Founded 1852…New Wilmington, Pa .

www.westminster.edu/grad

Westminster CollegeApplication for Admission

Graduate Study

Please print or type.

Name of Applicant ________________________________________________________________ Last Name First Name Middle Name

Permanent Address ___________________________________ Telephone ____________________ Number and Street

__________________________________________________________ County ______________ City State Zip Code

Daytime Telephone ___________________________Cell Phone ___________________________

E-mail _____________________________________Social Security # _______________________

Date of Birth _________________________Sex _______ M ______ F Veteran ____Y ____N Month/Day/Year

Purpose of enrollment in Graduate Studies:

Master’s degree only Yes ____ No ____

Master’s degree plus certification Yes ____ No ____

Certification only (Prior Master’s degree required) Yes ____ No ____

Probable Graduate Curricula: (check) o Counselor Education Elem.* o Education o Counselor Education Sec.* o Special Education* (New for 2013-14) o Principal K-12* o Special Education/Reading Specialist* (New for 2013-14) o Reading Specialist K-12* o Other ___________________________________ o Superintendent* *Certification Programs Have you been a student at Westminster before? ________ Date last attended __________________

When do you wish to begin graduate study at Westminster? _________________________________

Major field of study in undergraduate work _____________________________________________

Type of teaching/administrative certificates held _______________________________ State ______

Type of administrative certificates held ______________________________________ State ______

Academic and professional training: Date Institution Place Degree When Received

_______________________________________________________________________________

_______________________________________________________________________________

___________________________________________________________________________________________________

Work Experience (Teaching, other): Date Institution Place Degree Subjects and Position

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Westminster College Application for Admission

Graduate Study

Each applicant must submit two assessments of educational potential. Assessments for applicants who are current students or are not employed in a school should be completed by professors or other professionals. Assessments for school system employees should be completed by school administrators. The forms, which are included with this application, should be returned directly to the Graduate School office. Please list the names of those you have asked to submit the assessments.

Name Title

_______________________________________________________________________________

_______________________________________________________________________________

Signature of Applicant ___________________________ Date of Application __________

An application fee of thirty-five dollars ($35.00) must accompany this application (check to be made payable to Westminster College). This fee is not refundable and will not be applied toward the student’s account. Official transcripts from all undergraduate and graduate academic work must be submitted before a student can be approved as a candidate for graduate study or for a master’s degree. In some cases an interview may be required. For practicum and internship experiences in the public school, appropriate security clearances are required. No student may register in any course for graduate credit until all admission requirements are met.

Applications with official transcript and fee must be submitted at least two weeks prior to registration for the next term or summer session.

Return this form to:

Office of Graduate School Westminster College McKelvey Campus Center 319 S. Market Street New Wilmington, PA 16172-0001

Assessments of Educational Potential

Westminster College is related to the Presbyterian Church (U.S.A.) through the Synod of the Trinity.

Westminster College does not discriminate, and will not tolerate discrimination, on the basis of race, color, national origin, ethnic origin, sex, sexual orientation, age, or handicap or disability as those terms are defined under

applicable law, in the administration of any of its educational programs, activities, or with respect to admissions and employment. In its employment practices, the College may consider the individual’s support of the philosophy and purposes of Westminster as stated in the Undergraduate Catalog. Otherwise, Westminster does not discriminate,

and will not tolerate discrimination, on the basis of religion or creed. Inquiries may be directed to the Equal Opportunity Officer, Westminster College, New Wilmington, PA 16172-0001, (724) 946-8761.

www.westminster.edu/grad

9/13

REQUIREMENTS FOR ADMISSION TO

THE GRADUATE SCHOOL

1) Completed Application for Admission to Graduate School

2) $35.00 non-refundable fee made payable to Westminster College

3) Official transcripts - all undergraduate and graduate academic work

4) Undergraduate QPA of 3.000 or master’s degree

5) A copy of teaching certificate (if applicable)

6) Two Assessments of Educational Potential from faculty or administrators

which include an assessment of academic potential and academic and professional competence.

7) A writing sample… please respond to one of the following items (200

words)

a) Discuss a challenge or setback that you faced in your life and the

manner in which you addressed it.

b) Discuss a significant current educational issue and suggestion remedies to address it.

Application Deadline Dates Fall Semester – July 26

Spring Semester – December 4

Summer Sessions – April 6

Revised 10-21-13

Graduate School in Education Assessment of Potential

Candidate

The above named individual is a candidate for admission to the graduate school at Westminster College. Your professional judgment of the

candidate’s potential is sought for the criteria listed below.

I have known this candidate for years.

Leadership Qualities

Decisiveness Judgment Leadership Intellectual Ability

Top 5 Percent Superior Average Below Average Unable To Judge

General Competencies

Problem Analysis Organizational Ability Oral Communication Written Communication

Personal Qualities

Personal Motivation Educational Values Range of Interests Sensitivity Stress Tolerance

Remarks:

Signature

Print or Type Name

Position

Address

Date

Please return to:

Office of Adult and Graduate Studies Westminster College 319 S. Market Street New Wilmington, PA 16172-0001 Fax: 724-946-6351GraduateStudies@Westminster.edu

I hereby waive do not waive my access to this data under the provisions of the Family Educational Rights and Privacy Act.

Candidate’s Signature