DEPARTMENT OF EDUCATIONAL LEADERSHIP AND COUNSELING
APPLICATION FOR ADMISSION – PHD EDUCATIONAL LEADERSHIP
PO BOX 519; MS 2400
Telephone: 936-261-3530 Fax: 936-261-3617
NAME: ____________________________________
EMAIL: ELAC@pvamu.edu
DATE: ________________
PART I - PLEASE CHECK ALL THAT APPLY:
Please consider my application for the following program:
 Ph.D. Educational Leadership
My anticipated term or entrance date is:
 Fall
 Spring
 Summer
20___
20___
20___
The following required documents were submitted to the Graduate School:





Transcript
Graduate GPA _______
Undergraduate GPA ______
GRE Scores:
Verbal _____
Quantitative ______
Three Letters of Recommendation
Writing _______
I am interested in the following concentration (choose one):
 General Administration and Superintendency
 Higher Education Administration
 Human Resources Administration
The following departmental required documents are included, or sent separately, as part of
this application:





Copy of Valid Teaching/Administrative Certificate
Three (3) Letters of Reference
Vitae or Resume
Application Letter (Essay # 1)
Essay – Maximum 750 Words: Philosophy of Leadership and Learning (Essay # 2)
 For International applicants ONLY: TOEFL or IELTS Examination results
o TOEFL OR IELTS - Date Taken: _____
PART II - PLEASE TYPE OR PRINT – PERSONAL AND PROFESSIONAL
Name Ms. /Mr.
______________________________________________________________________________
LAST
FIRST
MIDDLE/MAIDEN
TEA ID Number: ________________ Student ID (If Former PV Student): ______________
Mailing Address ____________________________________________________________________________________
STREET
APT #
CITY
STATE
ZIP
Current Phone: _________________ Cell Phone: _____________ Work: __________________
Permanent Address: _____________________________________________________________
STREET
APT #
CITY
STATE
ZIP
Permanent Phone (if different from current phone): ____________________________________
Current Employer: ______________________________
Position: ______________________
Address: ______________________________________________________________________
STREET
CITY
STATE
ZIP
Number of Years Employed in current Position: ________ Business Phone: ________________
PART III - PREVIOUS EDUCATION: List ALL colleges attended starting with the most
recent. Official transcripts are required from all institutions attended.
Name of Institution
Location
Degree
Major
GPA
Date
PART IV – WRITTEN ESSAYS
ESSAY # 1: Describe your reasons for seeking admission to the Department of Educational
Leadership and Counseling’s PHD program in Educational Leadership. (Please attach with your
application) 250 words maximum.
ESSAY # 2: Describe how your philosophy of leadership and learning intersects with your
proposed research interest - 750 words maximum.
I CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION AND THE
ACCOMPANYING DOCUMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE.
Signature: _______________________________________
Date: ___________________________
Electronic Signatures Accepted
FOR ADMISSIONS/PROGRAM COORDINATOR’S USE ONLY – DO NOT WRITE BELOW THIS LINE



Admitted
Not Admitted
Program________
Date: ________________________Signature: _________________________
Interview:
______Yes _____No _____