IGNATIUS UNIVERSITY
Graduate Admission Application (type all information)
Name___________________________________________________________________________________
Date of Birth_____________ M______ F_______ Social Security Number*____________________
Current mailing address________________________________________________________________
City________________________________State_____________________Zip______________________
Code_________Country____________
Telephone Numbers: Home________________Business______________Fax_______________________
Email_____________________________________
What Country are you a citizen of ?____________________________________________________
Ethnicity (Optional): ____American Indian/Alaskan Native
____Asian/Pacific Islander
____Black/Non-Hispanic
____Hispanic/Non-Puerto Rican
____Puerto Rican
____White/Non-Hispanic
____Other
Religion (Optional):___________________________________________________________________
Degree Sought:
School of Theology:
____M.Div. ____M.S. ____M.A. ____S.T.M. ____D.Min. ____S.T.D. ____Ph.D.
Program Name___________________________________________________________
School of Philosophy:
____M.Phil. ____D.Phil.____Psa.D.
Program Name___________________________________________________________
School of Psychology
____M.S. ____Ed.D. ____Psy.D. ____Phil.D.____Psa.D.
Program Name___________________________________________________________
School of Diplomacy
____M.S. __________Ed.D._________Ph.D ____________Phil.D.
Program Name___________________________________________________________
Graduate and Undergraduate Institutions
List previous institutions attended in chronological order.
Institution____________________________________________________________________________
Address________________________________________________________________________________
From_____________to _________________. Degree___________ Date___________ Major
Field____________
Institution____________________________________________________________________________
Address________________________________________________________________________________
From_____________to _________________. Degree___________ Date___________ Major
Field____________
Institution____________________________________________________________________________
Address________________________________________________________________________________
From_____________to _________________. Degree___________ Date___________ Major
Field____________
Work Experience
Attach a full resume.
Academic Honors, Awards, or Publications
Attach a separate page where relevant.
Letters of recommendation
Provide the names and addresses of three persons who have agreed to write letters or
recommendation .Enclosed is a copy of the recommedation form. Please photocopy and
send to each person. It is your responsibility to ensure that all required
credentials are sent. Graduate Admissions cannot inform you of missing items.
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
IGNATIUS UNIVERSITY does not discriminate on the basis of gender, race, age, handicap,
national origin or creed in administration of any of its policies.
I have read in its entirety the information on IGNATIUS UNIVERSITY including the
material on history, mission, acccreditation, degree requirements, grades and fees. I
certify that this information on this application and attachments is complete and
correct. I understand that omission or falsification may constitute grounds for denial
of admission or dismissal.
_____________________________________________________________________________________
Date Submitted Signature of Applicant Social Security Number*
*Social Security Number: You are requested to give your social security number
voluntarily, which will be used to process your application. If you enroll in the
university, your social security number will be your student identification number
and will be used for registration and general administrative purposes. If you choose
not to give your social security number, an identification number will be assigned.