Graduate Teacher Education Application

Graduate Teacher Application

For questions, call 740-826-8038.
Associates Degree College/University Name:
City/State:
Years Attended (start/finish){Example 1997-1999}:
Major Program:
GPA:
Bachelor's Degree College/University Name: (requires official transcript sent to Muskingum University)*
City/State:*
Major Program:*
GPA:*
Master's Degree College/University Name: (official transcript required if using courses for credit toward program at MU)
City/State:
Major Program:
GPA:
College/University Name:
City/State:
Major Program:
GPA:

Graduate Teacher Application

For questions, call 740-826-8038.
Personal Statement: Include reasons for pursuing graduate work and special circumstances you may have, as well as your teaching philosophy:
How did you become interested in Graduate and Continuing Studies at Muskingum University?
How did you hear about the Graduate Teacher Education program?*
Social mediaEmailFriendEmployerOther
Please list any non-employment activities (organizations, hobbies, community service, prizes, and honors):
Yes, I'm interested
YesNo

Graduate Student Travel Waiver and Release Form*
I certify that the information provided on this application is complete and correct to the best of my knowledge. I understand that I am responsible for arranging for the forwarding of official transcripts from schools I have attended, and that such transcripts become the property of Muskingum University and will not be returned.
Signature:*

Clear

Yes (application fee waived)No
A $20 non-refundable application fee required.

You may send a check payable to "Muskingum University" to Muskingum University, Graduate & Continuing Studies, 260 Stadium Drive, New Concord, Ohio 43762-1199.

Please include “Graduate Application Fee” in the memo line of your check.

Applications without a signature or $20 application fee will not be processed.

or

You can complete the credit card payment information below to pay your fee. Make sure to enter all information listed or your payment will not be processed.
Name on Card:First Name, MI (if applicable)    Last Name
Card Type: Visa   MC   Discover
Card Number: List 4 digits of the 16-digit number in each of the four boxes
DO NOT type all numbers in one box --the numbers will be X out
   1st 4 #s     2nd 4 #s   3rd 4 #s   last 4 #s
Expiration Date:       Type in Month
3-Digit Security Code:   Type # here
Zip Code:   Zip Code   Day Phone #:  Phone Number
Graduate Application Fee: $20.00
Signature
Today's Date:

MonthDayYear
Date
Enter the message as it's shown:*
Availability of Student Records: Muskingum University abides by the Family Educational Rights and Privacy Act of 1974 as amended. All students have access to their education records on file with the College and have the right to challenge records they feel are inaccurate. Further information is available from the Registrar’s Office.

Sources of Consumer Information: Graduate academic programs and policies (including costs, fees, refunds, financial aid and accreditation) are described in the Graduate Catalog. Additional information about graduate programs is available from the Office of Graduate and Continuing Studies, and from program directors. Muskingum University, as an educational institution, does not discriminate on the basis of race, color, religion, sex, national or ethnic origin, handicap, physical challenge, disability, sexual orientation, socio-economic status and political affiliation.

Muskingum University Annual Crime Statistics Disclosure: This report includes statistics for the previous three years concerning reported crimes that occurred on campus; in certain off-campus buildings or property owned or controlled by Muskingum University; and on public property within, or immediately adjacent to and accessible from, the campus. The report also includes institutional policies concerning campus security, such as policies concerning alcohol and drug use, crime prevention, the reporting of crimes, sexual assault, and other matters. You can obtain a copy of this report by contacting Campus Police or by accessing the following website: http://www.ope.ed.gov/security/index.aspx.
Should be Empty:

Graduate Teacher Application

Graduate Teacher Application

Graduate Teacher Application

Graduate Teacher Application