Dale Kietzman University

Application for Admission to Graduate & Post Studies

Full Name: Title First Last Suffix
Current Mailing Address:
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone: - (###) - ### ####
Work Phone: - (###) - ### ####
Place of Employment:
Job Title:
Occupation:
Hours Worked per Week:
Date of Birth: / MM / DD YYYY
Place of Birth (City & State):
Citizenship:
Religious Affiliation:
Marital Status: Single Married
Academic Program
Check the Program for which you are applying: Bachelor of Arts in International Development Bachelor of Arts in Business Administration MBA Marketing MBA Management MBA Accounting Master of Arts in International Development PhD in International Development
Part Time Full Time
Proposed Entry Date:
State your purpose for undertaking or continuing graduate study and your professional plans.
Have you ever been refused admission to any graduate school? Yes No
Have you been dismissed from any graduate school? Yes No
In either case, if so, why?
List below any honor societies to which you have been elected, professional organizations to which you belong, scholarship prizes you have received, professional licenses you hold, and other similar evidence of scholastic and professional achievement.
Transcripts: Two copies of official transcripts from all post-high school credit must be submitted to the graduate school before the application will be processed. Students intending to transfer credits may submit a letter of good standing from the good standing from the parent institution in lieu of transcripts.
Letters of Recommendation: Three letters from individuals well acquainted with your academic/ professional ability are required for all degree seeking graduate students. Students who have graduated from Dale Kietzman University are exempt from this requirement.
List other (non-native) languages in which you are knowledgeable and state the level of proficiency. (Foreign students should list ENGLISH.)
For French Students Only:
TOEFL Score:
Date TOEFL: / MM / DD YYYY
A false statement on this application will be considered just cause for denial or immediate dismissal if the student is enrolled.

Dale Kietzman University

Dale Kietzman University

Academic Program

Letters of Recommendation: Three letters from individuals well acquainted with your academic/ professional ability are required for all degree seeking graduate students. Students who have graduated from Dale Kietzman University are exempt from this requirement.

For French Students Only:

A false statement on this application will be considered just cause for denial or immediate dismissal if the student is enrolled.