The Graduate School 1501 W. Bradley Ave.

Peoria, IL 61625

Phone: Fax: E-mail: Website:

309-677-2375 309-677-3343 bugrad2@bradley.edu www.bradley.edu/grad

APPLICATION FOR GRADUATE ADMISSION

Refer to the Application Check-off List appropriate for the type of enrollment for which you are applying and refer to the Graduate Catalog for additional requirements. This form MUST be signed by the applicant or it will not be processed. Part I: PERSONAL INFORMATION Name: Surname/Family/Last Permanent Address: (Street or PO Box) (City, State, Postal or Zip Code) (Country) Mailing Address: (Street or PO Box) (City, State, Postal or Zip Code) (Country) Date of Birth: /
(mm/dd/yy)

Given/First

Middle Maiden/Other E-Mail/Phone: (please include the area code in all phone numbers) Preferred E-mail Home Phone Work Phone Cell Phone Term Applying For: Note: International F-1 students may only start fall & spring semesters. Spring 20 Fall 20 January Interim 20 May Interim I (3 weeks) 20 May Interim II (8 weeks) 20 Summer I (June) 20 Summer II (July) 20

Gender: Male Female

Do you have a Social Security Number?

No Yes

Note: The Social Security Number is optional for non-Bradley employees. However, students who do not supply a Social Security Number cannot be considered for federal financial aid. Bradley employees are required to submit their Social Security Number.

If you answered YES, enter SSN:

Part II: APPLICATION TYPE U.S. Citizen International (ALL non-U.S. Citizens) If you are an International Applicant check one of the following: Permanent Resident Non-Immigrant Student (F-1) Non-Immigrant Other (please state) Asylee Country of Birth Country of Citizenship Previous attendance at Bradley: Yes No

Part III: How did you find out Ethnicity (optional): about Bradley's graduate (U.S. applicants only) school? Asian or Pacific Islander Friend Graduate Catalog Black/African American Bradley Website Professor Hispanic, Latino, or Spanish origin Other website: Previously Attended Bradley Native American, Print Ad: American Indian or Radio/TV Ad: Other: Alaska native Caucasian BU ID:

Part IV: ACADEMIC INFORMATION/PREVIOUS ENROLLMENT Name at the time of attendance: List all post-secondary institutions you have attended. Omission will delay application processing and may be cause for cancellation. Level of study refers to undergraduate (UG) or graduate (GR) level study. Please use an additional sheet if necessary. Name and Location of Institution Dates of attendance to to to Indicate the date you took or plan to take any of the standardized exams listed below. GMAT GRE MAT TOEFL IELTS Level of Study (UG or GR) Degrees conferred or expected Date transcripts ordered

Part V: GRADUATE PROGRAM INFORMATION Please specify the program for which you are applying (check one): Doctoral Program: Certificate Programs: Type 75 Physical Therapy (1) Curriculum & Instruction (post-Masters) Curriculum & Instruction (post-Bach.) Management School Counseling

I will be attending (check one): Part-time (less than 9 hours) Full-time (9 hours)
International F-1 students are required to be full-time.

Nursing Education Clinical Mental Health Counseling

Master's Programs: Accounting MBA EMBA (1) Quantitative Finance Biology BioChemistry Chemistry Computer Info Systems Computer Science English Liberal Studies

Dietetics Internship Cerficate

ART MA MFA ENGINEERING Curriculum & Instruction Major concentration in: Civil C&I Special Education Ceramics Electrical Educational Administration Industrial Human Development Counseling: CMHC Drawing/Illustration Manufacturing Human Development Counseling: School Interdisciplinary art Mechanical Human Service Administration Painting Nurse Administered Anesthesia (1) Photography Nursing Administration Printmaking Nursing Education Sculpture Nursing - General Visual comm. & design Non-Degree Seeking Graduate Student (NDG) Do you intend to apply to a degree or certificate program in the future? If so, which program? Yes No

Individuals seeking teaching endorsements should check this box.

(1) Requires an additional application form

Part VI: FINANCIAL ASSISTANCE (Available only to degree-seeking applicants. NOTE: The Professional Educators Scholarship is also available to certificate-seeking applicants in education and counseling certificate programs.) The Graduate School awards Graduate Tuition Scholarships on a competitive basis to qualified applicants at the time of admission. Graduate Tuition Scholarship decisions are based on previous academic performance and the availability of funds. Applicants must complete all the requested information in this section to apply for financial assistance from the Graduate School. Graduate Tuition Scholarship Employee Development Scholarship (Applicant must be seeking an MBA/MSA degree and be employed full-time at a participating company.) Professional Educators Scholarship (Applicant must be full-time school district employee.) Specify the dollar amount or percentage of tuition reimbursement you will receive from your employer or other source. $/% Employer: Please identify other scholarships or sources of aid you receive: Part VII: ADMISSION ESSAYS Degree-seeking applicants must provide a short admission essay on each of the following topics: A) Explain achievements and work experience that you consider relevant to your interest in and capacity for graduate study. B) Briefly state your career objectives and how the graduate program you have selected will assist you in attaining these goals. * Note: specific programs may require additional essays. Part VIII: LETTERS OF RECOMMENDATION (Degree-seeking applicants only) The Graduate School requires a minimum of two letters of recommendation. Specific programs may require additional letters. Letters from the following persons will be sent directly to the Graduate School: 3. 1. 2. 4. per semester hour annual total. Full-time employed Part-time employed

Part IX: The Graduate School must receive all supporting documents, including the application fee, before the application will be processed. Please submit the form, documents and application fee when sending through the mail. The application form may be faxed to us at 309-677-3343. The application form must be signed by the applicant. With my signature, I certify that the information I have provided on this application and in supporting documents is complete and accurate. Misrepresentations or omissions may result in rescinding of admission or financial aid. Signature _________________________________________________ Date ___________________________ Submit this application form, application fee, ($40 for US citizens and $50 for non-US citizens) and all supporting documents to: The Graduate School, Bradley University, 1501 W. Bradley Ave., Peoria, IL 61625.