Complete all sections below to submit your application to Georgian Court University's graduate education programs. If you have any questions, contact the Graduate Information Office at 848-222-8078.

Application for Graduate Admission

Personal Information

Prefix *

Legal First Name *

Legal Last Name *

Preferred Name *

Do you have a former name? *

Yes

No

Former Name *

Address Line 1 (No commas) *

Address Line 2 (i.e. Apt Number) No commas

City *

State *

Zip *

Country *

Primary Phone (xxx-xxx-xxxx) *

Primary Phone Type *

Alternate Phone (xxx-xxx-xxxx)

Alternate Phone Type

E-mail Address *

Social Security Number - Required for Financial Aid Processing *

Date of Birth (MM/DD/YYYY) - Required for Financial Aid processing * +

Demographic Information

Sex *

Male

Female

Marital Status *

Ethnicity/Race: The following information is voluntary and will not affect the decision for admission. Georgian Court University does not discriminate on the basis of sex, disability, race, color, religion, or national or ethnic origin. If you do not wish to provide this information, please select "I prefer not to respond."

Select one or more races with which you identify yourself: *

Religion

Veteran Status: Are you a veteran, dependent of a veteran, or on active duty planning to use military or transferable benefits? *

Yes

Dependent/Spouse of a Veteran

Non-Veteran

Unknown

Citizenship Information

Citizenship *

Country of Birth *

Primary Citizenship *

Type of Visa *

Visa *

Enrollment Information

Semester *

Fall 2022

Fall 2022 Cohort Location *

Middlesex

Monmouth

Ocean

Online

Cohort Program *

MED Reading/Literacy Specialty

MA in Administration & Leadership leading to Principal Certification

MA in Administration & Leadership leading to School Administrator Certification

MA in Administration & Leadership leading to School Supervisor Certification

School Business Administrator Certification Only

School Supervisor Certificate Only

Online Cohort Program *

Please check box(es) that apply to you: *

New Degree Student

Returning Student

International Student

Indicate One Reason for Attending Georgian Court University: *

To apply for a Georgian Court University Master's Degree

To qualify for NJ instructional, administrative, or educational services certification

To earn a Georgian Court University certificate in a field of my interest

For self-enrichment or personal development

For self-enrichment now, plan to matriculate later

Academic Background

List all colleges and universities attended, beginning with the most recent. All official transcripts must be submitted in order to be admitted to Georgian Court University.

Institution #1 *

Institution #1 City *

Institution #1 State *

Institution #1 Start Date (MM/DD/YYYY) * +

Institution #1 End Date (MM/DD/YYYY) * +

Institution #1 Academic Program or Major *

Institution #1 Name of Degree *

Institution #1 Date Degree Awarded (YYYY) *

Name on transcript #1: *

Have you attended any other colleges or universities? *

Yes

No

Institution #2 *

Institution #2 City *

Institution #2 State *

Institution #2 Start Date (MM/DD/YYYY) * +

Institution #2 End Date (MM/DD/YYYY) * +

Institution #2 Academic Program or Major *

Institution #2 Name of Degree *

Institution #2 Date Degree Awarded (YYYY) *

Name on transcript #2: *

Would you like to add a third college or university? *

Yes

No

Institution #3 *

Institution City #3 *

Institution State #3 *

Institution #3 Start Date (MM/DD/YYYY) * +

Institution #3 End Date (MM/DD/YYYY) * +

Institution #3 Academic Program or Major *

Institution #3 Name of Degree *

Institution #3 Date Degree Awarded (YYYY) *

Name on transcript #3: *

Would you like to add a fourth college or university? *

Yes

No

Institution #4 *

Institution City #4 *

Institution State #4 *

Institution #4 Start Date (MM/DD/YYYY) * +

Institution #4 End Date (MM/DD/YYYY) * +

Institution #4 Academic Program or Major *

Institution #4 Name of Degree *

Institution #4 Date Degree Awarded (YYYY) *

Name on transcript #4: *

Have you previously applied to Georgian Court University? *

Yes

No

Semester Applied *

Year Applied *

Teacher Certification

If you hold a teacher certification, visit the checklist to upload a copy of your certificate for your admission file once your application has been submitted.

Type of certificate currently held:

Standard

(CEAS) Eligibility with Advanced Standing

Other Other

State issuing certification: *

Level/Subject Matter Area(s) of certification (No Commas)

Registration Agreement and Certification

I hereby make application to Georgian Court University. To the best of my knowledge, the information on this application is true and complete. I give permission to release academic information to Georgian Court University and understand that all records once submitted become the property of Georgian Court University.

As part of the cohort program, I understand that I will be registered for the entire cohort and remain registered unless written notification is submitted to the Education Department and the University Registrar before the beginning of each course. I acknowledge that I am financially responsible for all charges in the event of withdrawal from classes, as outlined in Georgian Court University’s current tuition refund policy.

By typing my name below I acknowledge that I have read and agree to the above statements.

Signature *

Date * +

Enter the word in the image *
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