A Application. C Essay D E F. Graduate Application. Student Profile

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Graduate Application The Application Process We realize that choosing a graduate school is an important decision, and your consideration of SAGU is something for which we are very thankful. A checklist is provided, which will indicate the information needed for acceptance. Notice of Non-discriminatory Policy Related to Students SAGU admits students of any race, color, national or ethnic origin, to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, gender, disability, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs. The university reserves the right to withdraw a student for cause at any time. A Application Application Application Fee B Student Profile C Essay D E F Minister Reference (not required if you are an Assemblies of God ordained or licensed minister) Professional Reference Student Records Policy (FERPA)

A Graduate Application for Admissions All applicants should send a $50 non-refundable application fee along with this application. I understand and accept the above refund policy. Signature General Information Anticipated Enrollment: Fall Spring Summer Year Social Security Number Enrollment Status First-time graduate student Transfer from another graduate school Former SAGU undergraduate student from to Preferred Learning Model On-campus Distance Education Last Name First Name Middle Name Maiden Preferred Name Current Address County Cell Phone ( ) Home Phone ( ) Work Phone ( ) E-Mail Address 1 E-Mail Address 2 Personal Information Age Gender Date of Birth Are you a veteran? Yes No If so, are you receiving any VA benefits? Yes No Type Ethnic Group: African-American American Indian/Alaskan Native Asian Caucasian/White Hispanic/Latino International Student/Nonresident Alien Native Hawaiian/Pacific Islander Other Are you a U.S. Citizen? Yes No If not, do you have a green card? Yes No If no, what is your visa status? Country of Citizenship? Marital Status: Single Married Separated (date ) Divorced (date ) If divorced/separated and studying on campus, do you agree to abide by the rules for divorced/separated students stated in the catalog? Yes No Please list the name and age of all of your children under age 18: Parent/Spouse Information Last Name First Name Relationship Phone ( ) Current Address

A Educational Background Last College/University Attended (an official transcript showing your date of graduation must be sent to the Office of Admissions) School Name Address Date of College/University Graduation College/University GPA Date of High School Graduation or GED Received List the names and locations of all colleges/universities at which you have taken courses (including SAGU if you are a former student) and the degrees you have been awarded, beginning with the most recent. Official transcripts must be mailed directly to SAGU from each institution. (SAGU Official Transcripts do not need to be submitted.) College/University City, State Date of Attendance Degrees Earned Major Have you been on academic or disciplinary suspension from any college/university? Yes No If yes, please attach specific explanation on a separate sheet of paper. Educational Goals CHOOSE ONE Master of Business Administration MBA Master of Science in Counseling/Psychology * Counseling Psychology (clinical) 21 hours must be completed on campus. Human Services Counseling (non-clinical) Master of Education Christian School Administration Curriculum Development Early Childhood/Elementary Early Education Administration Middle and Secondary Education Principalship (non-thesis) Principalship (thesis) School Counseling Master of Arts in History Education track Thesis track Non-thesis track Master of Arts in Theological Studies Bible and Theology Practical Theology Intercultural Studies Children and Family Ministry Master of Arts in Organizational Leadership Leadership Master of Divinity M.Div. Doctor of Ministry D.Min. GRE Test Scores * The GRE is required for students seeking an MS in Counseling Psychology or Human Services or an MA in History. Date you completed or intend to complete SAGU GRE Institutional Code: 3830 Note: SAGU Alumni are not required to furnish GRE scores with a sufficient GPA.

