Physiology - Application for Graduate Admission
Application for Graduate Admission to the Department of Physiology and Health Science Ball State University, Muncie IN

Items with an * indicate a required field.
I. PERSONAL INFORMATION
Last Name *
First Name *
Middle Name
Address
City
State
Zip
Country
Phone *
Email
 
II. EDUCATIONAL OBJECTIVE
Which degree are you interested in? *
What semester do you plan to start? *
What year? *
Do you plan to be a part-time or full-time student? *
 
III. EDUCATIONAL BACKGROUND
List in chronological order all college-level institutions attended, including current enrollment. Clearly indicate dates and degrees granted or to be granted.
 
Institution 1
Official Name of Institution *
Location *
From *  
To *  
Major(s) *
Minor(s)
Degree Earned *
 
Institution 2
Official Name of Institution
Location
From  
To  
Major(s)
Minor(s)
Degree Earned
 
Institution 3
Official Name of Institution
Location
From  
To  
Major(s)
Minor(s)
Degree Earned
 
Institution 4
Official Name of Institution
Location
From  
To  
Major(s)
Minor(s)
Degree Earned
 
IV. ACADEMIC RECORD
What is (was) your overall undergraduate grade point average (GPA) based upon a four-point (4.0) system? *
What is (was) your overall GPA for your senior year? *
Have you taken the Graduate Record Exam (GRE)? *  Yes
  No
If yes, when did you take it?    
What was your VERBAL score?
...QUANTITATIVE score?
...ANALYTICAL score?
Have you taken the Test of English as a Foreign Language (TOEFL)? *  Yes
  No
If yes, when did you take it?    
What was your LISTENING score?
...READING score?
...SPEAKING score?
...WRITING score?
How did you hear about Ball State University? *
 
V. COMMENTS AND QUESTIONS
Please write any comments or questions in the space below.
 
Please complete sections VI-VIII if you wish to be considered for a graduate assistantship; otherwise, procede to section IX.
 
VI. ASSISTANTSHIP OPPORTUNITIES
Please check the opportunities that you would be interested in.  Assist faculty with the instruction of anatomy
  Assist faculty with the instruction of physiology
  Assist faculty with their research
 
VII. COMPUTER SKILLS
What operating systems are you familiar with?
Some assistantship assignments utilize basic computer skills. Please describe your experience with the following types of software:
Word Processing
Presentation Software
Statistical Package
 
VIII. REFERENCES
Applications for a Graduate Assistantship require three letters of recommendation: two professional references and one personal reference. Please list your references below.
Professional Reference 1
Professional Reference 2
Personal Reference
 
IX. FINAL QUESTION
I am sending my resume in the following manner: *