Graduate School Application Graduate School

Term Enrolled Application Fee Paid

800 South Tucker Drive Tulsa, OK 74104-9700 918-631-2336 1-800-882-4723 toll free

NOTE: The applicant is responsible for supplying OFFICIAL transcripts of all academic work (in Certified English) to the Graduate School Office. A nonrefundable application processing fee of $40 should accompany each application. All required application materials, i.e., test scores, official transcripts, and three letters of recommendation, must be submitted.

Name - Last

First Previous Name(s)

Middle

Social Security Number

Preferred First Name Current Address - Street City Home Phone ( )

State Cell Phone ( )

Zip + 4 Email Address

Country Sex: Male International Female

Ethnicity (optional) White, non-Hispanic Country of citizenship

African American

Native American, Alaska Native Hispanic Asian American

This information is voluntary and will be used in a nondiscriminatory manner, consistent with applicable civil rights laws. Visa type: F1 J1 Other

Are you a Permanent Resident Alien (PRA)? Yes No Date of Birth

If yes, list your PRA number:

Place of Birth (if other than U.S.) city, state or province, country

FOR OFFICIAL USE ONLY DO NOT WRITE IN THIS SPACE

GMAT Score ACTION STATUS Remarks: GRE Scores Admit Status: Official Provisional Probational TOEFL Scores Academic Level: Masters Doctoral GPA

Defer

Deny

Graduate Advisor

Date

Chairperson

Date

Graduate School

Date

Do you plan to live in university housing? Yes If yes, please indicate your preference: Campus Apartment University-Owned House Residence Hall

I plan to live: Off Campus

Do you plan to apply for financial aid? (optional) Yes No Do you want to be considered for a teaching/research assistantship? Yes No If yes, please mail a current resume or CV with your other application materials to the Graduate School. List any academic honors you have received:

College/University Attended
College/University Attended City Degree Date (Mo./Yr.) City Degree Date (Mo./Yr.) City Degree Date (Mo./Yr.) City Degree Date (Mo./Yr.) City Degree Date (Mo./Yr.) City Degree Date (Mo./Yr.) State Country

Undergraduate

Major

Degree Earned

Dates Attended State Country

College/University Attended Major Degree Earned

Dates Attended State Country

College/University Attended Major Degree Earned

Dates Attended State Country

College/University Attended Major Degree Earned

Dates Attended State Country

Graduate

College/University Attended Major Degree Earned

Dates Attended State Country

College/University Attended Major Degree Earned

Dates Attended

Have you ever been placed on academic or disciplinary probation? Yes No

If yes, please explain and specify which term(s) and college(s):

Have you ever been suspended or dismissed from any colleges attended?

Yes No

If yes, please explain and specify which term(s) and college(s):

Have you ever been convicted of a felony?

Yes No

If yes, please explain:

Are you currently incarcerated?

Yes No

If yes, please explain:

Emergency Contact
The following information is about your: Parent Name - Last Address - Street Phone ( ) Guardian Other First City Email Address State Middle Zip + 4 Country

Employer Information
Employer (Company Name) Name - Last Address - Street Phone ( Your Occupation ) First City State Middle Zip + 4 Country

Permanent Address
If there is an address other than your current address where we might reach you, please complete: After what date should we use this address: Address - Street Phone ( ) / / City Email Address State Zip + 4 Country

Educational Plan
Do you plan to be: Degree seeking Non-degree seeking Part time Full time Anticipated degree: M.A. M.B.A./J.D. M.B.A. M. Accountancy M. Energy Business M.A./J.D. M.S. Finance M.S./J.D. M.S. Finance/Applied Math M.S. Finance/J.D. Anticipated Major How did you hear about this program? Planned term of entrance to the university: Fall Spring Summer M.S. M. Teaching Arts M. Engineering (non-thesis) M.S. Engineering (thesis) Master of Fine Arts Year M.S. Math/Science Education Ph.D. Combined Bachelors/Masters Special Student Status

Anticipated Degree Date (Month/Year)

Have you previously been enrolled in a TU graduate program? Yes No

Please outline in general terms your reasons, goals, and other considerations relevant to undertaking graduate studies. This will greatly aid the selection committee in evaluating your application. Use another sheet if necessary. (Please type or write legibly.)

I certify that all of the foregoing information is complete and correct. I agree to abide by university rules, policies, and regulations now or hereafter existing. I recognize the right of the university to change its curricula, policies, rules, and regulations from time to time. Signature of Applicant Date of Application

The University of Tulsa does not discriminate on the basis of personal status or group characteristics including but not limited to the classes protected under federal and state law in its programs, services, aids, or benefits. Inquiries regarding implementation of this policy may be addressed to the Office of Human Resources, 800 South Tucker Drive, Tulsa, Oklahoma 74104-9700, 918-6312616. Requests for accommodation of disabilities may be addressed to the Universitys 504 Coordinator, Dr. Jane Corso, 918-631-2315. To ensure availability of an interpreter, five to seven days notice is needed; 48 hours is recommended for all other accommodations. TU#12312