• u n i v e r s i t y o f n e w h av e n •

Graduate Application for Admission

instructions for applicants

This application must be filled out and returned to the Graduate Admissions Office, University of New Haven, 300 Boston Post Road, West Haven, CT 06516, along with:

applicant’s information

Legal name

Names different from above that may appear on academic records

Date of birth Social Security number

Current mailing address

Telephone ( ) Email address

Permanent address (if different from above)

Telephone ( ) Email address

Program for which you are applying

Concentration choice within program, if any

I plan to study q Part-time q Full-time

Intended entry term q September (year: ) q January (year: ) q April (year: ) q Summer (year: )

Location q Main Campus (West Haven) q Other (specify)

A $50 nonrefundable application fee. Your application will not be processed unless accompanied by the fee.

q Check enclosed

q Visa

#

Expiration

Official transcripts forwarded by all colleges previously attended.

Two letters of recommendation. Please make sure the addresses and phone numbers of recommenders are included on all letters of recommendation for acknowledgement purposes.

Standardized test scores (GMAT, GRE, PRAXIS) when required by a specific program.

A resume is strongly recommended for all applicants to the Graduate School.

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q MasterCard

q American Express

for u.s. citizens only: To meet federal and state reporting requirements, please check below. This information is not used to determine eligibility for admission. Please note that this section is OPTIONAL.

q American Indian q Black (non-Hispanic) q Hispanic q Caucasian q Asian or Pacific Islander q Other

q Male q Female

300 Boston Post Road, West Haven, CT 06516 • Phone: 1-800-DIAL-UNH (342-5864) ext. 7440 or 203-932-7440• Fax: 203-932-7137 • Email: gradinfo@newhaven.edu

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last name (surname) first name middle initial

month/day/year

street or P.O. Box/apt. number

city state zip code

street or P.O. Box/apt. number

city state zip code

academic record

List in reverse chronological order all colleges and universities attended, including UNH.

Name of school Location (city/state) Attendance (from/to) Major Degree Received Graduation Date

employment record

List all jobs you have held within the past five years, starting with your present position.

Position/title Employer Location (city/state) Dates (from/to) Telephone #

Does your employer have a tuition assistance plan? q Yes q No

How did you learn about UNH?

Have you ever been convicted of any violation of state or federal law other than a minor traffic violation? q Yes q No

If yes, please explain in full on an attached sheet of paper

Are you a citizen of the U.S.? q Yes q No If no, indicate status

If you are a permanent resident, please provide alien registration number (provide copy)

international students

If you are an international student, please answer the following questions.

City and country of birth Country of citizenship

Present visa status Intended visa status

q Male q Female Native language How many years have you studied English?

TOEFL score Date taken Date to be taken

The information supplied on this application is complete and true to the best of my knowledge. No materials and supporting records submitted by me or on my behalf in connection with this application or my attendance will be released to anyone other than authorized university personnel without my consent. It is under-stood that incorrect or falsified information will be grounds for disapproval of this application or dismissal from the university. The undersigned agrees to pay all financial obligations if admitted to and attending the university, including assessed collection costs and any obligations incurred if financial aid is terminated, reduced, or postponed for any reason. I agree to be governed by the academic standards, policies, rules, and regulations of the University of New Haven and to meet all financial obligations incurred by my attendance at UNH. The undersigned also authorizes the Department of University Marketing & Publications to publish the applicant’s picture, address, major, honors, sports, or other activities for public relations purposes should the applicant decide to attend the university in any capacity. This publicity authorization may be rescinded by notifying the Department of University Marketing & Publications in writing within 30 calendar days of admission to the university. Information related to campus crime statistics and security measures is available upon request.

Applicant’s signature Date

The University of New Haven is committed to equal access to educational and employment opportunities for all applicants regardless of race, creed, color, religion, gender, national or ethnic origin, age, sexual orientation, or disability, in compliance with federal and state statutes. In order to receive accommodations for a disability, students must initiate a request for services by calling the Director of Disability Accommodation Services at 203-932-7331.

300 Boston Post Road, West Haven, CT 06516 • Phone: 1-800-DIAL-UNH (342-5864) ext. 7440 or 203-932-7440• Fax: 203-932-7137 • Email: gradinfo@newhaven.edu