Phone (________)_______________________ May we call you at work?0Yes 0No
Cell Phone: ( ______ )__________________________________ Fax: ( ______ )________________________________
Military Service: 0
Active-duty military
Active-duty military spouse 0
Have you ever been convicted of a felony? 0 Yes
0
No
Branch of Service:____________________________________________
Mailing address for all admissions correspondence (if different from above mailing address):
__________________________________________________________________________________________________________________________________________________
Number and Street (Apt.#, P.O. Box #)
City/Town __________________________________________________________________________________________________________________________________________________
State/Province
Zip/Postal Code Country

SECTION B - EDUCATIONAL HISTORY
Important: Official transcripts must be submitted from ALL regionally accredited colleges and universities attended.
Transcripts from countries outside the United States must be evaluated by a United States evaluation service.
LIST ALL INSTITUTIONS ATTENDED IN CHRONOLOGICAL ORDER WITH MOST RECENT FIRST.
Name of Institution
City, State
Dates Attended
Degree
Date Conferred
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
List additional schools on a separate sheet of paper and attach to this application.
0Yes 0 No
Have you ever been suspended, dismissed or forcibly withdrawn from an institution for non-academic reasons?
Applying for: (1) Financial aid?
0 Yes 0 No
(2) VA Benefits?
0 Yes 0 No
If you will be attending OLLU in conjunction with a federally funded grant, please give the following information:
Name of grant:_______________________________________________Name of OLLU contact person:___________________________________________
Grant is located: 0 Worden School of Social Service
0 School of Business and Leadership
EDUCATION APPLICANTS: Do you hold a Texas teacher certificate?
0 School of Professional Studies
0 College of Arts and Sciences
0
Unknown
0
Yes 0
No 0
In Process (OLLU student)
210-431-3961 • 800-436-6558 • ollusa.edu
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SECTION C - EDUCATIONAL OBJECTIVE - DEGREE PROGRAM
If you are interested in obtaining a graduate degree, choose one program and location from the list below.
If you are interested in a NON-DEGREE PROGRAM, please see page 5.
HOUSTON WEEKEND DEGREE PROGRAM
SAN ANTONIO WEEKEND DEGREE PROGRAM
MASTER OF ARTS (MA)
0 Human Sciences
DOCTOR OF PHILOSOPHY (PhD)
0 Leadership Studies
MASTER OF BUSINESS ADMINISTRATION (MBA)
Please select the desired specialization:
0 Healthcare Management
0Management
DOCTOR OF PHILOSOPHY (PhD and MBA or MSOL)
0 Combined PhD in Leadership Studies and MBA
0 Combined PhD in Leadership Studies and
MS in Organizational Leadership
MASTER OF SCIENCE (MS)
Please select the desired specialization or concentration:
0Psychology
Marriage and Family Therapy
MASTER OF ARTS (MA)
0 Human Sciences
0Teaching
Interdisciplinary Education
Math Education
Science Education
Special Education
DOCTOR OF PHILOSOPHY (PhD and MBA)
0 Combined PhD in Leadership Studies and MBA
RIO GRANDE VALLEY DEGREE PROGRAM
SAN ANTONIO WEEKDAY/EVENING DEGREE PROGRAM
DOCTOR OF PSYCHOLOGY (PSYD)
0 Counseling Psychology
MASTER OF ARTS (MA)
0 Communication and Learning Disorders
0English
English Communication Arts
English Education
English Language and Literature
Writing
0 Human Sciences
0 Special Education
MASTER OF EDUCATION (MEd)
0 Curriculum and Instruction
Bilingual / Bicultural
Early Childhood
Integrated Math Teaching
Integrated Science Teaching
Master Reading Teacher
Reading Specialist
0Principal
0 School Counseling
0Psychology
Counseling Psychology
Marriage and Family Therapy
School Psychology
MASTER OF SOCIAL WORK (MSW)
0 Regular Program (54 semester hours)
Services to Children and Families
0 Advanced Standing Program for BSW graduates
(31 semester hours)
Services to Children and Families
Please select the desired specialization:
0Finance
0Management
MASTER OF BUSINESS ADMINISTRATION (MBA) AND
0 Combined MBA and MS in Organizational Leadership
0Accounting
0 Information Systems and Security
Information Assurance and Security
0 Organizational Leadership
MASTER OF SCIENCE (MS) AND
0 Combined MS in Organizational Leadership and MBA
ONLINE DEGREE PROGRAM
0Management
MASTER OF EDUCATION (MEd)
0 School Counseling
0 Nonprofit Management
0 Organizational Leadership
MASTER OF SOCIAL WORK (MSW)
0 Advanced Standing Program for BSW graduates
(31 semester hours)
210-431-3961 • 800-436-6558 • ollusa.edu
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ENROLLMENT PLANS FOR DEGREE PROGRAMS – ENTERING TERM
(Please check program information to verify starting dates.)