B Student Profile SAGU s Graduate School admission policy requires all students to have a born-again salvation experience as indicated in John 3:3 and other scriptures. SAGU is open to students of Christian faith and the university teaches a biblical Christian world view. A copy of the Statement of Fundamental Truths of the Assemblies of God is available upon request. The university also maintains an abstinence policy in regard to tobacco, any illegal drugs or mind-altering substances, as well as inappropriate sexual conduct of any nature according to biblical principles. Last Name First Name Middle Name Church Attending: Address Pastor s Name If Assemblies of God, what district? Denomination: If you hold ministerial credentials, indicate which: Ordained Licensed Certified Minister Have you accepted Jesus Christ as your personal Savior and Lord? (Romans 10:9-13; John 3:16; and Acts 2:38) Yes No Date of Salvation: Do you strive to live a Christian lifestyle? Yes No Have you been baptized in water? (Mark 16:16) Yes No Have you received the Baptism in the Holy Spirit with the evidence of speaking in tongues? (Acts 2:4) Yes No Have you used tobacco, alcohol, or any illegal drugs or mind-altering substance or struggled with pornography, homosexuality, or sexual promiscuity in the last 3 years? Yes No If yes, which one? Date of discontinuance Have you ever been convicted of a felony? Yes No If yes, please attach an explanation and provide dates. Are you currently on Parole? Yes No Are you currently on Probation? Yes No If yes, provide Parole/Probation Officer s name and number What influences led you to SAGU? Check all that apply. Academic Standards Church Pastor School Counselor Youth Convention Advertisement Personal Inquiry Spiritual atmosphere Youth Pastor College Ministry Group Alumnus Friends Student Campus Days Degree Programs Parents SAGU Website Southwestern Today Mag ACSI Grad Focus Magazine Other I approve of the high moral standards of Southwestern Assemblies of God University and agree to abide by its policies. I will be responsible for prompt payment of my school account. I understand that all materials submitted during the admissions process become property of Southwestern Assemblies of God University. Date Signature of Student

C Essay Applicants must submit an autobiographical essay (up to 750 words) indicating the factors that have brought them to their present focus of intellectual interests and spiritual formation, with some discussion of vocational objectives. The essay should also address the applicant s goals and expectations of their selected master s degree. Essay Guidelines 1. The writing sample is an important part of your application. Please take this opportunity to demonstrate your ability to communicate at a graduate level. Spelling, word usage, and mechanics will be evaluated. 2. Make certain you have a logical sequence of thought. One paragraph in not long enough to develop your ideas. 3. The use of reference materials, including dictionaries, encyclopedias, and web resources is prohibited. The essay should demonstrate your own ability to articulate thought and reason. The use of another person s material will be considered plagiarism and is prohibited. 4. Your essay should be typed and double-spaced with 12 point font and 1 margins. 5. Please incorporate all essay objectives throughout the body of your essay. Returning Your Essay Please e-mail your completed essay to Harrison Graduate School at the following address: graduateadmissions@sagu.edu. Questions Our graduate staff is available Monday-Friday 8am-5pm CST. Please contact our office with any questions or needs 1.888.YES.SAGU, ext 4815 or by e-mail: graduateadmissions@sagu.edu.

D Minister Reference Applicant Instructions & Information Please complete this section and sign the statement below if you wish to waive your rights as stated. Your pastor should complete the Minister Reference survey section. If you are related to your pastor, a non-related minister should complete the form. Anticipated Enrollment: Fall Spring Summer Year Social Security Number Last Name First Name Middle Name Current Address According to PL 39-380, the Family rights and Privacy Act of 1974, the information contained in this reference questionnaire must be shared with the student upon request. However, the applicant may, at his/her discretion, voluntarily waive the right of access to the information by signing the following statement. Waiver of Rights: I hereby waive my right of access to all information contained in this reference questionnaire with the understanding that it will be used only for the purpose of evaluating my application for admission to Southwestern. Signature Date Minister Reference Survey The person named above on this reference form has applied for admission to Southwestern Assemblies of God University and has given your name as a reference. Please complete the following reference form to the best of your knowledge and return to: SAGU, Admissions Office, 1200 Sycamore, Waxahachie, Texas, 75165 or by fax at (972) 923-8154. How long have you known the applicant? To what extent have you known the applicant? Personal Relationship Somewhat Close Indirect Distant To your knowledge, in the past 3 years has he/she: Used drugs illegally? Yes No Used tobacco? Yes No Used alcohol? Yes No Struggled with pornography? Yes No Sexual promiscuity? Yes No Homosexuality? Yes No To your knowledge, has the applicant ever been divorced? Yes No Remarried? Yes No In the last three years, what can you say of the applicant s spiritual life? Home life? (Please comment in boxes 1 & 2 on back.) Do you know of anything that might hinder the applicant from satisfactory progress as a student? (Please explain in box 3 on back.) Please check the following: Excellent Good Fair Poor Not Known Moral Character Emotional Stability Initiative Acceptance by Others Concern for Others Attitude Toward Authority Church Involvement Financial Responsibility (If you check fair or below on any of these, please comment in box 4 on back.) Do you recommend applicant as a candidate for SAGU? Yes No Hesitantly (Please comment on separate page if needed.) Please Print Your Name Signature Position Date Church Phone Address

