International Graduate Admissions Application

Graduate application for International students.

Identification
Last Name (Surname/Family Name) *
First Name (Given) *
Middle
Social Security Number (Optional)

If applicable.
Birthdate * / MM / DD YYYY
What other names are you known by?

Preferred name, maiden name, etc. This is not required.
Gender * Male Female
Race (optional)

For Federal/State reporting purposes only. This information will be used in a non-discriminatory manner consistent with civil rights laws.
Mailing Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Residence Information
Country of citizenship. *
Type of Visa that you are seeking
Alien Registration Number

if applicable
Date of Issuance / MM / DD YYYY
How long will Arkansas have been your legal residence immediately prior to attending SAU Magnolia? *
If you do not reside in Arkansas, what is your legal state of residence? *
International Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Contact Information
Email Address *
Home Phone *
Work Phone
Birth Place
City of birth *
Country of birth *
Education
Name of Secondary School Most Recently Attended *

Please enter the name of the secondary school you most recently attended.
Address of Most Recently Attended Secondary School
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please enter the address of the secondary school you most recently attended.
Secondary Education Level *

Please pick the type of secondary education you received.
Date Received * / MM / DD YYYY
Please enter the date you completed your secondary education.
Have you previously attended SAU, Magnolia? *

Please indicated whether or not you have previously attended SAUM.
Planned Enrollment Date *

What semester do you plan to enroll at SAUM?
Undergraduate Major *

Please enter your Undergraduate major.
TOEFL or IELTS Score

Please enter your TOEFL or IELTS score.
Do you want to enter the Intensive English Program prior to your degree coursework? *

Please indicate whether or not you would like to participate in the Intensive Language Program prior to beginning your degree coursework.
Classification * Degree Seeking Non-Degree Seeking (check one below Enrichment Transient
Please select your classification.
Are you presently on suspension/probation from any college or university? *
If so, please explain in detail below:
Disciplinary (information required):
Have you ever been convicted, pleaded guilty, or are you presently charged by indictment or information with a crime (a felony) which might be punishable by imprisonment in a penitentiary? *
Have you ever been committed to a correctional or training institution? *
If the answer to either question is "yes", give details including date, name of court, nature of offense, status of charge, penalty imposed, if any, or other disposition:
Undergraduate

Please list all colleges/universities, including SAU Magnolia, that you have attended.
School 1- Name

Please list the first school attended
School 1- Location
School 1- Dates Attended
School 1- Degree Hours Earned
School 2- Name
School 2- Location
School 2- Dates Attended
School 2- Degree Hours Earned
School 3- Name
School 3- Location
School 3- Dates Attended
School 3- Degree Hours Earned
School 4- Name
School 4- Location
School 4- Dates Attended
School 4- Degree Hours Earned
Graduate

Please list all colleges/universities, including SAU Magnolia, that you have attended.
School 1- Name
School 1- Location
School 1- Dates Attended
School 1- Degree Hours Earned
School 2- Name
School 2- Location
School 2- Dates Attended
School 2- Degree Hours Earned
School 3- Name
School 3- Location
School 3- Dates Attended
School 3- Degree Hours Earned
School 4- Name
School 4- Location
School 4- Dates Attended
School 4- Degree Hours Earned
If applicable, list current teaching certificates
Total years of teaching experience
Please indicate the degree program you are planning to enter. Agriculture (MS) Business Administration (MBA) College Student Affairs (MED) Computer & Information Science (MS) Counseling (MS) Counselor Education/School Counseling & Guidance P-8/7-12 (MED) Educational Administration & Supervision (MED) Executive Public Administration (EMPA) Kinesiology (MS) Library Media (MED) Master of Arts in Teaching (MAT) 7-12 grade licensure Non-Degree Elementary Education (MED) Secondary Education (MED) Curriculum & Instruction- Online Gifted & Talented (P-8/7-12) Math/Science (P-8/7-12) Special Education (P-4) Special Education (4-12)
Verification and Submission

I affirm that the information which I have provided on this application form and all other admission material is complete, accurate, and true. It is my understanding that I will not be considered for admission to Southern Arkansas University, Magnolia, until I have submitted all credentials specified. I understand that withholding information requested or giving false information will make me ineligible for admission and enrollment. I understand that submitting this application will serve as my permission for the Office of Graduate Studies and advisors of this program to have access to my academic records and test scores. By submitting this information to Southern Arkansas University you are agreeing to the above statement. Southern Arkansas University, Magnolia, is committed to the policy of providing educational opportunities to all qualified students regardless of their economic or social status, and will not discriminate on the basis of race, age, color, sex, disability, or national origin. Please sign and complete form and return to : International Student Office Southern Arkansas University P.O. Box 9224 Magnolia, AR 71754-9224 Telephone: 870-235-4082 Fax: 870-235-5096
Type the letters you see in the image below.

International Graduate Admissions Application

International Graduate Admissions Application

Identification

Residence Information

Contact Information

Birth Place

Education

Disciplinary (information required):

Undergraduate

Graduate

Verification and Submission