APPLICATION FOR ADMISSION AS A LEVELING STUDENT IN
COMMUNICATION SCIENCES AND DISORDERS (CSDO)
AT TEXAS A&M UNIVERSITY-KINGSVILLE
Name:_____________________________________________________________________
(Last)
(First)
(Middle)
(Maiden)
SSN#:
-
-
email:____________________________________
Mailing Address:____________________________________________________________
(Street Address)
(Apt. or box number)
_____________________________________________________________
(City)
(State)
(Zip)
Telephone: Current: (
)_
-
Permanent: (
)_
-__________
GRE Score (report both the number score and the percentile rank if available):
Verbal:_______/_______ Quantitative: _______/_______ Written Analytical: ______/_____
Date of completion of
undergraduate degree: ______________________
(Month)
(Year)
Cumulative GPA: _____________
Institution: __________________________________________________________________
Major:________________________________________Minor:_________________________
A limited number of leveling students are admitted to the program for two application periods
each calendar year. Decisions are based on competitive ranking. There are two application
deadlines April 1 and Nov 1. Those accepted from the April 1 deadline, have the option of a
summer or fall start. Those accepted from the Nov 1 deadline, will have a spring start.
Indicate term you are interested in starting courses__________________
Admission to TAMUK as a leveling student does not guarantee admission into the graduate
program nor does it ensure successful acquisition of a license as a Speech-Language
Pathology Assistant or employment as a Speech-Language Pathology Assistant.
Misconduct as it relates to Certification and Licensure
Students should also be advised that the Texas State Board of Examiners for Speech-Language Pathology and
Audiology may deny a license to an applicant because of conviction for a felony or misdemeanor if the crime
directly relates to the professional duties of a speech-language pathologist or audiologist. See the State
Boards website for details (http://www.dshs.state.tx.us/speech/).
rev. 3/7/16