CUI - Online Application

Concordia University Irvine
Application for Graduate Cohort Admission

By completing this application you are reserving a seat in the off-campus program of your choice.

General Information

Please enter your information below so that we may better guide you through the application process.

Legal First Name *

Legal Last Name *

Middle Name

Preferred Name

Maiden/Other Name Used

Address Line 1 *

City *

State *

Zip Code *

Country

Home Phone (no dashes) *

Cell Phone (no dashes) *

Work Phone (no dashes)

Email Address *

Social Security Number (no dashes) *

Date of Birth (mm/dd/yyyy) * +

Gender *

MALE

FEMALE

Citizenship *

Other Country *

Religious Affiliation *

Study Visa Issues *

Yes

No

Institution *

Have you or a sponsor (parent/spouse) ever served in the United States Armed Forces? *

Yes

No

Do you consider yourself to be Hispanic/Latino?

Yes

No

In addition, please select one or more of the following options to indicate your race(s)

Cohort Information

Please choose the semester you plan to begin the program and the program you wish to enroll in.

**Cohorts dependent upon enrollment of a minimum of 12 students; maximum number of students per group is 20-25).

Semester *

Summer 2024 - May

Summer 2024 - June

Online Cohort Program *

Online MAED Educational Administration w/ Preliminary Administrative Services Credential

Online Preliminary Administrative Services Credential (no MAED)

Online MAED Curriculum and Instruction

Online MAED Learning Design and Technology

Online MAED School Counseling w/ Pupil Personnel Services Credential

Online MAED School Psychology w/ Pupil Personnel Services Credential

Online Cohort Program* *

Online MAED Educational Administration w/ Preliminary Administrative Services Credential

Online Preliminary Administrative Services Credential (no MAED)

Online MAED Curriculum and Instruction

Online MAED Learning Design and Technology

Online MAED School Counseling w/ Pupil Personnel Services Credential

Credentials

Credentials Held

California Preliminary	California Professional Clear
Other State(s) Other State(s)

Credentials

Current

Out of State Credentials

Out of State Certification held

Eligible for Out of State Certification

Tests

Tests

CBEST Date

PRAXIS Date

MSAT Date

CSET Date

SSAT Date

GRE/MAT Date

Education History

Please list your highest degree granted below; must hold a Bachelors degree or higher. If your GPA was below a 2.75, an appeal letter will be requested. In order to be admitted to Concordia, an official transcript from your highest degree granting institution is required. Please note: A credential does not qualify for the highest degree.

1.

College/University Name *

City *

State *

Zip Code

Start Date

End Date

Degree or Certificate

Degree Completed

Major or Program of Study

Is this your Highest Degree? *

Yes

No

2.

College/University Name

City

State

Zip Code

Start Date

End Date

Degree or Certificate

Degree Completed

Major or Program of Study

3.

College/University Name

City

State

Zip Code

Start Date

End Date

Degree or Certificate

Degree Completed

Major or Program of Study

4.

College/University Name

City

State

Zip Code

Start Date

End Date

Degree or Certificate

Degree Completed

Major or Program of Study

Current Place of Employment

Employer *

Title *

Address 1 *

City *

State *

Zip Code *

Employer's Phone Number *

Financial Aid

Will you be applying for Financial Aid? *

Yes

No

Personal Information

Have you previously applied, enrolled or completed a program at Concordia University Irvine? *

Yes

No

If yes, please type the program name.

Have you been convicted of a felony within the last seven years? *

Yes

No

If yes, describe in full below including date(s) and disposition of case. A conviction will not necessarily disqualify you from admission. *

0/4000 characters

Non-Discrimination Policy

Concordia University does not discriminate on the basis of race, color, national and ethnic origin, sex, or disability in any of its policies, procedures or practices. This includes, but is not limited to, admission, employment, financial aid, educational services, programs and activities. Inquiries regarding this policy may be directed to the Dean of Administrative Services, Concordia University.

Certification

I certify that, to the best of my knowledge, the information furnished on this application is true and complete. I agree that, if admitted, I will abide by the rules and regulations of Concordia University as given to me by my graduate program and as stated in my program handbook. I also understand that it is my responsibility to review my program handbook after being admitted to the university and to be aware of the policies outlined therein. I also understand that I am not eligible for financial aid unless I am accepted into a post-baccalaureate or graduate program. I am not eligible to receive financial aid for any courses taken prior to admission to the graduate program.

I certify that I have read the above and that I have completed a bachelor’s degree at a regionally accredited college or university or will have completed a bachelor’s degree prior to enrollment.

Acknowledgement *

I understand that typing my name below is equivalent to signing Concordia University's application for admission.

Student Signature *

Date (mm/dd/yyyy) * +

Verification *
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