Application for Graduate Admission (for US Citizens and Permanent Residents)

Graduate College | 202 Whitehurst | Oklahoma State University | Stillwater, OK 74078-1019 | Fax: (405) 744-0355

Please type or print. A $25.00 non-refundable Application Fee, either a check or money order in U.S. dollars, payable to “Oklahoma State University” is required. Applications will not be processed until this fee is submitted. Return this application to the above address. Application deadline: A complete application must be submitted at least 30 days prior to the departmental deadline or 30 days prior to the beginning of school (which ever is first).

Contact and Personal Information

Social Security Number / Gender o Male o Female
Name
Last Name / First Name / Middle Initial / Maiden Name
Current Address
Number & Street / City / State / Zip Code / Phone - (Area Code) Number
Date of Birth / Birthplace
Month/Day/Year / City / State / Country
Legal Residence
State / County / Country / Years at this address
Ethnicity (optional) / o Non-Resident International / o Asian or Pacific Islander / o Hispanic
o American Indian or Alaskan (Specify tribe: ) / o Black, Non-Hispanic / o White, Non-Hispanic
Citizenship / o US Citizen / o Permanent Resident (please submit a copy of your PR card)
Permanent Address
Number & Street / City / County / State / Zip Code/Foreign Country / Phone - (Area Code) Number
Business Phone / Fax No. / E-mail address
(Area Code) Number / (Area Code) Number

Admission Information

Proposed Major / Degree Sought
(MBA, MA, MS, PhD, EdD, EdS, etc.)
Option or Specialization within major
Semester and year you expect to enroll / o Summer / o Fall / o Spring / Of Year
(Please use 4-digit format – ‘2001’)
Have you previously applied for admission to the Graduate College at Oklahoma State University? / o Yes / o No
Have you ever attended OSU? / o Yes / o No / Date you were last enrolled
If you are currently an OSU graduate student are you: / o Graduating from one graduate program and applying to another? / o Applying for a double major?
o Transferring from one program to another? / o Other: DO/MBA

Academic History

List all institutions at the college level that you have attended. Include any university you are currently attending. Please note expected date of graduation and degree to be awarded. Failure to report all undergraduate and graduate institutions attended may result in dismissal or loss of credit.

University & Location / Dates Attended / Major Field / Degree / Date Conferred (or to be conferred)

You may need to provide additional information to the program or department to which you are applying such as vita or recommendation letters. This information should be sent to the Graduate Coordinator of that department.
If you have been convicted of a felony you must provide a written explanation prior to your admission.

I certify that the statements in this application are true and complete to the best of my knowledge, and that I have attended no institution other than those listed above.

Date / Signature of Applicant

Updated 7/2003