Application For Admission into the School of Graduate Studies

Applicants must complete all sections. After you complete your online application you must: 1)  Pay your $50 non-refundable Application Fee; 2) Send your Official Transcripts from every college or university you attended; and 3) Present Three Recommendation Forms to the individuals completing your recommendation.

Chowan University
Office of Admissions
One University Place
Murfreesboro, NC 27855

If you have questions, please contact the Office of Admissions toll-free at 1-888-4-CHOWAN.
  
First Name: Middle Name:   Last Name:  
Preferred Name:       Social Security Number:
I wish to begin my graduate studies at Chowan University beginning:
     
Mailing Address:
City:  State:   Zip Code:   E-mail address:
Home Telephone:   Cell Phone:
Occupation:      Employer:     
Work Phone:

Are you a U.S. Citizen?  
If yes, State of Legal Residence:   County within state:
If no, Country of Citizenship: Visa Classification:
Please send a photocopy of the front and back of your permanent resident card, with signature card.
Date of Birth: City/State of Birth
Age:   Marital Status:   Gender:                     
Emergency Contact Information   
Name:      Relationship to you:
Daytime Phone:      Work Phone:
             

List all colleges and universities you have attended in order of attendance.  Please provide the name of the school, its location (city, state), dates attended, major, degree(s) earned, and GPA. 
Name of School City, State Dates Attended Major

Degree(s) Earned

 GPA  
 
 
 
 
 

Please list any relevant undergraduate clinical and/or professional employment experiences.
       
Dates Clinical Experience/Employer Address Position
       

Please list any pertinent community service or civic activities in which you are involved.
       
Activity Name of Organization Year Office(s) Held
       

Please list the three people to whom you have submitted the Recommendation Form in support of your application.
Full Name Title Institution/Organization
     
In the space provided, briefly explain your reason for applying to the School of Graduate Studies, including your educational and professional goals:
Have you ever been suspended or dismissed from another institution? Yes  No
If yes, please explain:
Have you ever been convicted of a crime other than a minor traffic violation? Yes No
If yes, please explain:

Optional
(for statistical purposes only)

How did you first hear about the Chowan University School of Graduate Studies?  

If other please indicate here:

Are you of Hispanic or Latino descent?          

 
What is your race? (select one or more):

American Indian or Alaskan Native: Yes No

Asian: Yes No

Black or African American: Yes No

Native Hawaiian or Other Pacific Islander: Yes No

White: Yes No

Church Affiliation/Denomination:

City:   State:    Zip Code:
Are you an active member? Yes     No

By clicking submit, you agree to the Condition of Admission below:

Condition of Admission

To the best of my knowledge, I certify that all items in my application have been answered correctly and completely. I understand that providing false, misleading, or incomplete answers may prevent my admission into the School of Graduate Studies at Chowan University and/or terminate my subsequent enrollment. I understand that it is my responsibility to notify Chowan University promptly should any information contained herein change prior to enrollment. Furthermore, I agree to abide by all established rules and procedures of the School of Graduate Studies at Chowan University and authorize Chowan University to release information to the news media concerning my achievements.

_____________________________________________________________________________________________

In its active commitment to build a diverse community, Chowan University rejects discrimination on the basis of race, religion, color, creed, gender, national, or ethnic origin, age, marital status, covered veteran status, handicap, sexual orientation, or any other legally protected status in admission, employment, or access to programs and activities.

Please address all of your application-supporting documents and correspondence to: Chowan University
Office of Admissions
One University Place
Murfreesboro, NC 27855


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