PAPER APPLICATION FOR GRADUATE SCHOOL TERM YOU WISH TO ENROLL: FALL SPRING YEAR IMPORTANT Applicants must visit www.stockton.edu/grad to review each graduate program s admissions requirements and application deadline. In addition to those graduate program admissions requirements, international applicants are required to submit additional documents found on the International Graduate Student Admission website. If you have any questions about the international graduate student application process, please contact the Office of Graduate Studies at gradschool@stockton.edu or (609) 626-3640. GRADUATE PROGRAM NAME: LAST NAME FIRST NAME MIDDLE INITIAL (SURNAME) (GIVEN NAME) PREVIOUS NAME: (IF DIFFERENT FROM ABOVE): LAST FIRST MIDDLE HAVE YOU EVER TAKEN CLASSES AT STOCKTON? YES or NO HOME PHONE: WORK PHONE: CELL PHONE: E-MAIL ADDRESS: TYPE ( PERSONAL WORK/BUSINESS ) SOCIAL SECURITY# (if applicable) Z#: DATE OF BIRTH: (mm/dd/yyyy) PLACE OF BIRTH: CITIZENSHIP U.S. CITIZEN U. S. PERMANENT RESIDENT (attach copy of green card) OTHER COUNTRY OF CITIZENSHIP: _ TYPE OF VISA HELD: (if applicable) If none, are you applying for one? YES or NO Name of Country CURRENT NEW JERSEY RESIDENT FOR ONE YEAR OR MORE? YES or NO PERMANENT ADDRESS & PHONE MAILING ADDRESS (IF DIFFERENT FROM PERMANENT) STREET 1: _ STREET 1: STREET 2: _ STREET 2: BOX OR APT #: BOX OR APT #: CITY: ST: ZIP: CITY: _ ST: ZIP: COUNTY: COUNTRY:(IF NOT USA) COUNTY: _ COUNTRY:(IF NOT USA) ADDRESS GOOD UNTIL:
FOR STATISTICAL PURPOSES ARE YOU HISPANIC OR LATINO? YES or NO CHECK ALL THAT APPLY: MARITAL STATUS: GENDER: AMERICAN INDIAN OR ALASKAN NATIVE ASIAN SINGLE MARRIED MALE FEMALE BLACK OR AFRICAN AMERICAN CAUCASIAN NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER SEPARATED PARTNERED IS ENGLISH YOUR PRIMARY LANGUAGE? YES NO NAME & PHONE OF EMERGENCY CONTACT: _ RELATIONSHIP EDUCATIONAL BACKGROUND Please list all Colleges/Universities attended (both foreign and in the U.S.), beginning with the most recent. Add a sheet if necessary. It is the applicant s responsibility to ensure that Stockton receives OFFICIAL transcripts from all Colleges/Universities attended with final grades/degrees posted. Foreign transcripts must be evaluated by either WES, ECE, or AACRAO. College/University State From To Degree Earned? _Yes (see below) OR No? Major(s) Minor Graduate Degree Earned? (ie: AA in Business; BS in Biology) College/University State From To Degree Earned? _Yes (see below) OR No? Major(s) Minor Graduate Degree Earned? (ie: AA in Business; BS in Biology) College/University State From To Degree Earned? _Yes (see below) OR No? Major(s) Minor Graduate Degree Earned? (ie: AA in Business; BS in Biology)
EMPLOYMENT HISTORY Please list in reverse chronological order your employment for the past 3 5 years (including summer work or military service). Please include this information in your resume. Employer/Company: Address: Your Title: Phone number: from (Month, Year ) to (Month, Year ) Employer/Company: Address: Your Title: Phone number: from (Month, Year ) to (Month, Year ) Employer/Company: Address: Your Title: Phone number: from (Month, Year ) to (Month, Year ) STANDARDIZED TEST SCORES You must submit official standardized test scores as required by the specific program to which the application is made. The Stockton school code is 2889; MAT code is 1391. An official score report can take up to four weeks to arrive at our institution so you must plan carefully to meet your graduate program s application deadline. Have you taken the GMAT? Yes If yes, Month / Year Highest Score No If no, what date(s) do you plan to test? Month / Year Have you taken the GRE? Yes If yes, Month / Year Highest Score No If no, what date(s) do you plan to test? Month / Year Have you taken the MAT? Yes If yes, Month / Year Highest Score No If no, what date(s) do you plan to test? Month / Year ENGLISH PROFICIENCY REQUIREMENT International applicants must submit proof of English proficiency by submitting either of the following tests. Those who have passed a course in English Composition (not English as a Second Language nor English for Foreign Students) at a U.S. or Canadian college/university with at least a "B" are not required to submit scores. Have you taken the TOEFL? Yes or No. If no, what date do you plan to test? Month /Year Have you taken the IELTS? Yes or No. If no, what date do you plan to test? Month /Year Have you successfully completed ELS Level 112? Yes or No. If no, please indicate the following: ELS Location: Current ELS level: Expected date of Completion: Month /Year REV 1/25/16
