GRADUATE APPLICATION FOR ADMISSION

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GRADUATE APPLICATION FOR ADMISSION

We are excited that you are considering Georgia College & State

University to con nue your educa on. Georgia College is Middle

Georgia's graduate university, providing advanced degrees, cer ficates,

and con nuing educa on to support and enhance leadership

development for a professional workforce.

The

admission policy of Georgia College & State University (GC) is to accept those applicants who provide evidence of a high poten al for success at the university. A poten al student is considered for admission without regard to race, creed, sex, marital status, disability, sexual orienta on, age or na onal origin. All documents submi ed for admission to Georgia College & State University become the property of the university.

The

GC Graduate Admissions Office is located in Terrell Hall, Room 303 on the Milledgeville campus. Our office hours are Monday through Fri-day, 8:00 a.m. to 5:00 p.m. You may reach the office by telephone at (478) 445-6289; or toll-free, 1-800-342-0471.

St

udents with disabili es are invited to contact Disability Services at (478) 445-4233 to determine how their disability may be accommodated. In these par cular cases, campus visits are especially encouraged. When making reserva ons for a campus tour, please let us know how we may help to make your visit a pleasurable experience.

INFORMATION COMMON TO ALL APPLICANTS FOR ADMISSION

This applica on is intended for use by U.S. Ci zens and permanent residents of the United States. Interna onal Student Applica on forms and informa on may be obtained from the GC Interna onal Educa on Center, Campus Box 49, Milledgeville, GA 31061, by calling (478) 445‐4789 or by visi ng h p://www.gcsu.edu/interna onal/index.htm.

Applica on for Admission

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All prospec ve students must submit a completed Applica on for Admission and all suppor ng documents by the published deadline. The deadline for Fall term is July 1, Spring term is November 15 and Summer term is April 1.*

*Deadlines may vary by program. Please refer to graduate website or Graduate Admissions Oﬃce for more informa on.

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Note: It can take as much as 4 to 6 weeks for oﬃcial test scores to arrive a er the student has taken the exam. The ins tu onal code for the GRE is 5252. The ins tu onal codes for the GMAT are program specific and they are: MBA program code is 3TC-NH-78, MMIS Program code is 3TC-NH-34, and the MAAC Program code is 3TC-NH-83. The code for the MAT is 2379. Educa on students must also take the Wri ng Assessment (not required for non-degree enrichment or Kinesiology).

Students who do not a end the term for which they apply may update their applica on within one year by no fying the Admissions Oﬃce by calling (478) 445-6289. Students who applied more than one year ago, but did not enroll, must submit a new applica on and all suppor ng documents.

Applica on Processing Fee

A non‐refundable applica on fee ($40 paper ~ $35 online) is required unless the applicant has been enrolled within the past 6 years or has paid the fee within the past 6 years. The online applica on is found at h p://www.gcsu.edu/graduate/APPLY.HTM. Students who qualifying for a fee exemp on must submit a paper applica on to Graduate Admissions. For informa on about payment with a credit card, please call 478-445-6289. Checks may be mailed to GC, Box 107, Milledgeville, GA 31061.

Oﬃcial Suppor ng Documents

• All transcripts and test scores must be sent directly from the college or tes ng center to the GC Graduate Admissions Oﬃce, Campus Box 107, Milledgeville, GA 31061.

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A transcript must be provided by each and every college a ended by applicants. Email, fax and photocopied documents provided by the student or ins tu on are NOT considered oﬃcial and will not be used for admission purposes. Courses from one ins tu on that are listed on another college transcript will not subs tute for an oﬃcial transcript. Prior educa onal experience may not be omi ed from an applica on package.

Personal Interview

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Georgia College may request a personal interview as part of the admissions evalua on. Applica on Process

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Students may monitor the status of their applica on by going to h p://www.gcsu.edu/graduate/APPLY.HTM.

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A er all documents are received in the Graduate Admissions Oﬃce the Graduate Coordinator is no fied. Decisions are made by the Department. The Department will no fy the student and the Graduate Admissions Oﬃce of the decision.

