APPLICATION FOR ADMISSION
MASTERS OF EDUCATION
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Please select a speciality:
 
Check the semester you would like to begin.
      Year
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:  
Personal Information
Fist Name Middle Name Last Name
Home Address
City State Zip
Home Phone Cell Phone
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.
Mariage Status Maiden or Former Name
Gender
Email Address
Ethnicity & Race
Select one or more of the following categories:
Religious Affiliation (optional)
Military Experience
Do you expect to recieve any VA benefits while attending BCU?  
Do you expect to be employed while attending graduate school?  
Employer Position Office Phone
City State Zip
Can you conveniently receive calls at work?  
Education
School City / State Years Attended
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Please indicate which of the following computer-based skills you feel competent in:
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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