APPLICATION FOR ADMISSION
MASTERS OF EDUCATION
If you need help or have any questions, please call us at 1-800-662-3303 ext. 5200 or (712) 279-5200
Please select a speciality:
Applied Behavior Analysis
Leadership and Learning
Check the semester you would like to begin.
Type of Admission Requested
Is this your initial request for admission to graduate study at Briar Cliff University?
If you have applied for admission to graduate studies previously, indicate term or year:
Social Security Number
Date of Birth (mm/dd/yyyy)
City of Birth
State of Birth
Country of Birth
Country of Citizenship
If you are a permanent resident alien (PRA), list your PRA Number.
Maiden or Former Name
Ethnicity & Race
Select one or more of the following categories:
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Hispanic / Latino
Religious Affiliation (optional)
Now in Service
Do you expect to recieve any VA benefits while attending BCU?
Do you expect to be employed while attending graduate school?
Can you conveniently receive calls at work?
City / State
Please indicate which of the following computer-based skills you feel competent in:
Spreadsheets or Databases
It is hereby certified that the information given in this application is tru and correct. It is understood that misrepresentation, omission of information, or failure to answer any single question may cause delay or cancellation of admission. For the purpose of determining admission, I hereby authorize any educational institution, which I have previously attended, and officials at such institution to release academic and disciplinary records and to discuss these records with appropriate officials at Briar Cliff University.
I accept the right of the Graduate School to exercise academic sanctions against me in the event that I fail to:
This information is sought for the purpose of considering your request for admission to the University. Only with your permission will information be released to a third party.
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