Averett University
Application for Graduate Admission

   Personal Information
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Gender *

   Optional Demographic Information
Federal and state agencies request that we supply demographic data on applications for admission to Averett University. To enable us to comply with these requests, we ask that you complete this optional section. If you choose not to answer any part of this section, it will in no way affect your admission
to Averett.

The VA Certifying Official for Averett University will determine the Chapter for those eligible for military benefits.
Military Status (if applicable)
Marital Status:

First Generation Student:

Do you intend to file a FAFSA?
Are you of Hispanic/Latino Ethnicity or Descent?
Ethnicity:

   Citizenship Information (Outside of the USA)
Permanent U.S. Residents must submit a copy of their Permanent Resident Card.
Are you a US Citizen or Permanent Resident? *
If English is not your first language, you must submit official TOEFL scores.
Test Type:

   Academic Information
Start Term *
What Degree are you interested in Obtaining? *
What Degree are you interested in Obtaining? *

   Employment
For verification of employment, please complete the following for each place of employment (the MEd in Administration and Supervision program requires 3 years full-time work experience as a primary or secondary classroom teacher, MEd in Curriculum & Instruction requires 1 year full-time work experience
as a primary or secondary classroom teacher).
Status *
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Status
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   Education History
Please list all colleges/universities that you have attended.  If you are a transfer student, please list your last college attended first.

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If you are unsure of your GPA please estimate. Once transcripts arrive we will update our system with the official GPA.

   Additional Questions
Would you be interested in receiving text messages in reference to the status of your application? *
Do you have any relatives that attended Averett University *
If yes, please share their information.
Have you ever been convicted of a crime in any state? *

   Signature
Please validate the below statements and provide your signature and date.

Agreements:
1. You agree to have computer access with word processing, graphical presentation software, spreadsheet capabilities and internet connectivity for academic use.
2. You acknowledge that Averett University reserves the right to change academic content, sequence and tuition fee schedule at any time.
3. You certify that you meet the work experience requirement for admission into the Graduate and Professional Studies Program.

I confirm that I have reviewed all the information on this application form and have found it to be accurate. By selecting “Yes”, you attest that all the information provided is true and complete to the best of your knowledge and that you understand that false information will jeopardize your admission to and continuation in these Averett Programs. *
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