Dale Kietzman University
Dale Kietzman University
Application for Admission to Graduate & Post Studies
Full Name:
Title
First
Last
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Current Mailing Address:
Street Address
Address Line 2
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Work Phone:
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Place of Employment:
Job Title:
Occupation:
Hours Worked per Week:
Date of Birth:
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/
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:
Fall 2012
Spring 2013
Summer 2013
Fall 2013
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:
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MM
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DD
YYYY
A false statement on this application will be considered just cause for denial or immediate dismissal if the student is enrolled.