Annual Security and Fire Safety Report

The GC Annual Security and Fire Safety Report includes crime sta s cs for the previous three years concerning reported crimes that occurred On Campus; in or on certain Noncampus buildings or property owned or controlled by GC; and on Public Property within, or immediately adjacent to and accessible from, the campus. The report also includes ins tu onal policies concerning campus security, such as policies concerning alcohol and drug use, crime preven on, the repor ng of crimes, sexual assault, fire safety policies/sta s cs and other ma ers. Hard copies are available at the Department of Public Safety, Human Resources, and the Oﬃce of Admissions. You can have a hard copy mailed to you by calling 478‐445‐3082 or get it on‐line at gcsu.edu/publicsafety/annualreport.htm.

ADDITIONAL INFORMATION

Graduate Catalog h p://gcsu.smartcatalogiq.com/current/Graduate‐Catalog.aspx Graduate Admissions h p://graduate.gcsu.edu/

University Directory h p://campusdirectory.gcsu.edu/

University Calendar h p://catalog.gcsu.edu/en/current/Undergraduate‐Catalog/

GEORGIA COLLEGE & STATE UNIVERSITY GRADUATE ADMISSIONS OFFICE

Box 107, Milledgeville, GA 31061 478-445-6289 * 800-342-0471 ext 6289

Fax: 478-445-1336 Email: [email protected]

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PROGRAMS OF STUDY

Available programs of study continued on

next page.

COLLEGE OF EDUCATION

PROGRAM CODE PROGRAM (Degree)

MASTER IN EDUCATION – ADVANCED CERTIFICATION (MED) MED-ASED Educational Leadership (MED) (Online/Fall admission only) MED-EDEC Early Childhood Macon Blended Format/Summer _{admission only)} MED-LIBM Library Media

(Macon Blended Format)

MED-ITED Instructional Technology _{(Macon Blended Format)}

MED-RELL Reading, Literacy & Language (Macon Blended Format) MED-SEDUC Secondary Education (Online/Summer admission only) _{(Select concentration)}

MED-MEDUC Middle Grades Education (Macon campus only) (Select concentration)

MED-SPED Special Education (Macon Blended Format/Summer

admission only)

MASTER IN EDUCATION CONCENTRATIONS Secondary Education

Select concentration below: MED-SEDUC SEBI Biology

MED-SEDUC SEEN English MED-SEDUC FREN French MED-SEDUC SEHI History MED-SEDUC SEMA Mathematics MED-SEDUC SEPS Political Science MED-SEDUC SPAN Spanish

Middle Grades Education Select Concentration below: MED-MEDUC MGRE Reading

MED-MEDUC MGLA Language Arts MED-MEDUC MGMA Mathematics MED-MEDUC MGSC Science MED-MEDUC MGSS Social Studies

MASTER OF ARTS IN TEACHING (MAT)

MAT-SPED Special Education (Macon campus/Spring admission only) MAT-EDMG Middle Grades Education Math & Science (Milledgeville _{Campus/Summer admission only)} MAT-SEED Secondary Education

(Macon/Milledgeville Campus/Summer admission only)

Secondary Education Select concentration below: MAT-SEED ARTE Art

MAT-SEED BIOL Biology MAT-SEED BUSE Business MAT-SEED CHEM Chemistry MAT-SEED ENED English MAT-SEED FREN French MAT-SEED HIST History MAT-SEED MAED Mathematics MAT-SEED EPHY Physics MAT-SEED POLS Political Science MAT-SEED SPAN Spanish

SPECIALIST IN EDUCATION (EDS)

EDS-ASED Educational Leadership (EDS) (Online/Fall admission only) EDS-SPED Special Education (EDS)

(Macon Blended Format/Fall admission only)

EDS-EEDUC With Emphasis in Early Childhood Education (EDS)

(Macon Blended Format)

EDS-MEDUC With Emphasis in Middle Grades Education (EDS) _{(Select concentration) (Macon Blended Format)}

EDS-SEDUC With Emphasis in Secondary Education (EDS) _{(Online/Summer admission only) (Select concentration)} SPECIALIST IN EDUCATION CONCENTRATIONS

Secondary Education Select concentration below: EDS-SEDUC SEBI Biology

EDS-SEDUC SEHI History EDS-SEDUC SEEN English EDS-SEDUC SEMA Mathematics EDS-SEDUC SEPS Political Science

