DWU - Application for Admission

Graduate Students

This application for graduate admission will become part of your permanent record at Dakota Wesleyan University. No applicant shall be barred from admission because of race, color, gender, age, national origin, disability or veteran status. To complete your application, please submit the following:

Completed application and $50 application fee
Official transcript/s of all previous college work, undergraduate and graduate
Three letters of recommendation
Compose a “statement of purpose and philosophy" essay that addresses the following questions: Why are you pursuing this degree? How does this match your career professional goals? What attracted you to this particular program?
Resume

I am applying for the following semester

Program preference:	Curriculum and instruction	Secondary certification
	K-12 principal endorsement	Policy and administration

I am applying for graduate admission to DWU as a

*Special students will only be considered if the cohort is not at maximum size of 25 students.

Personal Data

Legal name

Last

First

Mid

Nickname

Former last name(s) if any

Birth date
(mm/dd/yyyy)

Gender

E-mail


Current mailing address
PO Box/Street	City or Town	State/Province
Country	Zip/Postal Code

Permanent home address
PO Box/Street	City or Town	State/Province
Country	Zip/Postal Code
Current phone number	Cell phone number


Citizenship Status	Religious affiliation
Are you a member of the United Methodist Church? Yes No
Name of church	Name of pastor

The following items are optional. No information you provide will be used in a discriminatory manner.

Marital status:

Social Security Number


If you wish to be identified with a particular ethnic group, please check all that apply:
	African American, African, Black
	Native American, Alaska Native (tribal affiliation )
	Asian American (countries of family’s origin )
	Asian, incl. Indian Subcontinent (countries )
	Hispanic, Latino (countries )
	Mexican American, Chicano
	Native Hawaiian, Pacific Islander
	Puerto Rican
	White or Caucasian
	Other (specify )

Academic History

Have you completed your baccalaureate degree?	Yes No
If no, anticipated date of completion? (mm/yyyy)
*Proof of baccalaureate completion will be needed before admission is granted
Institution baccalaureate degree earned: (school name, city/state/country, month/year)
Undergraduate major(s):
Undergraduate minor(s):
Indicate type of teaching certification held, if applicable:

List chronologically all colleges/universities, professional or technical schools
you have attended and from which you have taken courses for credit.

Institution 1.	City	State	Country	From (mm/yyyy)	To (mm/yyyy)	Degree(s) earned
2.
3.
4.
5.

Professional Experience and References
List recent work history and teaching experience:

Job Title 1.	Employer	Dates (mm/yyyy to mm/yyyy)
2.
3.
4.
5.

List the three people asked to write letters of recommendation. They should be familiar with your
professional and educational work and be able to evaluate your potential success as a graduate student.

Name 1.	Position	Workplace	Work phone
2.
3.

How did you learn about the graduate program at Dakota Wesleyan University?

Other

Describe any special circumstances and/or concerns which you believe should be considered
in connection with your application for graduate admission.

Have you ever been found responsible for a disciplinary violation at any secondary or post-secondary school you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
Yes No

Have you ever been convicted of a misdemeanor, felony, or other crime?
Yes No

If you answered yes to either or both questions, please explain and give approximate
date of each incident and explain the circumstances.

I certify that all information in my application is my own work, factually true, and honestly presented. I understand the omission or misrepresentation of any information including enrollment in other colleges or universities is sufficient grounds for canceling my admission or registration. Yes

The university reserves the right to deny admission or continued enrollment to any student who imposes an unreasonable risk of harm to the health, safety, welfare or property of the university, members of the university community or him/herself.

Dakota Wesleyan University is accredited by the Higher Learning Commission of the North Central Association, 30 North LaSalle Street, Suite 2400, Chicago, IL 60602, (312)263-0456, www.ncahlc.org, United Methodist University Senate, and South Dakota Department of Education. The university is approved by the state of South Dakota on the basis of the National Association of State Directors of Teacher Education Certification (NASDTEC) standards.


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