Graduate Program Admission Form

Graduate Program Admission Form

Application for admission to graduate programs. Please complete all sections. All information will be kept confidential.
Personal Information

Please fill in your personal details below.
Full Name *

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth (DD/MM/YYYY)*

MonthDayYear
Date
Nationality*
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Permanent Address*

Street Address

Street Address Line 2
CityStateZip CodeCountry
Current Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
Religious Affiliation*
If Christian, Name of your church
Marital Status*
Emergency Contact (Name and Phone Number)*
Academic Background

Provide details of your undergraduate education.
Undergraduate Degree*
Institution*
Year of Graduation*
Major/Field of Study*
GPA/Grade*
Supporting Documents

Send the following documents: Copy of undergraduate degree certificate, official transcripts, and CV/Resume to this email address: jmeiporkoyah@hiauniversity.org PDF or image files only.
Program Selection

Select the graduate program and track you are applying for.
Graduate Program Applied For*
Intended Start Term*
Essays

Please answer the following essay questions. Each response should be 300–500 words.
Statement of Purpose: Describe your academic interests, career goals, and reasons for choosing this program at Harvest Intercontinental American University.*
Personal Achievement: Discuss a significant achievement or challenge you have overcome and how it has prepared you for graduate study.*
Additional Information (Optional): Share any other information you believe is relevant to your application.
References

Provide the names and email addresses of two referees.
Referee 1 Name*
Referee 1 Email Address*
example@example.com
Referee 2 Name*
Referee 2 Email Address*
example@example.com
Declaration

Please read and sign the declaration below.
Signature*

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Date*

MonthDayYear
Date
Note: Incomplete forms or missing documents may delay the processing of your application. All information will be kept confidential.
Should be Empty:

Graduate Program Admission Form

Personal Information

Academic Background

Supporting Documents

Program Selection

Essays

References

Declaration