application for admission - Wesleyan University

APPLICATION FOR ADMISSION (MALS, MPhil, OR NON-DEGREE STATUS)

ADMISSION Graduate Liberal Studies offers two forms of admission: open enrollment to non-degree status and admission to the MALS or MPhil degree program. Any student who has already completed a bachelor’s degree is welcome to register for GLS courses through open enrollment. Students who wish to pursue a degree may apply for degree candidacy prior to taking GLS courses or after taking a few courses. If you have any questions, please call the GLS office at (860) 685-2900. Students with a documented disability that requires accommodation should notify Laura Patey at [email protected] or 860-685-2332. Please use the appropriate checklist below to ensure that your application is complete. All forms (*) are available on the GLS website: www.wesleyan.edu/masters/admission

APPLICATION CHECKLIST FOR NON-DEGREE STATUS ___Application for admission * ___Official transcripts (sent directly from the degree-granting institution to the GLS office) ___Immunization compliance form* and documentation (sent to Wesleyan Student Health Services)

APPLICATION CHECKLIST FOR ADMISSION TO DEGREE CANDIDACY: MALS OR M.Phil. Deadlines to apply for admission to degree candidacy: Fall 2014: Spring 2015: Summer 2015: Fall 2015:

July 14, 2014 November 3, 2014 April 13, 2015 July 13, 2015

___Application for admission* ___Application essay and cover sheet* ___Official transcripts (sent directly from the degree granting institution to the GLS office) ___Immunization compliance form* and documentation (sent to Wesleyan Student Health Services) ___Two letters of academic recommendation* (letters should be sent directly from the person providing the recommendation). A successfully-completed GLS course is equivalent to a letter of recommendation for MALS applications. ___TOEFL if applicant’s native language is not English

Application for Admission begins on next page—please keep this page for your records.


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1. PERSONAL INFORMATION Wesleyan ID#: (if applicable) ____________________ Social Security #: ____________________________________________ Name: ________________________________________________________________________________________________ Date of birth: ___________________________________________________________________ Gender: ___Male ___Female Address: ______________________________________________________________________________________________ City, State, Zip: _________________________________________________________________________________________ Business phone: _____________________ Cell phone: _____________________ Home phone: _________________________ Phone number to contact you in the event of a campus emergency: ___Business ___Cell ___Home ___Other: ______________ Email: ________________________________________________________________________________________________ Occupation: ____________________________________________________________________________________________ Employer’s name and address: ______________________________________________________________________________

2. EDUCATIONAL INFORMATION Undergraduate institution, city and state (required): ______________________________________________________________ Undergraduate degree and date (required, e.g., BA, BS, BFA):_ ____________________________________________________ Graduate institution, city and state (if applicable): _______________________________________________________________ Graduate degree and date (if applicable, e.g., MA, MS, JD )________________________________________________________ Name on previous degree transcript(s): ______________________________________________________________________ Other schools and programs attended: ______________________________________________________________________

3. DECLARATION OF ACADEMIC INTEREST In which term would you like to begin Graduate Liberal Studies at Wesleyan? ___ Summer 2014 ___Fall 2014 ___Spring 2015 You have the option of applying for degree candidacy prior to, or after, registering for courses. You also have the option of taking courses through open enrollment in non-degree status, without ever seeking a degree. Please check the appropriate box below:

APPLY FOR NON-DEGREE STATUS ___I am registering for courses as a non-degree student and do not intend to apply for degree candidacy. ___I am registering for courses as a non-degree student and will decide whether to apply for degree candidacy later.

APPLY FOR ADMISSION TO MALS OR MPhil ___I am applying for degree candidacy. I wish to pursue the: ___Master of Arts in Liberal Studies ___ Master of Philosophy in Liberal Arts Concentration: ___Arts ___Humanities ___Mathematics ___Sciences ___Social Sciences List two individuals who know your academic abilities and from whom you will request letters of recommendation (a successfully-completed GLS course is equivalent to a letter of recommendation for MALS candidates). Name (or course title)

Title

Email

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Phone


4. OTHER INFORMATION Citizenship: Please check one. ___US ___Dual US—second country of citizenship_________________________________________________________ ___Permanent resident—country of citizenship ______________________________________________________ ___Non-USA—country of citizenship _______________________ and Visa type: __________________________ ___ Yes ___No Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution. ___Yes ___No Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? [Note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.] If you answered “yes” to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience. The following ethnicity questions are optional. No information you provide will be used in a discriminatory manner. (Students may select multiple ethnicity categories in a way that helps them best describe their multi-ethnic background.) 1. 2.

Are you Hispanic or Latino? ___Yes ___No Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member: ___American Indian or Alaska Native (including all Original Peoples of the Americas) ___Asian (including Indian subcontinent and Philippines) ___Black or African American (including Africa and Caribbean) ___Native Hawaiian or other Pacific Islander (Original Peoples) ___White (including Middle Eastern)

How did you hear about this program? Check all that apply. ___Postcard ___Radio ___Newspaper ___Internet Search ___Facebook ___Friend/colleague ___Conference/Expo ___Other: ___________________________________________________________ Check applicable information. I am: ___Wesleyan faculty or staff in ________________________________________________________ department. ___Spouse/partner of Wesleyan faculty or staff (Spouse/partner’s name and department: _________________________________________________________) ___Eligible for the Wesleyan GMAT scholarship (school district: _________________________________________)

4. WESLEYAN UNIVERSITY’S HONOR CODE I have read, understand, and agree to abide by the policies in the GLS Student Handbook (www.wesleyan.edu/masters), the Honor Code and the Code of Non-Academic Conduct Regulations (www.wesleyan.edu/studenthandbook under the header University Standards and Regulations), and the Student Account Agreement and Disclosure Statement (www.wesleyan.edu/masters/pdfs/GLS-SA-Policy.pdf). I understand and accept my obligations as outlined in the codes, and I will uphold Wesleyan’s standards. Signature (required): ___________________________________________________ Date: _____________________________ Send completed form by fax to 860-685-2901 or in person or by mail to Graduate Liberal Studies, Wesleyan University, 74 Wyllys Avenue, Middletown, CT 06459

FOR OFFICE USE ONLY Decision: ______________________________________________________ Effective Date: ___________________________ Committee signatures: __________________________ __________________________ ___________________________