SWELL Application

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Personal Information

第一个名字 *

姓 *

中间的名字 *

娘家姓 *

性别 *

男性

女

出生日期 *

公民身份 *

Self-identified Ethnicity *

当前的地址 *

城市 *

状态 *

邮政编码 *

电子邮件地址 *

电话号码 *

电话号码

Religious Preference *

就业

你有工作吗?? *

是的

在哪里? *

Supervisor's 名字 *

Supervisor's 电话号码 *

Academic Interests

At which campus/extension center do you plan to pursue this degree?

Brownwood

埃尔帕索

新布朗费尔斯

My primary interest area is *

请解释 *

I will apply for a Graduate Assistantship *

是的

参考文献

Please identify two (2) references and their title and phone/e-mail contact information; both should be able to address your promise as a graduate student in Sport and Wellness Leadership.

参考1 *

参考2 *

I authorize the references provided in this application to give any and 所有 information concerning my character and any pertinent information they may have, personal or otherwise, and release 所有 such parties from liability for any dam年龄 that may result from furnishing the same to Howard Payne University. *

是的

Additional Information

Have you ever been convicted of, pled guilty or no contest to, or received probation, 悬架, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, 盗窃, 强奸, 谋杀, 诈骗, and indecency with a minor)? *

是的

Please state where, when and the nature of the offense. A felony conviction is not an automatic bar to admission. The university will consider the nature and date of the offense. *

I understand that the university may review criminal history of applicant. This application becomes the property of the university. The university reserves the right to accept or reject this application verified & affirmation accepted. *

是的

I hereby affirm that 所有 information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent admission. *

是的

文章

提交 500-word statement of your professional goals, how SWELL can benefit you in achieving them, and what your experiences to date may contribute to your fellow students and the program.

文章 *

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