English Department Graduate Program Application Form

Graduate Program Application Form

Southern Connecticut State University

NAME: ________________________________________________

ADDRESS: _______________________________________________

SOC. SECURITY #: ______-____-________

PHONE NUMBERS:

(____)_______________ (DAY)

(____)________________(EVENING)

FAX NUMBER(____)__________________

E-MAIL ADDRESS:___________________________________

DATE OF APPLICATION _____________

ANTICIPATED DATE OF GRADUATION ______________

ADMISSION REQUESTED FOR: [ ] FALL [ ] SPRING

YEAR EXPECTED TO ATTEND: ___________

DEGREE OR PROGRAM SELECTED:

[ ] MASTER OF ARTS [ ] MASTER OF SCIENCE

[ ] MASTER OF SCIENCE WITH CERTIFICATION

[ ] CERTIFICATION ONLY

ENROLLMENT STATUS (check one) [ ] FULL TIME [ ] PART TIME

IMPORTANT!

In addition to this application for admission to the Graduate English Degree Program or Certification, candidates must also complete an application for admission to the School of Graduate Studies and have original transcripts mailed directly to the Office of Graduate Studies. Copies of this application form are available from the Office of Graduate Studies. Contact the Graduate Office at (203) 392-5240 to have a copy of the application form sent to you. Note: Please do not send your application fee, your original transcripts or your School of Graduate Studies application to the Department of English

What you must submit to the Department of English Graduate Admissions Committee

This completed form;
A typed 500-word statement of purpose in which you explain why you are interested in pursuing graduate studies in English and/or secondary education certification (you may wish to make reference to academic, professional, and/or personal interests as well as future goals);
A sample of your academic or professional non-fiction prose (minimum length: 4-5 pages or 1000-1250 words);
Two letters of recommendation (the letters of recommendation should be mailed directly to you in sealed envelopes with the signature of the recommender across the flap of the envelope).

Please mail all of these application materials in a single envelope directly to the address below. The envelope should include this application form, your statement of purpose, your writing sample, and your two letters of recommendation:

	Graduate English Program Admissions Committee
	Attn.: Dr. Kenneth Florey
	Department of English
	Southern Connecticut State University
	501 Crescent Street
	New Haven, CT 06515

If you have any questions about the program or the application process contact:

Dr. Kenneth Florey about the Master of Arts/Master of Science Program or about the Master of Science with Certification (203-392-6733/ floreyk1@southernct.edu)