ALABAMA A&M UNIVERSITY – SCHOOL OF GRADUATE STUDIES Graduate Application for Admission Referred by: Banner ID: Please read the detailed instructions included and complete all pages of the application. Your Application for Admission will be processed as soon as it is received along with the non-refundable processing fee. An admissions decision cannot be made until all official requirements and supporting documents are received. Failure to complete all questions may delay the processing of your application. AAMU operates on the semester system, with regular sessions in the fall, spring and summer. PERSONAL INFORMATION Last Name: First Name: Middle: Other name(s) under which transcripts, documents, or test scores might arrive: Present Mailing Address: City: State: Zip: County: State: Zip: County: Permanent Mailing Address: City: State of Legal Residence: Home Phone #: Check One: Male Female County of Legal Residence: Cell Phone #: Email: Date of Birth (MM/DD/YYYY): Social Security Number: CITIZENSHIP (Please choose one of the following.) U.S. Citizen Foreign National Permanent Resident Foreign National Non-Resident Alien Place of Birth City: State: Country: EMERGENCY CONTACT (Please provide name): Relationship: Phone #: Email: Address: City: Have you ever been convicted of a criminal offense? No State: Yes (If yes, explain in space below.) RESIDENCY INFORMATION Is Alabama your permanent, legal state of residence? Yes No If yes, when did your residence in Alabama begin? Month: Year: ETHNIC BACKGROUND INFORMATION Information relating to your ethnic background is requested for reporting requirements to comply with federal regulations. The data requested will be used only for the required reports to this agency and will not be used in any way in the admission process. Alabama A&M University adheres to the principle of equal education and employment opportunity without regard to race, color, age, sex, national origin. The University insures compliance with the Americans with Disabilities Act (ADA) of 1990. The policies extend to all programs and activities supported by the University. (Please choose one of the following.) Alaskan Native American Indian Asian Black Non-Hispanic Other Pacific Islander White Non-Hispanic Hispanic Alabama A&M University - Graduate School Application for Admission - Page 1 of 2 EDUCATIONAL BACKGROUND INFORMATION Have you ever attended Alabama A&M University? No Yes If yes, when? Please note: Applicants may not disregard any part of their education history, and failure to report all institutions previously attended will be cause for cancellation of the admissions process or for dismissal from the University. It is the responsibility of the applicant to request required official documents (transcripts, test scores, WES evaluations,. etc.) to be mailed directly from the institution or testing agency to the Office of Graduate Studies by the application deadline. PREVIOUS UNDERGRADUATE INSTITUTION(S) ATTENDED Graduation College/University City State Major Field Degree Month/Year PREVIOUS GRADUATE INSTITUTION(S) ATTENDED College/University City State ENROLLMENT INFORMATION AND INTENDED FIELD OF STUDY Admission Term: Fall Spring Degree (Check One): Biology (M.S.) Business Administration (M.B.A.) Communication Specialist (M.S.) Communicative Sciences & Disorders (M.S.) Computer Science (M.S.) Education, General (Ed.S.) Elementary Education (M.Ed.) Family & Consumer Sciences (M.S.) Major Field Summer Food Science (M.S.) Food Science (Ph.D.) Instructional Leadership (M.Ed.) Materiel Engineering (M.Eng.) Plant & Soil Science (M.S.) Plant & Soil Science (Ph.D.) Physics (M.S.) Applied Physics (Ph.D.) Graduation Month/Year Degree Year: Psychology (M.S.) Pre-Elementary Education (M.Ed.) Reading (Ph.D.) Secondary Education (M.Ed.) Special Education (M.Ed.) Social Work (M.S.W.) Urban & Regional Planning (M.U.R.P.) TEACHING CERTIFICATION INFORMATION If you have current teaching certification, please fill out the following information. Type of Current Teaching Certification: State: Type of Current Teaching Certification: State: If you are seeking Teaching Certification, please indicate the type of certification sought. Type of Current Teaching Certification: State: DEPARTMENTAL CONTACTS FOR GRADUATE PROGRAMS For questions about Graduate programs, please contact the Office of Graduate Studies at 256/372-5266 or 256/372-5277. You may email the Office of Graduate Studies at gradschool1@aamu.edu By checking the acknowledgement and certification box below I, certify that the information presented in my application is accurate and complete. I understand and agree that any inaccurate or misleading information or omission will, if discovered later, be cause for appropriate disciplinary action, including termination of my graduate student status and revocation of course credit and degree. Acknowledgement and Certification (check box): Date: (mm/dd/yy) Alabama A&M University - Graduate School Application for Admission - Page 2 of 2