Marshall University - College of Science

Instructions: All fields are required unless marked optional. When you have completed the form, press "Generate PDF" and a PDF of the Marshall Graduate Application will be generated with your information. Print and follow the submission directions on this PDF to complete your application. Pertinent information from your application (name, contact information and research interests) will also be sent to the appropriate department.

First Name
Last Name
Middle Name
SS # or MU ID
Other Names
Street
City
State
Zipcode
County
Country
Home Phone
Work Phone
Email
Fax
At which location do you plan to enroll for the majority of your courses? Huntington campus S. Charleston or other locations
Type of enrollment Full time Part time
Type of admission: Degree Seeking Certificate/Professional Development Program
Major
Emphasis (if applicable)
Fee Classification applying for: Resident (State of West Virginia) Metro (certain areas of Kentucky and Ohio) Non-resident (out-of-state, except Metro)
If you are applying for Resident or Metro status, how long have you lived in West Virginia or the Metro county? (Proof of residency may be required.) Years Months
Sex	Male Female
Birth Date Month: Day: Year:
Birthplace City: State: Country (if not U.S.):
Citizenship (choose one): U.S. Citizen Nonresident Alien Resident Alien Refugee
Ethnic Background (choose one, voluntary) American Indian or Alaskan Native Asian or Pacific Islander - Chinese, Japanese or Korean Black - afro-American or African origin Hispanic - Mexican, Puerto Rican, Cuban, or South American origin Indian Subcontinent or Pacific Islander White (Non-Hispanic) - European, North African, or Middle Eastern Origin

Name of School	City and State	Date Entered (month/year)	Date Left (month/year)	Degree Earned

Have you applied to Marshall Before?	Yes No
If yes, give approximate date (m/y)
Emergency Contact Information:
Person: Address: City: State: Zip: Phone: Alternate Phone:
Admissions Examinations Information: Enter dates on which you took or will take any of the following admissions examinations.
Graduate Record Examination (GRE)	Month: Year:
Graduate Management Admissions Test(GMAT)	Month: Year:
Test of English as a Foreign Language (TOEFL)	Month: Year:
Miller Analogies Test (MAT)	Month: Year:
Residency Information Questionnaire: (Complete this section if you are claiming West Virginia in-state residency for tuition and fees purposes. Documentation may be requested to verify some items.) This section must be completed by all students claiming West Virginia residency.
1. Enter the dates during which you have maintained a domicile and continuous residence in West Virginia:
From Month Day Year
To Month Day Year
2. Have you filed a West Virginia tax return during the past 12 months? Yes No
If yes, did you claim West Virginia residency on the tax return? Yes No
3. Do you own residential property in West Virginia? Yes No
4. Have you paid West Virginia real or personal property taxes during the last 12 months? Yes No
5. Will you file a West Virginia Income Tax return for the current year? Yes No
6. If married, is your spouse a resident of West Virginia? Yes No
7. Do you have a motor vehicle registered in your name? Yes No
If yes, is that vehicle registered in West Virginia? Yes No
8. Driver's License number: Issue Date:
9 Are you currently a registered voter in West Virginia? voter Yes No
Employment Information: (Complete if you will be employed in a position other than as a graduate student assistant or work-study while enrolled as a graduate student at Marshall University.)
Name of Employer:
Job Title:
Work Address:
Work Telephone:
Present Occupation:
If a teacher: Type of Certificate
Years of Teaching Experience: Elementary Middle School/Junior High School
Undergraduate Major
Purpose of Graduate Work: Advanced Degree Teaching Certificate Renewal Graduate Certificate Other
If other, describe:
Desired graduate major program and area of emphasis
List the names and addresses of three persons who know of your academic record and your qualifications for graduate study. If letters of recommendation are required for your program, it is your responsiblity to request that they be submitted to the University.
If you are a member of any honorary or professional organizations, please list them here.
Additional information - experience pertinent to your proposed major field of study, professional goals, etc. (This information is in addition to the personal statements that are required by some major programs.) (Application can still be edited before submission)


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