Please Check Program of Interest |
| *Program of Interest |
Master of Arts (M.A.)
Doctor of Philosophy (Ph.D.)
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Personal Information |
| *Entrance Status: |
First time entering graduate studies
Have taken / am taking graduate courses
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| Name Prefix |
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| *First Name |
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| Middle Name |
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| *Last Name |
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| *Date of Birth |
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| *Social Security No. |
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| *Gender: |
Male
Female
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Permanent Address |
| *Address Line 1 |
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| Address Line 2 |
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| *City |
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| *State |
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| *Zip/Postal Code |
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| *Country |
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| *Home Phone |
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| Work Number |
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| Mobile Number |
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| *Email |
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Mailing Address |
| Address 1 |
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| Address 2 |
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| City |
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| State |
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| Zip/Postal Code |
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| Country |
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| Mailing Address Phone |
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| If temporary, until what date? |
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Demographic Information |
| *Martial Status: |
Single
Married
Widowed
Religious
Diocesan Clergy
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| Ethnic Background: |
White / Non-Hispanic
Black / Non-Hispanic
Hispanic
American Indian / Alaskan Native
Asian / Pacific Islander
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| Religious Affiliation |
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| Are you a member of the Armed Forces? |
No
Yes
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| Current Employer |
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| Occupation |
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| Dates Employed |
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Citizenship |
| *Are you a U.S. citizen? |
No
Yes
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| Do you have dual citizenship? |
No
Yes
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| If yes, specify other citizenship |
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| Are you a permanent resident of the U.S.? |
No
Yes
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| If yes, permanant resident number |
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| Do you hold a current I-20? |
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| If yes, from what school was it issued? |
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| *What is your country of birth |
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| *What is your country of citizenship? |
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| What is the national language of your country? |
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Academic Information |
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Please list all colleges, universities (including Ave Maria, if attended before), and other
post-secondary programs you have attended. Omitting a college you attended even for
a single course may be considered false representation |
| Name of College/University |
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| City/State/Country |
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| Dates Attended |
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| Graduation |
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| Degree Completed or Expected |
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| Name of College/University |
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| City/State/Country |
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| Dates Attended |
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| Graduation |
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| Degree Completed or Expected |
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| Name of College/University |
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| City/State/Country |
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| Dates Attended |
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| Graduation |
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| Degree Completed or Expected |
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| Name of College/University |
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| City/State/Country |
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| Dates Attended |
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| Degree Completed or Expected |
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| Graduation |
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| Undergraduate GPA |
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| Undergraduate Major(s) |
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| Graduate GPA |
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| Graduate Major(s) |
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Total Number of Undergraduate and Graduate Courses (not credits) in: |
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Theology and/or Religion
Philosophy
Latin
Greek
French
German
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| Other language(s) (Please specify) |
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Indicate the languages, classical and/or modern, that you can read and your degree of
proficiency, including English if it is not your native language. |
| How did you first hear about the Graduate Programs |
Television
Radio
Magazine
Newspaper
Web
Word of Mouth
Other (please indicate below)
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| Comments: |
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