RECOMMENDATIONS Recommenders must include the Graduate Recommendation Form along with a letter found on the Office of Graduate Studies website. All students applying must submit 3 letters of recommendation from professionals who have first-hand knowledge of their academic potential. Please provide the name, title, institution, or company and phone number of the individuals who will be submitting recommendation forms and letters on your behalf. Name: Title: Institution/: Company E-mail Phone Number: : Name: Title: Institution/: Company E-mail Phone Number: : Name: Title: Institution/: Company E-mail Phone Number: : CERTIFICATION I hereby certify that the information furnished on this application is accurate and complete, and that I have not been enrolled in nor have I attended any collegiate institution other than those listed on this application. I understand that any misrepresentation of fact will constitute cause for cancellation of my application prior to admission or dismissal following admission and that I will forfeit all fees paid. Applicant's Name (print): Signature: Date: Completed applications including all official transcripts, required documents and the $50 application fee in the form of a check or money order (made payable to Stockton University) should be mailed to: Stockton University Office of Graduate Studies 101 Vera King Farris rive Galloway, NJ 08205 (609) 626-3640 www.stockton.edu/grad Stockton University is an equal opportunity institution. It does not discriminate in admission or access to its programs and activities or in treatment Or employment of individuals on the basis of race, creed, national origin, ancestry, Disability, age, sex, affectional or sexual orientation, marital status, liability for service in the Armed Forces of the United States or nationality. Please note that failure to submit all requested information will delay the processing and evaluation of your application. REV 1/25/16
GRADUATE APPLICATION ESSAY FORM APPLICANT NAME: DATE: INSTRUCTIONS: Please type your essay on this form. In 500 words or less, write a personal statement describing any life experiences, unique characteristics, career, and academic goals which illustrate the subjective qualities that you will bring to an academic program at Stockton University. We recognize that there are many personal factors not measurable by one's academic record and that these factors are important to consider when building a diverse graduate class. Some of these factors include leadership potential, integrity, accountability, intellectual curiosity, determination in the face of adversity, problem-solving skills, resiliency, motivation, compassion, creativity, and the ability to relate well with people. This statement is not a summary of your resume, however it is an opportunity for you to tell us something about your life s journey. REV 1/25/16
MASTER OF SOCIAL WORK (MSW) APPLICANTS ONLY: REQUIRED SUPPLEMENTAL ESSAYS APPLICANT NAME: DATE: INSTRUCTIONS: The maximum word limit is 500, inclusive (for all three essays together). Please type (enter) your essay on this form below and use one additional sheet, if necessary. 1. Describe how you have coped with a significant challenge in your life. How will the strengths you discovered during this challenge enable you to handle the demands of a full-time MSW program that includes substantial academic work and an internship? 2. Why do you want to enroll in an MSW program that is focusing on working with diverse individuals, families, and communities? 3. Do you speak any language(s) other than English? If so, please indicate which language(s) and your level of fluency. Also discuss how you obtained your ability to speak the additional language(s).