IGNATIUS UNIVERSITY
Graduate Admission Application (type all information) 
Name___________________________________________________________________________________ 

Date of Birth_____________ M______ F_______ Social Security Number*____________________ 

Current mailing address________________________________________________________________ 

City________________________________State_____________________Zip______________________ 
Code_________Country____________ 

Telephone Numbers: Home________________Business______________Fax_______________________
                   Email_____________________________________ 

What Country are you a citizen of ?____________________________________________________ 

Ethnicity (Optional): ____American Indian/Alaskan Native
                      ____Asian/Pacific Islander
                      ____Black/Non-Hispanic
                      ____Hispanic/Non-Puerto Rican
                      ____Puerto Rican
                      ____White/Non-Hispanic
                      ____Other

Religion (Optional):___________________________________________________________________ 

Degree Sought:
 
School of Theology:
	____M.Div. ____M.S. ____M.A. ____S.T.M. ____D.Min. ____S.T.D. ____Ph.D. 
    Program Name___________________________________________________________ 

School of Philosophy: 
    ____M.Phil. ____D.Phil.____Psa.D.
    Program Name___________________________________________________________ 

School of Psychology 
    ____M.S. ____Ed.D. ____Psy.D. ____Phil.D.____Psa.D.
    Program Name___________________________________________________________ 
School of Diplomacy
    ____M.S.   __________Ed.D._________Ph.D  ____________Phil.D.
    Program Name___________________________________________________________ 

Graduate and Undergraduate Institutions

  List previous institutions attended in chronological order. 
Institution____________________________________________________________________________ 

Address________________________________________________________________________________ 

From_____________to _________________. Degree___________ Date___________ Major 
Field____________ 
Institution____________________________________________________________________________ 

Address________________________________________________________________________________ 

From_____________to _________________. Degree___________ Date___________ Major 
Field____________ 
Institution____________________________________________________________________________ 

Address________________________________________________________________________________ 

From_____________to _________________. Degree___________ Date___________ Major 
Field____________ 

Work Experience
  Attach a full resume. 

Academic Honors, Awards, or Publications
  Attach a separate page where relevant. 

Letters of recommendation
  Provide the names and addresses of three persons who have agreed to write letters or
  recommendation .Enclosed is a copy of the recommedation form. Please photocopy and 
  send to each person. It is your responsibility to ensure that all required
  credentials are sent. Graduate Admissions cannot inform you of missing items.

1._____________________________________________________________________________________ 

2._____________________________________________________________________________________ 

3._____________________________________________________________________________________ 

IGNATIUS UNIVERSITY does not discriminate on the basis of gender, race, age, handicap,
national origin or creed in administration of any of its policies. 

I have read in its entirety the information on IGNATIUS UNIVERSITY including the
material on history, mission, acccreditation, degree requirements, grades and fees. I
certify that this information on this application and attachments is complete and 
correct. I understand that omission or falsification may constitute grounds for denial
of admission or dismissal. 

  _____________________________________________________________________________________
  Date Submitted Signature of Applicant Social Security Number* 

*Social Security Number: You are requested to give your social security number 
 voluntarily, which will be used to process your application. If you enroll in the 
 university, your social security number will be your student identification number 
 and will be used for registration and general administrative purposes. If you choose 
 not to give your social security number, an identification number will be assigned.