Alvernia College

Application for Admission to
the Graduate Degrees at Alvernia College
Philadelphia Center

ADMISSION PROCEDURE

1. Complete this form.
2. Submit the signature card (you will see the signature card after you Submit this application) with $50 non-refundable application fee made payable to Alvernia College.
3. Submit the following documents to demonstrate your potential as a graduate student:

  • Official transcript for a baccalaureate degree from an accredited college or university showing a grade point average;
  • Three letters of recommendation from former professors, from employers or supervisors, or from religious or community leaders;
  • Scores from a nationally standardized examination, such as the Graduate Record Examinations (GRE) or the Miller Analogies Test (MAT);
  • A statement that summarizes the value of the program of graduate study for your personal and professional growth and development, describe educational and professional experiences that will serve as the foundation for you graduate study;
  • Academic or professional awards, special certifications, samples of scholarly or creative work, or completion of specialized examinations.

PERSONAL DATA
Social Security #:
Date of Birth:
   
  Miss Ms. Mr. Mrs.
First Name:
Middle Name:
Last Name:
Maiden Name:
   
Street Address:
 
City:
State:
Zip: -
Home Phone:
Work Phone:
E-Mail:

LOCATION

Philadelphia Center Other Off-site

* PROGRAM OF INTEREST - (Indicate the Graduate Degree):

Master of Arts in Liberal Studies (MALS)
Master of Arts in Community Counseling (MACC)

EDUCATIONAL HISTORY

College/Institution
(List All Attended)		 Location
(City/State)
Dates Attended
(Include Month/Year)
 Degree Earned Credits Completed
to
to
to

PROFESSIONAL EXPERIENCE
Employer (Name/Address)
Dates
Position
to
to
to

WHERE HAVE YOU HEARD ABOUT ALVERNIA COLLEGE?

Alumni Co-Worker College Fair Friend Web Site
Mailings Newspaper Radio Television Other

Citizenship:
U.S.
Other
 

If not a United States citizen: Are you legally authorized to attend an institution of higher education in the United States?
Yes
No

If no, please complete the Supplemental Information Sheet for International Applicants available in the Graduate Center.

FEDERAL AND STATE REGULATIONS REQUIRE THAT THE FOLLOWING INFORMATION BE COLLECTED; THEREFORE, IT IS REQUESTED THAT THE APPROPRIATE ENTRY BE MARKED.

Sex:
Male
Female
Military Veteran:
Yes
No
   
Ethnic Origin:
American Indian / Alaskan Native
Asian / Pacific Islander
Black, Non-Hispanic
Hispanic
White / Caucasian
Unknown / Other
    
Marital Status:
Single
Married
Divorced
Separated
Widowed
   
Religion:
Roman Catholic
Jewish
Protestant
Other
Unknown

Alvernia College complies with all federal, state, and local non-discrimination laws in the administration of its educational programs and services and in its employment relationships.


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