Master of Science in Education Application

Applicant Information

Address

Contact Information

Degree or Licensure

Academic Information

Institution #1





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Institution #2





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Institution #3





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List academic and/or professional honors received and/or special skills or competencies:

Professional Information

List positions relevant to your professional interests and training, beginning with the most recent.

Most Recent Employer

Employer #2

Employer #3

Employer #4

Employer #5

References

#1: Supervisor

#2: Professional Colleague

#3: Reference of your choice

 

Directory Information Release


Selecting "No" to the information release means you will not be in the campus directory, you will not appear in your hometown newspaper for honors or other awards, nor are we able to verify your enrollment or other information to lenders, potential employers, or others outside the campus community.

Felony Conviction Disclaimer

Have you ever been convicted of a felony?(*)

If you answered yes, please explain the incident:
Optional Information

The following three items are optional.
This information is collected only for purposes of statistical reporting to federal agencies and is not used for purposes of determining admission or enrollment at Buena Vista University.

Buena Vista University does not discriminate on the basis on an individual’s actual or perceived race, color, ethnicity, creed, religion or religious belief, citizenship status, sex, marital status, disability, pregnancy, sexual orientation, gender identity or expression, national origin, military service or affiliation, genetic information, age, or any other basis protected by federal or state law in the administration of its educational policies, admissions policies, scholarships and loan programs, athletic program, and all other University programs and activities, and does not tolerate such discrimination or harassment of and by its faculty, administration, staff, students, and visitors.

Sex discrimination is prohibited by Title IX of the Education Amendments of 1972. It addresses all forms of sexual discrimination, including sexual harassment, sexual violence, sexual assault and intimate partner violence. Buena Vista University does not discriminate on the basis of sex in conformance with Title IX.

By clicking the Submit button, you are confirming that all the information contained on this application is correct, complete, and honestly represented. If this is correct, please click Submit to submit the form above.