ACADEMIC LOAD
0 Full time (6 hours or more per semester)
0 Part time (5 hours or less per semester)
0FallYear: ________________
0SpringYear: ________________
0Summer Year: ________________
NON-DEGREE PROGRAMS
If you are interested in obtaining a certificate or endorsement, choose one program listed below. Check the desired certification
HOUSTON WEEKEND NON-DEGREE PROGRAM
SAN ANTONIO WEEKDAY/EVENING NON-DEGREE PROGRAM
CERTIFICATES
0 Violence Prevention and Intervention-Level II
CERTIFICATIONS (EDUCATION)
0Principal
0 Reading Specialist
0 School Counselor
0 Special Education (Supplemental Certification)
0 Educational Diagnostician
ONLINE NON-DEGREE PROGRAM
CERTIFICATE
0 Information Assurance and Security
SAN ANTONIO WEEKEND/ EVENING NON-DEGREE PROGRAM
CERTIFICATES
0 Bilingual Special Education
0Finance
0 Psychological Services for Spanish-Speaking Populations
0 Violence Prevention and Intervention-Level II
CERTIFICATES
0Finance
If you are interested in taking courses for a purpose
other than obtaining a degree or certificate, please
indicate the purpose below.
SPECIAL
INTEREST
0 PERSONAL OR PROFESSIONAL PURPOSE
(Please enclose a brief statement of purpose and number of courses you intend to take.)
Discipline/Department: __________________________
Location: 0 San Antonio 0Rio Grande Valley 0Online 0 Houston
0 TRANSIENT (taking course to transfer to degree-granting/home institution)
Name of degree-granting/home institution __________________________________________________________________________________
Courses desired _________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Discipline/Department: __________________________
Location: 0 San Antonio 0Rio Grande Valley 0Online 0 Houston
SECTION D - CURRENT EMPLOYMENT INFORMATION (if applicable)
Place of Employment: _______________________________________________________ Job Title:____________________________________________
Address:__________________________________________________________________ Phone: (________)________________________________
SECTION E - ADMISSIONS TEST STATUS
Test must have been taken within the last five years. Not required for applicants with master’s degrees from regionally accredited institutions.
(Excludes MS Psyc, PhD and PsyD applicants.)
PHD LEADERSHIP STUDIES AND MBA APPLICANTS: GMAT, GRE or MAT taken? 0 Yes 0 No
If yes, circle test (GMAT, GRE, MAT) and give date taken (month/year): ______/______
If no, circle test to be taken (GMAT, GRE, MAT) and give scheduled test date (month/year): ______/______
PSYD APPLICANTS: GRE, including psychology subject test taken?
0Yes 0No
If yes, circle test (GRE, Psychology subject test) and give date taken (month/year): ______/______
If no, circle test to be taken (GRE, Psychology subject test) and give scheduled test date (month/year): ______/______
APPLICANTS FOR ALL OTHER DEGREE PROGRAMS (if required):
GMAT, GRE, or MAT taken? 0 Yes
If yes, circle test (GMAT, GRE, MAT) and give date taken (month/year): ______/______
If no, circle test to be taken (GMAT, GRE, MAT) and give scheduled test date (month/year): ______/______
0 No
NOTE: Please have official test
scores sent directly to OLLU.
OLLU’s codes are:
GRE:6550
MAT: 2227
GMAT:SAWEC: 5H1-12N-02
HOWEC: 5H1-6H-32
210-431-3961 • 800-436-6558 • ollusa.edu
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SECTION F - INTERNATIONAL APPLICANT
Are you a U.S. citizen?
0 Yes
0 No 0 Yes
If no, are you a permanent resident?
