university of denver intermodal … in intermodal transportation management application for graduate...

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Page 1: UNIvERSITY OF DENvER INTERMODAL … in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn ITI Executive Masters Program UNIvERSITY OF DENvER INTERMODAL TRANSPORTATION

Personal Information (please print clearly)

Last Name First Name Middle Name

Birth Name or Previous Legal Name

Birthdate (mm/dd/yyyy)

Are you a US citizen or Permanent Resident? r Yes r No

Please list your Permanent Resident Number (if applicable).

If you are not a US citizen or Permanent Resident, please list your country of citizenship.

Have you previously applied to the University of Denver? r Applied r Attended r No

Have you ever been convicted or plead guilty to any violation of law other than minor traffic violations? r Yes r No

If yes, please give details, including the specific charge and legal outcome, on a separate page.

Mailing Address

Address

City State Zip Country

Home Phone Cell Phone Email Address

Emergency Contact Information (optional)

Name Relationship

Address

City State Zip or Post Code Phone

Employment Information (optional)

Title Organization

Address

City State Zip or Post Code Work Phone

MS in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn

ITI Executive Masters ProgramUNIvERSITY OF DENvER INTERMODAL TRANSPORTATION INSTITUTE

INTERMODAL TRANSPORTATIONINSTITUTE (ITI)

Page 2: UNIvERSITY OF DENvER INTERMODAL … in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn ITI Executive Masters Program UNIvERSITY OF DENvER INTERMODAL TRANSPORTATION

Previous Education Please list ALL the colleges and universities that you have attended, the diplomas or degrees conferred (if applicable), and the dates

of attendance.

Name of Institution Location Dates of Attendance Degree/Year Received

Official Transcript Official transcripts must be ordered from ALL institutions of higher education where you earned academic credit, regardless of the

number of credit hours or whether you completed a diploma or degree. You can often order transcripts online from the relevant

institution(s), or you can call the Registrar’s Office of the institution(s).

Transcripts must be received by the Intermodal Transportation Institute in a sealed, official college/university envelope. Please have

transcripts of your academic record sent to:

Scholarships

Applicants should contact the Intermodal Transportation Institute (303.871.4702) for information on specific scholarships available to

ITI students.

Financial Aid The University of Denver requires that all graduate students who apply for need-based financial assistance through the University must

complete the Free Application for Federal Student Aid (FAFSA) form available online at www.fafsa.ed.gov/ by 1 March if they wish to be

considered for financial-aid awards.

Intermodal Transportation Institute University of Denver

2400 South Gaylord StreetDenver CO 80208–1300

MS in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn

ITI Executive Masters ProgramUNIvERSITY OF DENvER INTERMODAL TRANSPORTATION INSTITUTE

Page 3: UNIvERSITY OF DENvER INTERMODAL … in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn ITI Executive Masters Program UNIvERSITY OF DENvER INTERMODAL TRANSPORTATION

Diversity StatementThe University of Denver values the diversity of our student body. We collect these data as one measure of our diversity progress and to comply

with federal law and other required external demographic reporting. We request your voluntary cooperation in identifying yourself as closely

as you can with the racial and ethnic reporting categories below. If the offered categories do not describe you accurately, please select the

closest option(s) listed. The information you provide will not be used in any discriminatory manner. Thank you for your assistance.

Gender r Female r Male

Do you consider yourself to be Hispanic or Latino? r Yes r No

In addition, select one or more of the following racial categories to describe yourself:

r American Indian or Alaska Native

r Black or African American

r Asian

r Native Hawaiian or Pacific Islander

r White

Certification I understand that this application and all credentials included for my admission file are confidential and become the property of the University

of Denver. These documents will not be returned, copied, or released to any person(s) or myself. I certify that the information given in

this application is true and complete without evasion or misrepresentation. I understand that willful omission, falsification, or incomplete

statements within this application may result in denial of admission or dismissal.

Signature Date

Please sign your application with your full legal name

Equal Opportunity StatementThe University of Denver is an Equal Opportunity institution. We admit students of any race, color, national and ethnic origin to all the

rights, privileges, programs and activities generally accorded or made available to students at the university. The University of Denver does

not discriminate on the basis of race, color, national and ethnic origin in administration of our educational policies, admission policies,

scholarship and loan programs, and athletic and other university-administered programs. University policy likewise prohibits discrimination

on the basis of age, religion, disability, sex, sexual orientation, gender identity, gender expression, marital status, or veteran status. Inquiries

concerning allegations of discrimination based on any of the above factors may be referred to the University of Denver, Office of Diversity

and Equal Opportunity, Mary Reed Building Room 422, 2199 South University Boulevard, Denver, CO 80208-4843. Phone 303.871.2585.

Fax 303.871.7982.

INTERMODAL TRANSPORTATIONINSTITUTE (ITI)

Page 4: UNIvERSITY OF DENvER INTERMODAL … in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn ITI Executive Masters Program UNIvERSITY OF DENvER INTERMODAL TRANSPORTATION

Checklist

All documents listed below must be received by the ITI Office before your application is complete.

Completed, signed, and dated application form r

Resume r

Transcripts from all institutions where you have earned academic credit r

Three letters of recommendation r

Recommenders should send these directly to ITI. (Please list recommenders below)

Name Position Organization

Name Position Organization

Name Position Organization

ALL application materials should be sent to:

MS in Intermodal Transportation Management APPLiCATiOn FOR GRADUATE ADMiSSiOn

ITI Executive Masters ProgramUNIvERSITY OF DENvER INTERMODAL TRANSPORTATION INSTITUTE

Intermodal Transportation Institute University of Denver

2400 South Gaylord StreetDenver CO 80208–1300

Phone: 303.871.4702Email: [email protected]