APPLICATION FOR ADMISSION
FOUR PLUS ONE PROGRAM
MASTER OF SCIENCE INFORMATION SYSTEMS
or
MASTER OF SCIENCE SPATIAL INFORMATION SCIENCE AND ENGINEERING
UNIVERSITY OF MAINE
Contact: Harlan Onsrud, MSIS/SIE Graduate Coordinator, 5711 Boardman Hall, University of Maine,
Orono, ME 04469-5711 Phone: +1-207-581-2175
Return the completed digital application to: onsrud@spatial.maine.edu with a copy to kidder@spatial.maine.edu
NOTICE: This form is submitted to the department and NOT to the graduate school in order that accepted undergraduate students into the Four
Plus One program may be allowed to take graduate courses at undergraduate tuition rates. Please note that the information requested below is
identical to or very similar to information requested on the formal application for graduate school. The information supplied below will need to
be transferred by the Four Plus One student to a formal graduate school application near the end of their senior year. The letters of
recommendation already gathered will be transferred by the Department to the graduate school at that time along with the Graduate
Coordinator’s recommendation concerning the student’s success in the Four Plus One program.
1. Name____________________________________________________________
(Family Name)
(First)
(Middle)
Maiden name or other names under which records may be filed_______________________________
Mailing Address__________________________________________________________________________
(Street)
(City, State)
(Zip Code)
(Country)
Permanent Address________________________________________________________________________
(Street)
(City, State)
(Zip Code)
(Country)
Phone Number ________________________________Work Phone______________________________
E-mail_______________________________________________________________________________
2. Place of Birth_______________________________________________________________________
(City, State, Country, if not USA)
3. Date of Birth________________________________ Gender _______________
Citizen of _____________________________________ If U.S. Citizen, legal resident of____________________
(Country) (State)
4. U.S. Social Security No. (if applicable) _____________________________________
5. Present Occupation (if applicable) _____________________________________________________
(include job title )
6. Semester you expect to take first course in the Four Plus One Program _________________________
7. Degree you are seeking: (check one) ___ MS Information Systems or ___ MS Spatial Information Science and Engineering
8. Proposed department of study: Department of Spatial Information Science and Engineering, Rm 340 Boardman Hall
9. List in chronological order all institutions of collegiate standing, and location, that you have attended. Include dates of entering and leaving
degrees received or for which you are a candidate. The department will access transcripts directly for the UMaine Orono campus. Transcripts
from other colleges and universities must be sent directly from these institutions to: Karen Kidder, Administrative Assistant, MSIS/SIE, 5711
Boardman Hall, Rm 340, University of Maine, Orono, Maine, 04469-5711, USA.
Name of Institution
Location
Dates Attended
Major
Name of Degree or
Diploma
Indicate your cumulative undergraduate average on a 4.0 scale (A=4):_______________________________________
Date Degree
Received or
Expected
10. List any honors, prizes or scholarships previously awarded to you on the basis of academic achievement, or any honor societies to which you
have been elected.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
11. List any employment or other activities related to your current undergraduate program or the proposed graduate program of study in
Information Systems. If you have taught, name subjects.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
12. Have you ever been found responsible for a disciplinary violation at a college or university you have attended (or the international
equivalent) whether related to academic misconduct or behavioral misconduct, that resulted in your suspension, removal, dismissal or
expulsion from the institution? Yes _____ No _____
Have you ever been convicted of a misdemeanor, felony or other crime, or adjudicated of committing a juvenile crime?
Yes _____ No _____
If you answered yes to either or both questions, please attach a section titled Appendix 1 at the end of this application that gives the
approximate date of each incident and explain the circumstances.
13. Provide the date you have taken or intend to take the Graduate Record Examination (Not required until senior year)
Date of Exam__________
GRE scores: Verbal ___________ Quantitative ___________ Analytical Writing ___________ Subject __________
Please have the official scores from the GRE and TOEFL exams sent directly to the University of Maine Graduate School from the testing
institution. The institution code for UMaine (ORONO) is 3916
Note: You may examine test review materials and register for the GRE Computer-based General Test at http://www.ets.org You are not
required to take a Subject Test for the MSIS Program.
