ALABAMA A&M UNIVERSITY – SCHOOL OF GRADUATE STUDIES Referred by: Banner ID:

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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
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