M.Ed Application for Admission

APPLICANT INFORMATION
Social Security #:
Date of Birth (mm/dd/yyyy):
Age:
Gender:
Male
Female
Last Name:
First Name:
Middle Name:
Maiden Name:
Mailing Address:
City:
State:
Zip:
County of Residence:
Country of Citizenship:
Preferred Phone (888-888-8888):
Home E-mail Address:
Ethnicity:
American Indian
American Hispanic
American Black, non-Hispanic
Asian American
American White, non-Hispanic
International Student
Denominational Preference:
Southern Baptist
Other Baptist
Other, specify:
Have you previously attended Blue Mountain College?:
Yes
No
DEGREE PROGRAM
Select the program for which you are applying:
Elementary Education
Literacy/Reading (K-12)
Secondary Education - Biology
Reading (K-12) Certification
Non-Degree
When do you plan to enroll?:
Spring
Fall
Summer Term 1
Summer Term 2
ACADEMIC INFORMATION
(Please list all colleges and universities attended. ALL official transcripts must be submitted to BMC.)
(1) Name of Institution and Degree/Date Received (BS, BSEd, BA, etc.) :
(2) Name of Institution and Degree/Date Received (BS, BSEd, BA, etc.) :
(3) Name of Institution and Degree/Date Received (BS, BSEd, BA, etc.) :
Undergraduate Major:
EMPLOYMENT/WORK EXPERIENCE
Present Employer:
Position :
Recommendations (Three letters of recommendation are required for admission to this degree program.)
Please list the names of three individuals, including their titles, who will be sending letters of recommendation on your behalf. These individuals should be familiar with your scholarship, servant leadership and service in church and community. It is suggested that you include a former professor in your major area and an individual familiar with your professional achievements. These letters should be sent promptly.
(1) Recommendation (include title):
(2) Recommendation (include title):
(3) Recommendation (include title):
Blue Mountain College was founded on Christian principles and those same principles continue to guide the College today. Each student enrolled at Blue Mountain College is responsible for personal conduct in keeping with the policies and regulations of BMC. Your submission of this application indicates that the information provided is correct and complete and also confirms your willingness to abide by the policies and regulations of BMC.
Blue Mountain College adheres to the Equal Opportunities provision of the Federal Civil Rights Law and regulations applicable to this institution. The College does not illegally discriminate on the basis of race, color, national origin, age, sex, disability or military service in the administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other college-administrative programs or in employment.