APPLICATION FOR GRADUATE ADMISSION FOR MASTERS PROGRAMS
IN THE SCHOOL OF EDUCATION
(Continued)
Name:
Address:
City:
State:
Zip:
Social Security Number:
Date of Birth:
Email Address:
Phone Number:
Are you a U.S. citizen?
Yes
Nonresident AIien
No
Resident Alien or Other eligible Non-Citizen
Semester You Wish to Register:
Fall
Spring
Program of Study: (please select one) These programs are for students that currently have a teaching
license and want to pursue their Master’s degree.
M.Ed. Elementary Education - This program will begin in the Fall 2013 semester. For information on this
program and to schedule your telephonic interview, please contact Dr. Sam Engel at 910-893-1647 or by
email at [email protected].
These programs will begin in the Spring 2014 semester. For information on these programs and to schedule
your telephonic interview, please contact the program Coordinator, Dr. Ben Greene, at 910-814-4763 or by
email at [email protected] beginning August 15, 2013.
M.Ed. Middle Grades Education Language
Arts/Social Studies
M.Ed. Middle Grades Math/Science
M.Ed. Secondary English
M.Ed. Secondary Social Studies
M.Ed. Secondary Mathematics
M.Ed. K-12 Physical Education
Note: All applicants must schedule a telephonic interview with the coordinator of the program they
are applying to as part of the application process. The interview should be scheduled after your
application and references have been submitted.
Are you currently licensed to teach?
Yes
In what state(s) are you licensed to teach?
What grade level do you teach?
No
APPLICATION FOR GRADUATE ADMISSION FOR MASTERS PROGRAMS
IN THE SCHOOL OF EDUCATION
(Continued)
Graduate Record Exam (GRE) scores must be submitted from the testing facility for consideration by
the graduate committee in order to be fully admitted into any graduate program. Have you taken the
GRE?
Yes
No
If no, when do you plan to take it?
Have you ever been convicted of a felony?
Yes
No
Are you eligible for VA benefits?
Yes
No
Please list all degrees you currently hold and the name of the college or university you attended: (An
official transcript from each of the schools listed below must be requested by the applicant.
Transcripts are to be sent to the School of Education Graduate Admissions Office, PO Box 369,
Buies Creek, NC 27506.
Undergraduate Degree, University Attended, and Year Graduated:
Graduate Degree, University Attended, and Year Graduated:
Three (3) recommendation forms with a letter attached addressing the topics in the recommender
paragraph must be submitted to the School of Education Graduate Admissions Office. The
references must be from three (3) professional persons who have been directly involved in the
applicant’s academic or professional work. The completed forms and letters must be in a sealed
envelope and signed by the person giving the reference on the back of the envelope across the seal.
The applicant must submit the references with the application to the School of Education Graduate
Admissions Office at P.O. Box 369, Buies Creek, NC 27506.
The following information is not considered for admission but Campbell University is required by the U.S.
Department of Health and Human Services to report on the racial composition of its student enrollment.
However, self-identification by ethnic background is entirely voluntary. To assist us, please answer the
following questions:
Please designate your ethnicity by choosing one of the following:
Hispanic or Latino or
Not Hispanic or Latino
Please choose one or more races that apply to you:
Asian
Native American/Native Alaskan
Native Hawaiian or Other Pacific Islander
Please choose your gender:
White
Black or African American
Other
Male
Female
There is a $55.00 application fee which must be paid at the time you apply. Please click here to take you to
CashNet to pay the fee online.
Signature
Date
APPLICATION FOR GRADUATE ADMISSION FOR MASTERS PROGRAMS
IN THE SCHOOL OF EDUCATION
(Continued)
Honor Code
Policy on Cheating and Plagiarism
I. Definitions
A. Cheating on exams is the procurement and/or use of any type of unauthorized assistance for a quiz, test, or
exam and includes the following:
1. Using notes of any kind during an exam (unless the instructor has specified that the exam is an open
book exam)
2. Copying from another student’s exam paper.
3. Procuring an exam ahead of time and studying it.
4. Having another person take your exam for you.
B. Plagiarism is any use of another person’s words or ideas without giving proper credit to the person from whom
you borrowed the words or ideas. To give proper credit, use the guidelines set forth in the Publication Manual
of the American Psychological Association or the system required by your instructor. Plagiarism includes the
following:
1. Failing to cite properly any direct or indirect quotation(s) from
a. Professionally written materials (books, journal articles, etc.)
b. Student papers, projects, presentations, etc.
2. Submitting (as you own work) a paper, project, or presentation that you did not compose (that is, write,
compile, draw, etc.)
3. Allowing or asking your tutor (paid or unpaid) to write your paper or develop your presentation.
II. Consequences
The student who cheats on an exam or plagiarizes can expect the following consequences:
A. Being dropped from the class,
B. Receiving an “F” for the course (which removes a graduate student from the program for at least one year),
C. Having the matter reported to the Dean of the School of Education,
D. Having a report on the matter become an insert in the student’s cumulative file, and
E. Having the matter referred to the Judiciary Committee (for undergraduates) or to the Executive Council (for
graduate students).
Honor Code
I have read and understand the Campbell University, School of Education policy on cheating and plagiarism. As a
student taking graduate courses in the School of Education, I agree to adhere to these policies.
______________________________________
Signature
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Date
____________________________________________________________________________
Print Name
APPLICATION FOR GRADUATE ADMISSION FOR MASTERS PROGRAMS
IN THE SCHOOL OF EDUCATION
(Continued)
Acknowledgement of Graduate Bulletin Information
It is the responsibility of each graduate student to read the Graduate Bulletin, which is
located on our webpage at www.campbell.edu/soegrad, and know the information in the
bulletin as it relates to their program, graduation, comp exams, withdrawals, and
policies and procedures of the School of Education and Campbell University. Although
my advisor, professors, and School of Education staff members will provide guidance, it
is my responsibility to take the initiative in seeking information and assistance.
Signature
Print Name
/
/
Date