D Box 1: Spiritual Life Box 2: Home Life Box 3: Progress as a Student Box 4: Responses to the Check Boxes

E Professional Reference Please complete this section and sign the statement below if you wish to waive your rights as stated. A non-related professional or former professor should complete this form. Applicant Instructions & Information Anticipated Enrollment: Fall Spring Summer Year Social Security Number Last Name First Name Middle Name Current Address According to PL 39-380, the Family rights and Privacy Act of 1974, the information contained in this reference questionnaire must be shared with the student upon request. However, the applicant may, at his/her discretion, voluntarily waive the right of access to the information by signing the following statement. Waiver of Rights: I hereby waive my right of access to all information contained in this reference questionnaire with the understanding that it will be used only for the purpose of evaluating my application for admission to Southwestern. Applicant s Signature Professional Reference Survey The individual named on this reference form has applied for graduate admission to Southwestern Assemblies of God University, and has given your name as a reference. Please complete the following reference form to the best of your knowledge and return to: SAGU, Office of Admissions, 1200 Sycamore St., Waxahachie, TX 75165 or by fax at (972) 923-8154. Date Name (Please Print) Date Position Phone College/University How long have you known the applicant? To what extent have you been familiar with the applicant s academic performance? Direct Contact Somewhat Close Indirect Distant Do you think the applicant is capable of successfully completing graduate studies? Yes No Uncertain Do you recommend the applicant as a candidate for this school? Yes No Hesitantly :

E Please check the following and make any comments you feel are appropriate. Emotional Stability Excellent Good Fair Poor Not Known Interpersonal Relationships Leadership Potential Moral Character Oral Communication Skills Personal Appearance Reaction to Counsel Scholarship Potential Writing Skills Signature of Professional Reference Date

F Southwestern Assemblies of God University STUDENT RELEASE FOR PURPOSES OF RELEASING STUDENT EDUCATION RECORDS The Family Educational Rights and Privacy Act, as amended (FERPA), allows students at an institution of higher education to control outside access to their education records, including requests for information from their parents or other family members. Without a student s written consent, SAGU may not disclose information from a student s education records to outside third parties except as provided under FERPA. You can provide a standing release allowing SAGU to disclose information to other persons. To do so the following declaration must be completed. This form, when completed, authorizes the person(s) below to view the student s education records. In addition to giving consent, the student must assign a unique password for each person who he or she authorizes to access his or her records. The student is responsible for communicating that password to the person or persons he/she gives consent to. This form is not a request for grades or transcripts. Student s Name: Print Name SAGU ID#: I, the above-named student, authorize representatives of SAGU to disclose information in my education records to the person(s) listed below. I understand that education records are all records maintained by the school, but I am only consenting release of the following: academic records, accounting records, financial aid records, and student discipline records. Person s Printed Name: Person s Relationship to Student: Person s Printed Name: Person s Relationship to Student: Person s Printed Name: Person s Relationship to Student: Person s Printed Name: Person s Relationship to Student: Student s Unique Password: It is the student s responsibility to create and communicate this password. I understand that this release is in effect until revoked in writing by me or by the named person. Student s Signature: Date: Office Use Only: This form must be filed with the Registrar Processed: Date: