Graduate Programs in Industrial Technology
at
The University of Northern Iowa
Cedar Falls, Iowa 50614
APPLICATION FOR ADMISSION
MASTER OF SCIENCE PROGRAM
TECHNOLOGY ENGINEERING MANAGEMENT
(Please type or print in ink)
Name:
First
Middle
Social Security Number:
-
-
Last
Preferred Entering Date:
Fall Semester, August 20
Spring Semester, January 20
Summer Session, June 20
UNI Student Number:
Present Address:
City
State
Telephone Number: (
)
-
Zip
Country
Until What Date:
Permanent Address:
City
Telephone Number: (
State
)
-
(3T8) Thesis
Are you interested in an assistantship?
Zip
Country
Email Address:
Yes
(3T9) Non Thesis
No
If yes, have you attached the application for a graduate assistantship?
Yes
No
Please 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
Position
Address
City
State
Position
Address
City
State
Zip
2.
Name
Zip
3.
Name
Zip
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Graduate Programs in Industrial Technology
at
The University of Northern Iowa
Cedar Falls, Iowa 50614
College and University Experience:
Please list, in reverse chronological order (most recent first), all colleges and universities
attended.
Dates Attended
Degree, if any,
School
Location
Major Subject
From
To
and Year Received
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
Employer
Position
Part or Full-time
From
To
P/T
F/T
P/T
F/T
P/T
F/T
P/T
F/T
Extracurricular/ Community Activities:
Please list, in order of importance to you, your major extracurricular and community
activities in college and since baccalaureate graduation.
Dates
Offices Held, Distinctions,
Activity
From
To
Awards, Etc.
Source of Program Awareness:
Identify the initial source which made you aware of our graduate program and
prompted your inquiry or application.
Poster
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Faculty Referral
UNI Catalog
Communication of Career Goals:
In order to make the faculty admission committee aware of your desired professional
goals and aspirations, you are asked to respond to the following questions on the
application form. Your ability to communicate clearly and effectively in written form will
be reviewed with regard to writing style and mechanics.
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Graduate Programs in Industrial Technology
at
The University of Northern Iowa
Cedar Falls, Iowa 50614
1. 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?
Answer:
2. 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?
Answer:
All International students should return materials to: Linda Jernigan, University of
Northern Iowa, Admissions Office- GIL 0002, Cedar Falls, IA 50614-0018. All other
applicants please return this application and all other materials to: Laurie Russell,
Record Analyst, UNI Admissions Office, Gilchrist 002, Cedar Falls, IA 50614-0018.
P:\ITC Dept\Grad Prog\Grad Forms\ms application.doc
Revised 4/30/13
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