14. Knowledge of other than your primary language and proficiency in each: (Rate yourself Good, Fair, or Poor)
Language
Writing
Reading
Speaking
If English is not your primary language, please indicate the number of years you have studied English (give dates):
In secondary or middle school: ___________________________________________________________
In university: _________________________________________________________________________
Under private lessons: _________________________________________________________________
15. List names and addresses of three people whom you are asking to send letters of recommendation. Letters of recommendation must be recent
and must be written by people qualified, through personal experience with your academic work, to judge your capacity for advanced study.
Current university instructors would be highly appropriate. Applicants should request the named people to send their recommendations
directly to the Four Plus One Coordinator listed at the top of this application. Hard copy and/or electronic letters are acceptable.
Name
Address (include physical address, email and phone)
1.
2.
3.
16. In the space below, compose a brief essay (300-500 words) to be read by the MS Information Systems advisory committee that describes
your academic and personal intentions and objectives. Identify any special interest you would like to pursue now or in the future.
Note: If you are a US citizen, skip to the final signature line of this application (line 24).
Questions 17 through 23 must be completed by ONLY applicants who are NOT citizens of the United States.
17. Please provide the date you took or plan to take the TOEFL examination.
Date of exam: _______________________
TOEFL score: _______________________
Remember: Foreign students must submit TOEFL scores.
18. Indicate below the career you plan to pursue if you plan to remain in the United States after completion of graduate studies (e.g., teaching,
government, business, industry).
19. If you plan to continue studies for another graduate degree after the one you are applying for at the University of Maine, describe briefly the
subject, location, estimated beginning date, and approximate duration.
20. If you plan to return to your own country immediately after completing study or research, state the details (e.g., employer, location, type of
work, estimated beginning date) that may be known to you.
21. How do you expect to finance your graduate study? You must complete the Financial Statement form upon admission. The form is available
on the Graduate School website (www2.umaine.edu/graduate)
22. List names and addresses of any close relatives or friends in the United States:
_____________________________________________________________________
(Name)
(Address/phone number)
(Relationship)
_____________________________________________________________________
(Name)
(Address/phone number)
(Relationship)
23. List persons to be notified in case of an emergency:
(a) In the United States __________________________________________________________________________________
(Name)
(b) In home country
(Address/phone number)
(Relationship)
__________________________________________________________________________________
(Name)
(Address/phone number)
(Relationship)
This university is authorized under federal law to enroll non-immigrant alien students. Anyone submitting falsified documents will be denied admission and receive no refund of any
fees paid. The University will notify appropriate authorities of this action and information will be shared with government agencies.
REQUIRED SIGNATURE OF ALL APPLICANTS
24. Signature_________________________________________________ Date_____________
IMPORTANT NOTIFICATIONS:
Admission decisions for the Four Plus One Program cannot be made until the complete application is received. All application materials
become part of the permanent records of the University of Maine and are not returned. It is your responsibility to keep copies and be sure your
application materials are complete and have all been received by the MSIS/SIE Graduate Program Coordinator.
In complying with the letter and spirit of applicable laws and in pursuing its own goals of pluralism, the University of Maine shall not
discriminate on the grounds of race, color, religion, sex, sexual orientation, national origin or citizenship status, age, disability, or veterans status
in employment, education, and other areas if the University. The University provides reasonable accommodations to qualified individuals with
disabilities upon request. Questions and complaints about discrimination in any area of the University should be directed to the Director of equal
Opportunity, 101 N. Stevens, 207-581-1226. Inquiries about discrimination may also be referred to the Maine Human Rights Commission, U.S.
Equal Employment Opportunity Commission, Office for Civil Rights for U.S. Department of Education or other appropriate federal or state
agencies.