(page 1 of 5)
Graduate Programs in Industrial Technology
at
The University of Northern Iowa
Cedar Falls, Iowa 50614
______________________________________________________________________________________
APPLICATION FOR ADMISSION
DOCTOR OF INDUSTRIAL TECHNOLOGY PROGRAM
______________________________________________________________________________________
(Please type or print in
ink)
Name__________________________________________________________________________________
(Last Name)
(First)
(Middle)
Social Security Number ____________________
UNI Student #____________________
Preferred Entering Date:
Fall Semester, August, 20__
Spring Semester, January, 20__
Summer Session, June, 20__
Present Address_______________________________________________________________________
City
State
Zip
Country
Telephone Number(___) _____________________
Until What
Date?_________________________________
Permanent
Address_______________________________________________________________________________
City
State
Zip
Telephone Number(___)_____________________
E-Mail__________________________
________
Are you interested in an assistantship?
____Yes
____No
If yes, have you attached the application for a graduate assistantship? ____Yes ____No
Graduate Record Examination is required for admission: Date you took GRE:_____________
List the three individuals you have asked to submit professional references in support
of your application for admission to the graduate program.
1.____________________________________________________________________________________
Name
Position
Address
____________________________________________
City
State
Zip
2.____________________________________________________________________________________
Name
Position
Address
____________________________________________
City
State
Zip
3.____________________________________________________________________________________
Name
Position
Address
____________________________________________
City
State
Zip
Source of Program Awareness:
Identify the initial source which made you aware of our graduate program and prompted
your inquiry or application.
Poster__________Advertisement__________Faculty Referral__________UNI Catalog__________
(page 2 of 5)
College & University Experiences:
Please list, in reverse chronological order (most recent first), all colleges and
universities attended.
School
Location
Dates Attended
From
To
Degree, if any,
and Year Received
Major
Subject
Professional Experience:
Please list, in reverse chronological order, employment (including summer work) or military
service since secondary school. Please include validation for the number of years of
related and significant work experience as required for the degree.
Dates
From
To
Employer
Position
Part or
Full-time
Extracurricular/Community Experiences:
Please list, in order of importance to you, your major extracurricular and community
activities in college and since baccalaureate graduation.
Dates
From
To
Activity
Offices Held, Distinctions, Awards, Etc.
Technology Issues, Career Goals, Special Qualifications:
The Graduate Admissions Committee will assess this ability and will use it as ONE source
of information in evaluating your application for admission. Some factors that will be
used in evaluating your responses are a) organization and content, b) writing style and
mechanics, c) expression of ideas, and d) congruency of rationale.
The Industrial Technology Graduate Admissions Committee asks that you respond to the
following questions only in the space provided and in your own handwriting.
(page 3 of 5)
1.
Describe what you perceive as a major issue or problem relative to the discipline
of industrial technology. Include your reasons for selecting the issue or problem.
(page 4 of 5)
2.
What are your career goals in relationship to the field of industrial technology,
and why do you perceive the attainment of this graduate degree as appropriate to
your career goals?
(page 5 of 5)
3.
Explain what there is about your personality and unique knowledge and skills that
leads you to believe that you can complete a doctoral program successfully.
4.
Describe your technical expertise which has been developed in your
educational, laboratory, and professional experiences. How do you
envision furthering, expanding, and/or establishing your technical
expertise?
In addition to the above responses, you may wish to submit one or two
representative items of previously written materials that would provide
the Graduate Admissions Committee with evidence of your writing ability.
These may include: a) journal or magazine articles, b)term papers or reports
from previous educational experiences, or c) technical reports, project
reports, or other materials produced in various occupational roles.
Supplementary materials which you supply will be returned to you as soon
as a decision on your application is completed.
Return this application to the Graduate Programs Coordinator, Department
of Industrial Technology, University of Northern Iowa, Cedar Falls, IA
50614-0178.
Revised 6/1/08