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: *