Indiana State University s1

INDIANA STATE UNIVERSITY DEPARTMENT OF EDUCATIONAL LEADERSHIP, ADMINISTRATION, AND FOUNDATIONS

Ph.D. IN HIGHER EDUCATION PROGRAM APPLICATION [NOTE: Use TABS to fill the Application Form]

A. I have applied for admission to the School of Graduate Studies for <--select--> (Fall/Spring/Summer) (year).

B. I would like to be considered for admission to a cohort group for the academic year.

XX Leadership in Higher Education

C. Please attach writing sample as instructed on next page.

Student Name:

Date of Application:

Home Address:

City: State: Zip Code:

Birth date:

Home Telephone: Business Telephone:

Business Name:

Business Address:

Fax Number: E-mail Address:

Current Position(Briefly describe your professional experience):

Years in Current Position:

Highest Degree Earned(Briefly describe your academic experience):

Institution:

Academic Performance

Graduate Record Examination( Date taken):

Verbal: Quantitative: Analytical:

Graduate Grade Point Average:

At the end of this application, please submit a writing sample to be evaluated as part of the admission process. Your paper should respond to the following areas:

I. Work Experience Related to Educational Administration

A. Applicant must discuss in detail all professional work experience related to desired specialization, such discussion should include, but is not limited to: 1. Professional leadership positions held and an overview of responsibilities and accomplishments 2. Memberships, elected offices, honors or awards in professional organizations or honor societies or related to specialty area.

B. Applicant must discuss in detail all research and publication/presentation experience that relates to desired specialization. Such discussion should include, but is not limited to, competitive grants, and state or national publications and presentations.

C. Applicant must discuss in detail work activity pertinent to educational administration. Such discussion should include documentation of accomplishments in addition to, not embellishments of, information already provided.

II. Professional Goals Applicant should discuss in detail reasons for the pursuit of the desired specialization in educational administration and how this program will help you to achieve your goals.

Send application as an email attachment to: [email protected] Or You may mail the application to: Chairperson Department of Educational Leadership Indiana State University Bayh College of Education, 211G Terre Haute, IN 47809.