0 No If yes, A#:_______________________________________________ _If no, do you have or will you apply for student (F-1) visa or any other type of temporary non-immigrant visa?
0Yes
0No
Date of Approval: ____________________________________________
Type of Visa______________________________________________________________________________
What is the country of your birth? ____________________________________________________________________________________________
What is the country of your citizenship? _______________________________________________________________________________________
If international, give: Date of birth:_____________________________________________ Place of Birth:_______________________________________
Country of citizenship (if different from place of birth): _______________________________________________________________________________
Do you require a student I-20 A/B through OLLU? 0 Yes
0 No
SECTION G - STATISTICAL INFORMATION THIS SECTION IS OPTIONAL
Our Lady of the Lake University does not discriminate against any applicant because of race, sex, national origin, disability, or religious affiliation. To comply
with state and federal reporting regulations, we ask you to assist by answering the questions below. This section is optional and the information will not be
used in the admission process.
CHECK BOX(ES) WHICH YOU MOST READILY IDENTIFY WITH:
ARE YOU HISPANIC/LATINO? (choose only one)
Yes, Hispanic/Latino
0
No, not Hispanic/Latino
0
The above question is about ethnicity, not race. No matter what you selected above, please continue to answer the following by marking
one or more boxes to indicate what you consider your race to be.
WHAT IS YOUR RACE? (choose one or more)
American Indian or Alaska Native
Asian
0
0
Native Hawaiian or Other Pacific Islander
0
Black or African American
0
White
0
Place of Birth:________________________________________________
Marital Status:
First language, if other than English:______________________________
0 Never married 0 Married 0 Widowed
0 Separated 0 Divorced
Primary language spoken at home:_______________________________
U.S. Armed Services Veteran: 0Yes
0No
HOW DID YOU HEAR ABOUT OLLU?
Alumni 0
Radio
0
Direct Mail
0
TV
0
Employer______________________________ Newspaper OLLU Representative
0
0_
0_
Web site
Other:____________________________________________________
0
0_
RELIGIOUS PREFERENCES
0 Anglican
0 Assembly of God
0 Church of Christ
0 Eastern Orthodox
0 Lutheran
0 Methodist
0 Other______________________________
0 Baptist 0 Episcopalian
0 Pentecostal
0 None
0 Buddhist 0 Hindu 0 Protestant
0 Catholic
0 Christian
0 Islam
0 Jewish
0 Seventh Day Adventist
READ AND SIGN AFTER COMPLETING APPLICATION:
I certify that the information on this application is complete and correct and understand that the submission of false information is grounds for denial
of my application, withdrawal of any offer of admission, cancellation of enrollment or appropriate disciplinary action. I understand that the University
expects a high standard of conduct from its students, and if accepted for admission, I will abide by all rules and regulations of the University as set forth in
University publications. I authorize the University to verify the information I have provided. I agree to notify the proper University official of any changes
in the information submitted.
Applicant’s Signature:______________________________________________________________________ Date:_______________________________
210-431-3961 • 800-436-6558 • ollusa.edu
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CAMPUS MAP
N
LEGEND
01 Providence Hall
02Ayres Hall
03 International Folk Culture Center (IFCC)
04Flores Cyber Cafe
05 Metz Hall
06Flores Hall
07 Moye Hall
08Pacelli Hall
09Thermal Plant
10 Centennial Hall
11 Walter Student Service Center
Constantineau Chapel
12 Sister Elizabeth Anne Sueltenfuss Library
13 Main Building/Admissions Center
14 St. Martin Hall Annex
15Bookstore
16 Harry Jersig Center
17 St. Ann’s Hall
18 Worden School of Social Service
19 Fine Arts Building/24th 21 Street Theatre
20St. Martin Hall
21 Thiry Auditorium
22St. Martin Hall Gym
23Our Lady of Lourdes Grotto
24 Durango House
25 Sacred Heart Conventual Chapel
27Convent
29 St. Joseph Hall
31 Annunciation Chapel
33 Reagan Hall
35 McCullough Hall
37 Elliott House
39 Casa Caritas
41 Maintenance Shop
43University Wellness and Activities Center (UWAC)
45 Tennis Courts
47 - 63 Convent Buildings
65 Soccer Field
PARKING
EMERGENCY CALL BOX
DISABLED PARKING
CROSSWALK
210-431-3961 • 800-436-6558 • ollusa.edu