DKU Online Application

Now fill in the balance of the online form and press the submit button. You will receive an acknowledgement by email or post. This acknowledgement will contain a temporary ID that you will need as you work through the admission process with our admissions office.

1.	Student (last name):	Title:
	Student (first name and middle initial):
	Birth Date (YYYY-MM-DD):

Mailing & Shipping Address: (Street city/province zip/postal code country)
Permanent Address: (Street city/province zip/postal code country)

Citizenship: (City, State, Country)
Birthplace:

Phone Day:		Phone Eve:		Cell:
Email:		Skype:		Fax:


DKU before, Applied Date:		Enrolled, Date:
Other names used on educational/official records:

Optional:	General Disabilities
Health requiring special consideration:
Medications/drugs you take; reasons:
Ethnicity:

2. Education: Fill in the following indicating your educational background indicating degrees, disciplines, date, institutions, and locations.

(a) Schools Attended, including secondary schools: (Most recent first) (List location of schools, i.e. city & state)	Dates of Attendance	Types of Degree(s) Earned	Major(s)

(b) 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 organization in lieu of transcripts.

(c) Transcript Status:
Official transcripts from all the institutions attended have been requested.
   A letter of good standing has been requested.
   Official transcripts are attached; or a letter of good standing is attached.
   Unofficial transcripts are attached; official copies will be forwarded.
   Official transcripts have been forwarded prior to submitting this application.

(d) Courses & Degree programs in Progress - List the courses and/or degree programs in which you are now enrolled. Give Dept. & Course description, Title, Units, Degree & Major Institution Location.

(e) Test Scores - List results on standardized tests, if known. List in test, year, score, order.

5. (a) Have you ever been refused admission to any school? (If so select Yes.)

(b) Have you ever been dismissed from any graduate school? (If so select Yes)

(c) In either case, if so, why?:

6. 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 scholarship and professional achievements.

7. Letters of Recommendation: Three letters from individuals well acquainted with your academic/professional ability are required for all degree seeking students. Students who have already received a first degree from the Dale Kietzman University are exempt from this requirement.
Three letters of recommendation have been requested and will be sent directly to the Admissions office.

8. List all languages in which you are knowledgeable and check level of proficiency.

Writing	Reading	Professional
Writing	Reading	Professional
Writing	Reading	Professional

9. Financial Assistance: If you can attend university only with financial assistance, so indicate. (Select Yes if you do.)

11. By checking this box and typing in your full name, below, you agree that all the information you have supplied in this document is true, that it is your firm intention to apply to Dale Kietzman University and a false statement on this application or on any documents attached will be considered just cause for denial or immediate dismissal if the student is enrolled.

3. Professional and Service Experience:
	(a) Professional Experience -List professional positions you have held, starting with your current and most recent position. Order by: Institution/Agency/Employer/Location/Dates/Position
	(b) Relationship with Voluntary Organizations - Explain the nature, dates, and locations of your relationship with specific relief agencies, missions, churches, service groups or other non-governmental organizations.
4. Reason and Purpose for Applying to DKU:
	(a) How did you hear of DKU and the program for which you are applying? - friend, conference, publication, agency/organization, other
	(b) What is your purpose in applying for undertaking graduate study and your professional plans ?

5.	(a) Have you ever been refused admission to any school? (If so select Yes.)
	(b) Have you ever been dismissed from any graduate school? (If so select Yes)
	(c) In either case, if so, why?:

6.	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 scholarship and professional achievements.