GRADUATE APPLICATION  FOR ADMISSION

SLIPPERY ROCK UNIVERSITY
Graduate Studies Office
Welcome Center - 124 North Hall 
One Morrow Way
Slippery Rock, PA  16057
(724) 738-2051

Email us at graduate.studies@sru.edu.

APPLICATION FEE: $25 (NON-REFUNDABLE)

ATTENTION!

If you are applying for admission to one of the following programs,
DO NOT USE THIS FORM

  • DOCTOR OF PHYSICAL THERAPY

  • PRINCIPALSHIP PREPARATION PROGRAM CERTIFICATE 

  • MASTER OF SCIENCE IN NURSING

  • INTERNATIONAL STUDENTS

  • SPECIAL NON-DEGREE  

Please contact us at (724)738-2051, or
graduate.studies@sru.edu
for the appropriate application.

Physical Therapy students may also contact (724) 738-2843 for materials.
Nursing students may also contact (814) 226-2000 (CU) for materials.

Please complete the entire form before submission.

Identification:
Today's Date: Date of Birth:  
Your Full Name:  
Social Security:   Former Name:

Permanent Address:
Street Address:  PA County:
City:  State:  ZIP: 

Current Address:
Street Address: PA County:
City: State: ZIP:

Contact Information:
Email Address:
Home Phone (w/ Area Code): 
Work Phone:
ARE YOU A PENNSYLVANIA RESIDENT?

PLEASE CHOOSE ONE OF THE FOLLOWING:
If you choose Permanent Resident of U.S., Please submit a copy of your alien registration card, Form I-551.
 
Registration Information:
I plan to enter Slippery Rock University...

  

Course of Study:
(choose only one from the options below)

Counseling and Educational
Psychology Department
Community Counseling - Addiction Counseling
(9416)
(MA)
Community Counseling -
Adult Counseling
(9417)
(MA)
Community Counseling - Child and Adolescent Counseling
(9415)
(MA)
Community Counseling Endorsement Only

(9492)

Elementary School Counseling
(9421)
(MEd)
Secondary School Counseling
(9483)
(MEd)
Student Counseling Endorsement Only 

(9491)

Student Personnel Endorsement Only

(9493)

Student Personnel
(9485)
(MA)
Elementary Education Department
Elementary Education - Math/Science
(9152)
(MEd)
Elementary Education - Reading
(9192)
(MEd)
Elementary Education - Reading
(Certificate Only, Non-Degree)
(919C)
English Department
English
(9524)
(MA)
Exercise & Rehabilitative Sciences Department
Exercise & Wellness Promotion
(9753)
(MS)
History Department
History
(9A44)
(MA)
Parks and Resource Management Department
Environmental Education
(9625)
(MEd)
Park and Resource Management
(966B)
(MS)
Sustainable Systems
(9692)
(MS)
Environmental Education
(Certificate Only, Non-Degree)
(962C)
 
Physical Education and Sport Management Department
Physical Education

(9764)

(MED)

Sport Management
(9765)
(MS)
Secondary Education/Foundations of Education Department
Instructional Technology Endorsement

(SRU Certificate Only)

(92IT)

Secondary Education Math/Science
(9252)
(MEd)
Special Education Department
Master Teacher
(9388)
(MEd)
Supervision
(9389)
(MEd)
Mentally & Physically Handicapped
(Certificate Only, Non-Degree)
(939C)
Supervision
(Certificate Only, Non-Degree)
(939D)

Undeclared (Non-Degree)

Undeclared
(9 01)
SRU Certificate Only
Gerontology
(939G)
Other Programs
These programs require a different application form. Please contact the Office of Graduate Studies.
Doctor of Physical Therapy
(9D6C)
(DPT)
Principalship Preparation Program  (9425)
Master of Science in Nursing
(9N--)
(MSN)
 
Personal Information:
I am a... Veteran Non-Veteran
I am... an international student NOT an international student
I plan to enroll... Full-Time (9 - 15 credits) Part-Time

Testing Information:
If you have taken, or plan to take the GRE or MAT, enter the dates below.
GRE MAT
If available, report your GRE or MAT scores below.
GRE Verbal: Quantitative: Analytical:
MAT Composite:

Undergraduate Study:
Colleges Attended: In chronological order beginning with the most recent, please list all the post-secondary educational institutions you have attended. Failure to list all institutions regardless of time attended may result in dismissal from SRU.
College City/State Dates Attended Degree Received
       
       
When did/will you earn your Bachelor's Degree?
Degree/Program Undergraduate Major
Date of Completion    
Under what name did you attend the above schools?
If you have previously applied to or attended SRU, list the most recent semester and year...

Graduate Study:
Colleges Attended: In chronological order beginning with the most recent, please list all the graduate level institutions you have attended. Failure to list all institutions regardless of time attended may result in dismissal from SRU.
College City/State Dates Attended Degree Received
       
When did/will you earn your Master's or Doctorate Degree?
Graduate Major
 

Have you ever been academically suspended or dismissed from a post-secondary institution? 
If YES, explain in the box provided below.

Suspended?

Explanation for Academic Suspension

Have you ever been convicted of a felony?


Professional Certification And/Or Licensure Held (Please Indicate)
Type: Area: State:

Occupational Experience: (list the most recent first)
Firm Address Position Dates
 

Racial/Ethnic Identity:
The University is required to collect race and gender data on applicants. The applicant is therefore asked to voluntarily answer the following questions. This information will be used for statistical compilation and reporting purposes only in a personally non-identifiable form and will not in any way be a part of the institution's admission decision with regard to the applicant.

American Indian or Alaskan Native Asian or Pacific Islander
Black, not of Hispanic Origin Hispanic
White, not of Hispanic Origin
Multi-Racial, List Racial/Ethnic Types

How did you learn about Slippery Rock's graduate program?
I am an SRU Graduate GRE Locator Service
SRU Graduate Poster  Peterson's Guide
Graduate fair SRU Graduate School Website
Graduate School Guide Other
 

Please Read the Following:

By submission, I certify that the information given on this application is complete and correct and that I have attended no institution(s) other than those listed. I understand that I am responsible for arranging for the forwarding of individual official transcripts from all schools I have attended, official GRE/MAT test scores, and that all application material become the property of Slippery Rock University and will not be returned. I understand that if my application is approved for admission to graduate school at Slippery Rock University, I agree to observe all of the rules and regulations of the University and to pay all fees and charges assessed. I also certify that the information given on this application is complete and correct to the best of my knowledge. Misrepresentation in this application and supporting documents may result in refusal of admission or dismissal from the University. I understand that all admission materials as requested on the application become the property of the University and will not be returned or forwarded to other institutions.

Slippery Rock University is committed to to providing leadership in taking affirmative action to attain equal educational and employment rights or all persons, without regard to race, sex, handicap, or other legally protected class. This policy is placed in this document in accordance with state and federal laws including Title IX of the Educational Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. Please direct equal opportunity inquiries to: Office for Students with Disabilities, Slippery Rock University, Slippery Rock, PA 16057