Graduate Studies
Ward Edwards 1800
Warrensburg, MO 64093
APPLICATION FOR GRADUATE ADMISSION
Social Security Number:
Name:
UCM ID #:
Last Name
First Name
Current Address:
Phone:
Phone: (877) 729-8266 or (660) 543-4621
Fax: (660) 543-4778
gradinfo@ucmo.edu
www.ucmo.edu/graduate
Middle Name
Street, Apt
Home
Other name (used for transcript verification)
City
-
Office
State
Extn
Zip
Mobile
Email:
Information for the following is optional but is requested for the purposes of reporting to Federal Compliance Agencies.
It will not be used in determining admission status.
Gender:
 Male

Are you Hispanic/Latino?
Date of Birth:
Female
 Yes
Month
Are you a citizen of the U.S.?
Ethnic Origin:

-
No
Day
-


American Indian or Alaska Native

Asian
Year
 Yes
Place of Birth:

No


Black or African American
Native Hawaiian Pacific Islander

White
Specify Other:
City
State
Country
(If born outside the U.S., please provide legal documentation of citizenship)
If No, name the country of citizenship:
County and State of Legal Residency:
Are you a veteran of the U.S. Armed Forces?
 Yes  No
Current Status:______
If yes, which branch?______________
Are you, your parent or spouse a member of the Armed Forces stationed in Missouri?

Yes

No
Visit www.ucmo.edu/vets for additional information about military and veteran services.
Name and location of ALL colleges attended, dates of attendance (month/year), and degrees earned (or expected).
Name of College or University
Location (City/State)
Date (mm/yy)
Degrees Earned - Major
COMPLETED OFFICIAL TRANSCRIPTS FROM EACH INSTITUTION ATTENDED MUST BE SENT DIRECTLY TO THE GRADUATE SCHOOL
WARD EDWARDS 1800, WARRENSBURG, MISSOURI 64093
Applicants must have received an undergraduate degree from a college or university accredited by one of the six regional institutional accrediting bodies recognized by the U.S. Department of
Education (e.g. the Higher Learning Commission of the North Central Association of Colleges and Schools)
In accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Act: University of Central Missouri's Annual Security and Fire
Safety Report. This report includes statistics for the previous three years of incidents of crime and emergency situations that occurred on-campus; in certain offcampus buildings or property owned or controlled by the University of Central Missouri; and on public property within, or immediately adjacent to and
accessible from, the campus. The report also includes information regarding crime prevention programs, fire statistics, a listing of safety tips, alcohol and drug
policies, sexual assault education prevention programs, emergency response, and resources that are available to the campus community in emergencies. You
may obtain a paper copy of this report by contacting the UCM Department of Public Safety or by accessing the following website:
http://www.ucmo.edu/police/stats.cfm
Form Color: Grey
Revised: Dec 2012
For Office Use Only
Application Fee
Continued on next page
Admission requested for:

Fall

Spring

Summer
Please be advised that courses taken as a non-degree student may not count towards a future degree.
Do you wish to seek a graduate degree at this time?
 Yes
 No (Non-Degree Seeking)
Do you plan on seeking Teacher Certification through UCM's Alternate Pathways Program?
 No
 Yes (Non-Degree Seeking)
Master of Arts (MA - 52)
 Accountancy (504) - ACCT
 Mass Communication (350) - COMM
 Speech Communication (361) - COMM
 English (308) - ENGL
 Environmental Studies (860) - BIOL
 History (423) - HIST
 Music (438) - MUS
 Sociology (758) - SOC
 Teaching English as a Second Language (473) - ENGL
 Theatre (367) - THEA
Master of Arts in Teaching (MAT - 54 - 800)
 Middle School Education (8001) - EFL
 Secondary Education (8002) - EFL
Master of Business Administration (MBA - 55 - 505)
 General (5056)
 Accounting (5051) - ACCT
 Ethical Strategic Leadership (5055) - MGT
 Finance (5053) - ECON
 Information Systems (5052) - CIS
 Marketing (5054) - MKT
 Sports Business (5057) - KNSL
Master of Science in Education (MSE - 51)
Elementary Education
Curriculum & Instruction (721) - ELEC

School Administration (764) - ELHD

K-12 Education
Special Education (834) - ELHD

 Literacy Education (836) - EFL
Secondary Education
School Administration (765) - ELHD

 Curriculum & Instruction (626) - EDFL
K-12 Education (6261) - EDFL

Middle Level Education (6262) - EDFL

Secondary Education (6263) - EDFL

Education Specialist (EDS - 61)
Human Services
Educational Technology (990) - CTE

Learning Resources (776) - ELHD

Professional Counseling (293) - ELHD

Technology and Occupational Ed. (247) - CTE

School Administration
Elementary School Principalship (766) - ELHD
 Seeking initial certification
 Currently hold certification
Secondary School Principalship (768) - ELHD
 Seeking initial certification
 Currently hold certification
Superintendency (767) - ELHD

Master of Science (MS - 53)
 Aviation Safety (158) - AVIA
 Biology (382) - BIOL
Career and Technology Education Leadership
Administration Leadership (255) - CTE

Industry Training (256) - CTE

Teaching Leadership (254) - CTE

 College Student Personnel Admin. (770) - ELHD
 Computer Science (976) - MATH
Counseling (820)
Elementary School (8201) - ELHD

Secondary School (8202) - ELHD

Community Counseling (8203) - ELHD

 Criminal Justice (704) - CJ
 Educational Technology (846) - CTE
 Industrial Hygiene (179) - SAFE
 Industrial Management (141) - SOT
 CIS and Information Technology(627) - CIS
Software Engineering (6271) - CIS

Internet Technologies (6272) - CIS

Library
Science and Information Serv. (775) - ELHD

Mathematics
(456) - MATH

 Applied Mathematics (457) - MATH
Nursing, Rural Family Nursing (242)
Family Nurse Practitioner (2421) - NUR

Nurse Educator (2422) - NUR

 Occupational Safety Management (257) - SAFE
Kinesiology (880)
Exercise Science (8801) - KNSL

Sports Management (8802) - KNSL

Pedagogy (8803) - KNSL

 Psychology (749) - PSY
 Social Gerontology (760) - SOC
 Speech-Language Pathology (623) - CD
 Technology (589) - SOT
Graduate Certificates (GC - 50)
 Family Nurse Practitioner (619) - NUR
 Geographic Information Systems (996) - GEOG
 Lean Six-Sigma (993) - SOT
 Network Security (994) - SOT
 Nurse Educator (618) - NUR
 Online Teaching and Learning (995) - CTE
 Teaching English as a Second Language (998) - ENGL
 Women's Studies (997) - WS
 Social Gerontology (628) - SOC
Doctoral Degree Programs
 Ed.D. in Educational Leadership (845) - ELHD
 Ph.D. in Technology Management (230) - SOT
A $30 nonrefundable application fee is required to process the graduate application for admission.
I certify that the information contained herein is true and complete in all respects and that no information has been withheld.
I further understand that any incomplete or false information provided on this application will void my admissions.
Student Signature:
Year:
Date: