HOWARDUNIVERSITY
SCHOOL OF DIVINITYApplication for Graduate Study
Related Files:Application Instructions|Policy on Equal Opportunity
Application Fee (Non-refundable):$75.00 / For Office Use Only| | | | | | |
IDENTIFICATION NUMBER
PRINT OR TYPE
(Use codes where indicated)
SOCIAL SECURITY NUMBER:______/______/______/ Application for (semester and year)
Fall 20__Spring 20__Summer 20__ / Date of birth
______/______/______
Month / Day / Year
Gender (optional) [ ] Male [ ] Female / Legal name[ ] Mr. [ ] Ms.
Name:______
Last (family or surname) name / ______
First name / ______
Middle / ______
Previous last name(s)
Permanent address:______
Number and street
City: ______State/Country: ______Zip code: ______
Mailing address: ______
Number and Street
City: ______State/Country: ______Zip code: ______
Cellular phone no.: (____) _____- ______Home phone no.:(____) _____- ______
Work phone no.:(____) _____- ______Fax no.:(____) _____- ______
E-Mail Address: ____________
How did you hear about Howard University School of Divinity (HUSD)?
- Recruitment Event [ ] Where______When______
- Alumni [ ]
- HUSD Website [ ]
- HUSD Facebook Page [ ]
- Howard University Website [ ]
- Other [ ] ______
[ ] U.S. citizen
[ ] Permanent resident / Citizenship
[______]
U.S. State or Country / Birthplace
[______]
U.S. State or Country / [ ] VISA___Type
Are you a veteran of the U.S. Uniformed Services? [ ] Yes [ ] No During Vietnam [ ]
College/School
[__DIV _____]
/ Major
[___RELI_____]
/ Degree sought
[______]
MDIV/MA/DMIN / Indicate specific program within
the department (M.A. Religious Studies only)
______
Classification:[ ] Regular [ ] Unclassified (non-degree)
Status: [ ] New entrant [ ] Transfer [ ] FSR (Former student returning)
Enrollment:[ ] Fulltime [ ] Part Time
List all universities and colleges attended. List institutions where highest degree was obtained first.
received / Dates
From Mo/Yr / To Mo/Yr
Have you previously applied for admission to HowardUniversity? [ ] Yes [ ] No
If Yes, for which semester was last application submitted: Fall 20 ______Spring 20 _____ Summer 20 ____
FormerHowardUniversity students indicate last semester enrolled: Fall 20 _____ Spring 20 ____ Summer 20 ____
Howard University school/college in which you were last enrolled: [______] Major [______]
Howard University identification number (ID): ______
NAME UNDER WHICH YOU LAST ATTENDED HOWARDUNIVERSITY IF DIFFERENT FROM NAME
PRESENTLY USED.
______
Last / ______
First / ______
MI
If you answer yes to any of the next four (4) questions, attach a letter explaining details.
a) Have you been arrested? [ ] Yes [ ] No
b) Have you been convicted of any crime ( other than traffic violations ) or been sentenced to a correctional or penal Institution? [ ] Yes [ ] No
c) Has disciplinary action been taken against you at any educational institution? [ ] Yes [ ] No
d) Has academic action been taken against you at any educational institution attended? [ ] Yes [ ] No
List family members (exclude spouse) who have attended HowardUniversity. (optional)
______
Name / ______
Relation / ______
Class of
______
Name / ______
Relation / ______
Class of
______
Name / ______
Relation / ______
Class of
As indicated by my signature, I understand that withholding information required on this application or giving false information may make me ineligible for admission to the University or subject to dismissal when the same is made known regardless of classification. With this understanding, I certify that all of the above statements and information included are correct and complete; and, if admitted to HowardUniversity, I agree to abide by its policies, rules and regulations.
Caution to Prospective Students
The Board of Trustees of Howard University on September 24, 1983, adopted the following policy statement regarding applications for admission: "Applicants seeking admission to HowardUniversity are required to submit accurate and complete credentials and accurate and complete information requested by the University. Applicants who fail to do so shall be denied admission. Enrolled students who as applicants failed to submit accurate and complete credentials or accurate and complete informationon their application for admission shall be subject to dismissal when the same is made known, regardless of classification."
Signature of applicant ______Date ______
Please return the completed form, $75 application fee (certified check or money order made payable to Howard University) and required application materials directly to:
Howard University Divinity School
HUSD Recruitment and Admissions
Holy Cross Hall Room 419
2900 Van NessStreetNW
Washington,DC 20008
Main: 202-806-0500