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MEd in Sport and Wellness Leadership Application
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Personal Information
First Name
*
Last Name
*
Middle Name
*
Maiden Name
*
Gender
*
Male
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Date of Birth
*
Citizenship
*
Afghanistan
Aland Islands
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Angola
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*
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*
Supervisor's Phone Number
*
Education
Have you ever attended Howard Payne University?
*
Yes
No
Dates of attendance
*
Degree/Major/Minor
*
Please list
all
previous colleges/universities attended.
College 1
*
Location
*
Degree and Major/Minor
*
Dates of Attendance
*
College 2
Location
Degree and Major/Minor
Dates of Attendance
College 3
Location
Degree and Major/Minor
Text
Dates of Attendance
Were you on academic or disciplinary suspension at any college or university you have attended?
*
Yes
No
Are you an international student?
*
Yes
No
Have you taken the TOEFL?
*
Yes
No
Have you requested that your test score be sent to HPU?
*
Yes
No
Academic Interests
My primary interest area is
*
Sport Leadership
Wellness Leadership
Other
Please explain
*
I will apply for a Graduate Assistantship
*
Yes
No
References
Please identify two (2) references and their title and phone/e-mail contact information; both should be able to address your promise as a graduate student in Sport and Wellness Leadership.
Reference 1
*
Reference 2
*
I authorize the references provided in this application to give any and all information concerning my character and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to Howard Payne University.
*
Yes
No
Additional Information
Have you ever been convicted of, pled guilty or no contest to, or received probation, suspension, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)?
*
Yes
No
Please state where, when and the nature of the offense. A felony conviction is not an automatic bar to admission. The university will consider the nature and date of the offense.
*
I understand that the university may review criminal history of applicant. This application becomes the property of the university. The university reserves the right to accept or reject this application verified & affirmation accepted.
*
Yes
No
I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent admission.
*
Yes
No
Essay
Submit 500-word statement of your professional goals, how SWELL can benefit you in achieving them, and what your experiences to date may contribute to your fellow students and the program.
Essay
*
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