Middle Grades Education Select Concentration below: EDS-MEDUC MGRE Reading

EDS-MEDUC MGLA Language Arts EDS-MEDUC MGMA Mathematics EDS-MEDUC MGSC Science EDS-MEDUC MGSS Social Studies

NON-DEGREE CERTIFICATION 999999 NITE Library Media

999999 RESL ESOL (English to Speakers of Other Languages) Endorsement

(Milledgeville campus only)

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PROGRAMS OF STUDY

COLLEGE OF LIBERAL ARTS AND SCIENCES

PROGRAM CODE PROGRAM (Degree)

MS-BIOL Biology (MS) (Milledgeville campus only) MFA-CRWR Creative Writing (MFA) _{(Fall admission/Milledgeville campus only)} MSCJ Criminal Justice (MS)

MA-ENGL English (MA) (Milledgeville campus only) MA-HIST ADVS History - Advanced Studies (MA) MA-HIST PDOC History - Pre-Doctoral (MA)

MMED-MUED Music Education (MMED) (Milledgeville campus only) MPA-PUAD Public Administration (MPA) (Online only)

COLLEGE OF BUSINESS MACCT Master of Accountancy (MACCT)

(Milledgeville campus only)

MBA-MBAD Master of Business Administration (MBA) _{(Macon and Robins campuses only)} MBA-MBAD MMIS

Master of Business Administration

Management Information Systems Concentration (MBA) (Macon campus only)

WEB-MBA

Georgia WebMBA® program – Online Master of Business Administration (MBA)

(Spring and Fall admission only)

MMIS-MMIS Master of Management Information Systems (MMIS) _{(Macon campus only)} MSAD-LSCM Administration/Logistics (MLSCM) _{(Online/Fall admission only)}

NON-DEGREE ENRICHMENT 000000 ENRI BIOL Biology

000000 ENRI BUSE Business 000000 ENRI MSCJ Criminal Justice 000000 ENRI EDUC Education 000000 ENRI ENGL English 000000 ENRI KINE Kinesiology 000000 ENRI HIST History 000000 ENRI NUR Nursing

000000 ENRI PUAD Public Administration COLLEGE OF HEALTH SCIENCES

MA-ARTT Master of Arts in Art Therapy (MA) (Milledgeville only) MAT-KNPE Master of Arts in Teaching in Kinesiology/Physical _{Education (MAT) (Milledgeville campus only)} MED-KINE HEPR Kinesiology – Health Promotion Concentration (MED)

(Milledgeville campus/Online)

MED-KINE HMPF Kinesiology – Human Performance Concentration (MED) _{(Milledgeville campus only)} MMT-MUST Music Therapy (MMT) (Online)

MSN-ADNU Nursing – Adult Health Nurse Educator (MSN) _{(Online/Summer admission only)} MSN-FNPR Nursing - Family Nurse Practitioner (MSN)

(Online/Summer admission only)

DNP-NURP Nursing – Doctor of Nursing Practice (DNP) _{(Online/Summer admission only)}

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$40 non-refundable application fee required. Students enrolled within the past 6 years or who paid the fee within the past 6 years are exempt. [Web application fee is $35]

Graduate Admissions Office CBX 107, Milledgeville, GA 31061

800-342-0471 * 478-445-6289 [email protected]

Application for Graduate Admissions

This application is to be used by all graduate applicants who are U.S. citizens by birth or through naturalization, and by those who have been granted resident alien status.

SOCIAL SECURITY NUMBER (Required of all applicants)_________________________ GENDER: ____ Female ____Male NAME:____________________________________________________________________________________________________

Last First Middle Jr.,III,etc. Preferred Name Former Name(s)

ADDRESS:___________________________________________________________________________________________________________________________

Street City State Zip County Country

E-MAIL ADDRESS:_________________________________________________ HOME PHONE: (__________)______________________________________

CURRENT EMPLOYER:______________________________________________ WORK PHONE: (__________)______________________________________

DATE OF BIRTH:_______________________PLACE OF BIRTH:_________________________ COUNTRY OF CITIZENSHIP:_______________

CITIZEN STATUS: _____U.S. Citizen ______Alien Resident (please submit documentation) ______Alien Non-Resident Visa Type_______

ETHNICITY (Optional—for statistical purposes only)

______American Indian ______Asian/Pacific Islander ______Black (not of Hispanic origin) ______Hispanic

______ Multiracial ______ White (not of Hispanic origin) ______Other _____________________________________

Please attach additional sheets if necessary.

