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Request For Graduate Information


So that we can provide you with information, please take a moment to fill out the following form. Please make sure to complete all the required fields marked with an asterisk and check all items that pertain to your interests in a graduate school experience. If your browser does not support forms, please contact us by email, fax, letter or phone.

NOTE: International Students -- Please do not complete this form. International Students must contact The International Education Office for information.

* Asterisks denote required fields

Personal Information

*First Name:

*Last Name:

*Address:

*City:

*State:

*Zip Code:

Phone Number: (optional)

*Email Address:

*Confirm Email Address:

Birth Date: (optional)

Gender: (Optional) Male Female

Are you a U.S. citizen? Yes No

Will you be taking your classes at a distance (i.e. not on campus)? Yes No


Educational History

Please complete the information below for your undergraduate degree.

School Name:

School State:

School City:



Undergraduate Major:

Date Graduated:


Interest Information

Academic Interest - First Choice:

Academic Interest - Second Choice:

Please check all areas of interest:

Graduate Application
Graduate Assistantship Application
Class Schedule
Free Application For Federal Student Aid (FAFSA)
GRE Test
Distance/Online Courses
Fee Schedule
GMAT Information
Athletics
Performing Arts
Student Organizations
Housing (on and off campus)
Campus Visit


All information you submit will be transmitted securely, will remain confidential, and will only be used by Emporia State representatives to better enable us to assist you in the application and admissions process. Although this information is required for electronic graduate information, you do not need to provide it to get information. Please feel free to call 800-950-GRAD to receive graduate information by other means.

 

Last Updated April 17, 2007