Westminster College
Application for Admission
Graduate Study
Founded 1852…New Wilmington, Pa .
www.westminster.edu/grad
Westminster College
Application for Admission
Graduate Study
Please print or type.
Name of Applicant_________________________________________________________________
Last Name
First Name
Middle Name
Permanent Address____________________________________ Telephone_____________________
Number and Street
__________________________________________________________ County_______________
City
State
Zip Code
Daytime Telephone____________________________ Cell Phone____________________________
E-mail______________________________________ Social Security #________________________
Date of Birth__________________________Sex________ M_______ FVeteran_____Y_____ N
Month/Day/Year
Purpose of enrollment in Graduate Studies:
Master’s degree only
Yes_____ No_____
Master’s degree plus certification
Yes_____ No_____
Certification only (Prior Master’s degree required)
Yes_____ No_____
Probable Graduate Curricula: (check)
o Counselor Education Elem.* o Education
o Counselor Education Sec.*
o Special Education* (New for 2013-14)
o Principal K-12*
o Special Education/Reading Specialist* (New for 2013-14)
o Reading Specialist K-12*
o Other____________________________________
o Superintendent**Certification Programs
Have you been a student at Westminster before?_________ Date last attended___________________
When do you wish to begin graduate study at Westminster?__________________________________
Major field of study in undergraduate work______________________________________________
Type of teaching/administrative certificates held________________________________ State_______
Type of administrative certificates held_______________________________________ State_______
Academic and professional training:
Date
Institution
Place
Degree
When Received
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________________________________________________________________
Work Experience (Teaching, other):
Date
Institution
Place
Degree
Subjects and Position
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Assessments of
Educational Potential
Each applicant must submit two assessments of educational potential. Assessments for
applicants who are current students or are not employed in a school should be completed
by professors or other professionals. Assessments for school system employees should be
completed by school administrators. The forms, which are included with this application,
should be returned directly to the Graduate School office. Please list the names of those you
have asked to submit the assessments.
Name
Title
_______________________________________________________________________________
_______________________________________________________________________________
Signature of Applicant ____________________________ Date of Application___________
An application fee of thirty-five dollars ($35.00) must accompany this application (check
to be made payable to Westminster College). This fee is not refundable and will not be
applied toward the student’s account. Official transcripts from all undergraduate and graduate
academic work must be submitted before a student can be approved as a candidate for
graduate study or for a master’s degree. In some cases an interview may be required. For
practicum and internship experiences in the public school, appropriate security clearances
are required. No student may register in any course for graduate credit until all admission
requirements are met.
Applications with official transcript and fee must be submitted at least two weeks prior to
registration for the next term or summer session.
Return this form to:
Office of Graduate School
Westminster College
McKelvey Campus Center
319 S. Market Street
New Wilmington, PA 16172-0001
www.westminster.edu/grad
Westminster College is related to the Presbyterian Church (U.S.A.) through the Synod of the Trinity.
Westminster College does not discriminate, and will not tolerate discrimination, on the basis of race, color, national
origin, ethnic origin, sex, sexual orientation, age, or handicap or disability as those terms are defined under
applicable law, in the administration of any of its educational programs, activities, or with respect to admissions
and employment. In its employment practices, the College may consider the individual’s support of the philosophy
and purposes of Westminster as stated in the Undergraduate Catalog. Otherwise, Westminster does not discriminate,
and will not tolerate discrimination, on the basis of religion or creed. Inquiries may be directed to the Equal
Opportunity Officer, Westminster College, New Wilmington, PA 16172-0001, (724) 946-8761.
9/13
REQUIREMENTS FOR ADMISSION TO
THE GRADUATE SCHOOL
1) Completed Application for Admission to Graduate School
2) $35.00 non-refundable fee made payable to Westminster College
3) Official transcripts - all undergraduate and graduate academic work
4) Undergraduate QPA of 3.000 or master’s degree
5) A copy of teaching certificate (if applicable)
6) Two Assessments of Educational Potential from faculty or administrators
which include an assessment of academic potential and academic and
professional competence.
7) A writing sample… please respond to one of the following items (200
words)
a) Discuss a challenge or setback that you faced in your life and the
manner in which you addressed it.
b) Discuss a significant current educational issue and suggestion
remedies
to address it.
Application Deadline Dates
Fall Semester – July 26
Spring Semester – December 4
Summer Sessions – April 6
Revised 10-21-13
Graduate School in Education
Assessment of Potential
Candidate
The above named individual is a candidate for admission to the graduate school at Westminster College. Your professional judgment of the
candidate’s potential is sought for the criteria listed below.
I have known this candidate for
years.
Top 5 Percent
Superior
Average
Below Average
Unable To Judge
Leadership Qualities
Decisiveness
Judgment
Leadership
Intellectual Ability
General Competencies
Problem Analysis
Organizational
Oral
Written Communication
Ability
Communication
Personal Qualities
Personal Motivation
Educational Values
Range of Interests
Sensitivity
Stress Tolerance
Remarks:
Signature
Print
or
Type
Please return to:
Office of Adult and Graduate Studies
Westminster College
319 S. Market Street
New Wilmington, PA 16172-0001
Fax: 724-946-6351
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Position
Address
Date
I hereby waive
Name
do not waive
my access to this data under the provisions of the Family Educational
Rights and Privacy Act.
Candidate’s Signature