School of Graduate Studies Application Chowan University offers a Master of Arts in Organizational Leadership (MOL), Master of Arts in Teaching (MAT), and Master of Education (MEd). Candidate Information Program Name * - Select -Master of EducationMaster of Arts in Organizational LeadershipMaster of Arts in Teaching Field of Study - None -Elementary EducationSecondary Education, Comprehensive ScienceSecondary Education, EnglishSecondary Education, MathematicsSecondary Education, Social Studies Anticipated Academic Enroll Year * - Select -20212022 Anticipated Academic Enroll Term * FallSpring Prefix - None -Mrs.Ms.Mr.Dr. First Name * Middle Name Last Name * Suffix - None -Jr.Sr.IIIIIIVVVIVII What is your birth/maiden name? Preferred Name Street Address * City * State * Zip Code * Format: 12345 OR 12345-6789 OR 123456789 OR A1B 2C3 Country BahamasCanadaUnited States Primary Phone Number * Format: 123-456-7890 Secondary Phone Number Format: 123-456-7890 Email Address * Format: x@x.xx Date of Birth (mm/dd/yyyy) * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Gender * - Select -FemaleMale Ethnicity - None -Hispanic/LatinoNot Hispanic/Latino Race American Indian/Alaska Native(Original Peoples of the Americas)Asian (Including Indian subcontinent and Philippines)Black/African American (Including Africa and the Caribbean)Native Hawaiian or Other Pacific Islander (Original Peoples)`White (Including Middle Eastern) Social Security Number Format: 123-45-6789 Marital Status - None -DivorcedMarriedMarriedSingleWidowed Religious Affiliation - None -African Methodist/EpiscopalAgnosticAnglicanApostolicAssemblyBaptistBrethrenBuddhismCatholicChristian/non-denominationalChurch of ChristChurch of GodDisciples of ChristEpiscopalEvangical Free Church AmericaFreewill BaptistFreewill IndependentHinduHolinessJewishLatter Day SaintsLutheranMennoniteMethodistMissionary BaptistMoravianMormanMuslimNazareneNon DenominationalNone SpecifiedOrthodoxPentecostalPresbyterianProtestantQuakerRoman CatholicSeventh Day AdventistSouthern BaptistSpiritualist Citizenship - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Citizenship Status Nonresident Alien Resident Alien US Citizen What is the highest Degree you've earned? - None -Associate of ArtsAssociate of ScienceBachelor of ArtsBachelor of ScienceCertified Public AccountantDoctorateGED CertificateHigh School DiplomaJuris Doctor (law)Master of ArtsMaster of ScienceMasters of Divinity College/University Information College/University Bachelors Information College/University Attended College/University City College/University State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Beginning Attendance Date College/University Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 Ending Attendance Date College/University Attended Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 What degree have you earned? College GPA Additional Colleges/Universities Please list any other colleges or universities you attended with location, dates, and degree if earned. Master of Education Requirements To be considered for admission to the M.Ed. program at Chowan University, applicants must submit Miller Analogies Test (MAT) directly from Pearson Assessment. Chowan University’s MAT code is 2564. (Note: If you have already taken the GRE, you may submit those scores in lieu of the MAT.) Have you taken the MAT? * - Select -YesNo If not, when do you anticipate taking the assessment? * Do you hold a current teaching license? * - Select -YesNo (Please submit a copy of your teaching license with your application materials.) Effective Dates: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20182019202020212022 Licensure Area(s): * List any relevant professional employment or undergraduate clinical experiences. (School, Address, Position, Dates) * (Activity, Name of Organization, Years, Offices Held) List any professional organizations and/or pertinent community service or civic activities in which you are involved. (Activity, Name of Organization, Years, Offices Held) Recommendation: Please provide a recommendation contact. This person should have knowledge of your professional work or academic ability within your field of study. Recommendation 1 Full Name * Professional Title * Institution/Organization * Recommendation 2 Full Name * Professional Title * Institution/Organization * Recommendation 2 Full Name * Professional Title * Institution/Organization * Recommendation 3 Full Name * Professional Title * Institution/Organization * Recommendation 3 Full Name * Professional Title * Institution/Organization * Current Employer Who is your current employer? What is your current position? Work Phone Number Background Are you on academic/social probation at any other college? * Yes No If yes, please explain the circumstances around your probation at the other school Have you ever been convicted of a felony? * Yes No If yes, please explain the circumstances of your felony conviction Attached your professional resume or c.v. Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. Attached your professional resume or c.v. Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc. In the space provided, briefly explain your reason for applying to the School of Graduate Studies, including your educational and professional goals: * Personal Statement: In an essay, discuss your professional goals and explain how these goals relate to your educational, work, and life experiences. * The essay should be 500-750 words or two pages maximum. Submit a typed, two-page maximum, personal statement describing your rationale for pursuing the MAT. * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.
