Point Park University
Graduate Education Programs
Application

Complete all sections below to submit your application to Point Park University's graduate education programs. If you have any questions, contact the Graduate Information Office at (412) 887-1477.

Contact Information

First Name *

Middle Name *

Last Name *

Preferred First Name

Country *

Street *

City *

State *

Zip *

Home Phone *

Mobile Phone *

Work Phone

E-mail Address *

Citizenship Status *

Citizen of U.S.

Resident Alien

Gender *

Male

Female

Date of Birth * +

Social Security Number (If using Financial Aid please provide)

Program Information

Anticipated Start Term *

Fall - August 25

Anticipated Start Year *

2024

Cohort Location *

Online

Cohort Programs *

Area of Concentration (Secondary) *

Bachelor's Program *

Instructional Studies Online

Have you ever taken an online class? *

Yes

No

Race/Ethnicity Reporting

To meet newly revised federal requirements on the collection and reporting of race/ethnicity, please answer the follwing two questions even if you have previously provided this in the former one-question format.

Are you Hispanic/Latino? *

No

Yes

I prefer not to respond

Regardless of how you responded above, please select one or more races: *

Military Service History

Are you a United States Veteran? *

No

Yes

Are you eligible to receive Veteran's education benefits? *

No

Yes

Are you a dependent of a Veteran? *

No

Yes

Are you currently on active duty? *

No

Yes

Employment Information

Employer Name *

Position/Title *

Employment Status *

Does your employer have a tuition benefits program for which you qualify? *

No

Yes

Academic History

Enter the most recent post-secondary institution that you attended.

Official copies of ALL college/university transcripts are required for an admission decision to be made on your application.

College/University Name (1) *

Start Date (1) (MM/DD/YYYY) *

End Date (1) (MM/DD/YYYY) *

Will the name on your official transcript differ from the name on this application? *

Yes

No

If yes, Name: *

College/University Name (2)

Start Date (MM/DD/YYYY)

End Date (MM/DD/YYYY)

Will the name on your official transcript differ from the name on this application?

Yes

No

If yes, Name:

College/University Name (3)

Start Date (1) (MM/DD/YYYY)

End Date (1) (MM/DD/YYYY)

Will the name on your official transcript differ from the name on this application?

Yes

No

If yes, Name:

College/University Name (4)

Start Date (MM/DD/YYYY)

End Date (MM/DD/YYYY)

Will the name on your official transcript differ from the name on this application?

Yes

No

If yes, Name:

Additional Information

Have you applied to Point Park University before? *

No

Yes

Are you interested in applying for financial aid? *

No

Yes

Have you ever been found responsible for a disciplinary violation at an education institution you have attended whether related to academic misconduct or behavioral misconduct that resulted in your probation, suspension, removal, dismissal or expulsion from the institution? *

No

Yes

If yes, please explain *

Have you ever been convicted of a misdemeanor, felony or other crime? *

No

Yes

If yes, please explain *

Registration Agreement and Certification

Point Park University reserves the right to admit or deny any applicant based on appropriate criteria. An interview is not required as part of the admission process, but under certain circumstances an interview may be requested by the admission committee in order to arrive at an admission decision.

I certify that the information on this form is complete and accurate. I understand that falsifying any of this information may result in cancellation of my application or dismissal from the University. I authorize the use of my transcripts by the appropriate personnel in evaluating my application to the University. Additional requirements for each program may also exist.

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 School of Education 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 Point Park 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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