ENTRY TERM (Deadlines for completed application.)

*May vary by program. Please refer to graduate

web-site or Graduate Admissions Office for more information.

PROGRAM LOCATION

Programs vary by campus. Please review program listing on page 2.

CLASSIFICATION

______ Fall 20_____ (July 1)* _____ Milledgeville _____ Regular

______ Spring 20_____ (November 15)* _____ Macon _____ Enrichment Area_____________ ______ Summer 20_____ (April 1)* _____ Warner Robins _____ Transient

STATUS: ______New Graduate Student ______ Returning Graduate Student _____

Non-Degree Certification

Certification Area ________________

______________________________________PROGRAM OF STUDY (Enter code found on page 2)

LIST ALL COLLEGES ATTENDED, beginning with the most recent. If you are a returning Georgia College student, please add schools attended since last enrollment. Are you currently enrolled _________yes _________no

Name of College City / State Dates attended

From/To Date of Graduation Degree Earned

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Entrance Test Information

Test taken or Scheduled to Take Test Date (or Scheduled Date) Date Official Scores Requested for GC

____GMAT Graduate Management Admission Test

____GRE Graduate Record Examination

____MAT Miller Analogies Test

____GACE Georgia Assessments for the Certification of Educators

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Will any of your transcripts arrive under a different name (e.g. maiden)? ____yes ____no

If yes, what name/s? _______________________________________________________________________________

Residency Information - In order to qualify for in-state tuition, answers must be provided to all questions.

If any question is incomplete or not answered, the applicant will be considered an out-of-state student.

Have you established and maintained legal residence and domicile in Georgia for at least 12 consecutive months immediately preceding the first day of classes for the term in which you plan to enroll? ____yes ____no

How long have you continuously resided in the state of Georgia?

Years:______________________ Months:_________________ Date from:_______________________ to _____________________________. Do you have a driver’s license or state-issued ID? ____yes ____no If yes, from which U.S. state/territory? _____________________ Do you own a motor vehicle? ____yes ____no If yes, in which U.S. state/territory is it registered? _________________________________ Do you have voter registration? ____yes ____no If yes, in which U.S. state/territory are you registered?_______________________________ Did you file a state income tax return in the past year? ____yes ____no

If yes, in which U.S. state/territory did you file? ______________________________________________________________________ Are you currently active duty military or a family member of someone who is active duty military? ____yes ____no

Are you currently a member of the Georgia National Guard or a family member of someone who is a member of the

Georgia National Guard? ____yes ____no Home state of record:____________________________________________________________ If you answer “yes” to any of the above military-related questions, you may be asked to provide a copy of your current military ID card and orders assigning you to a Georgia military installation.

Background Information

Have you ever been convicted of a crime other than a traffic offense, or are any criminal charges now pending against you?

____yes _____no

Convictions shall include a finding of guilty by a judge or jury, or a plea of guilty or a plea of nolo contendere, irrespective of the pendency or availability of any appeal or application for collateral relief. If yes, explain fully on a separate page, specifying the nature of the offence(s), the date(s) it/they occurred, the name and location of the court(s) and sentence(s) imposed. Please submit court documentation if appropriate. I certify that, to the best of my knowledge, the information submitted on this application is true and complete. I consent to allow representatives of Georgia College & State University (GC) to conduct a criminal background check and such other background investigations as the university deems appropriate in evaluating my application as a student at GC. I further

understand that upon enrollment, I am expected to become familiar with and abide by the GC Honor Code

(http://www.gcsu.edu/studentlife/handbook.htm) and the Student Rules and Regulations as set forth in the GC Catalog (http://www.gcsu.edu/registrar/catalog.htm).

I understand that any material false statement made knowingly and willfully by me on this application, or any documents attached hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.

In accordance with Board of Regents Policy 4.3.4, all applicants who are accepted for admission or readmission to Georgia College for Fall, 2011 or any academic semester thereafter, and who seek to be classified as in-state for tuition purposes, will be required to provide validation of residency and lawful presence in both the State of Georgia and the United States. Acceptance to Georgia College is conditional until lawful presence is verified.

Signature of Applicant:______________________________________________________________Date:_______________________________________