Graceland University Global Campus

APPLICATION FOR FACE-TO-FACE MASTER OF EDUCATION

Call 1-800-833-0524 or email distancelearning@graceland.edu with any questions.

This is an application for the face-to-face M.Ed programs. If you want to apply for our Online M.Ed in Special Education, please click here. If you want to apply for any of our other Online M.Eds, please click here.

Location*
Cedar Rapids, Iowa
Centerville, Iowa
Des Moines, Iowa
Independence, Missouri
Shenandoah, Iowa


PERSONAL INFORMATION
Please enter your full legal name:
Full First Name*
Middle
Last*

Preferred Greeting Name (Liz for Elizabeth, Bill for William, etc.)
Previous Last Name (Maiden name for example)
Other names

Email* (For example me@aol.com is a valid format.)

Confirm Email*

Home Address*



City*
State/Province*
Zip/Postal Code*
Country*
Home Phone* Example: 111-222-3333
Cell Phone Example: 111-222-3333
FAX Number
Business Phone
Citizenship*
Resident Alien* Yes No (If yes, a copy of your permanent resident card is required.)
Birth Country*

Birth Date: Month* Day* Year* Enter all 4 digits of the year
Gender* Male Female
Social Security Number (U.S.) or Canadian SIN Example: 111-22-3333


Have you previously applied for admission to Graceland? Yes No Date
How did you hear about this program?*

When would you like to start? of year


PREVIOUS EDUCATION
List colleges, universities and other schools attended. Attach an additional page if necessary. Evaluation will not take place until all official transcripts from each institution attended have been received, even if credits from more than one institution are shown on a particular transcript.
Name of Institution*
Location*
Dates of Attendance*
Type of Degree*
Major*
Date Degree Awarded or Expected*
   
Name of Institution
Location
Dates of Attendance
Type of Degree
Major
Date Degree Awarded or Expected
   
Name of school where currently employed*
Current position*
School District

GRACELAND UNIVERSITY'S WITHDRAWAL POLICY
Students must email or send written notification to their counselor of their intent to withdraw from a course before the registration date of subsequent classes, and pay a $100 withdrawal fee. Any student who does not state in writing their intent to withdraw and does not attend that class, will be billed for that class according to the Refund Policy. For online courses, students who do not log into their course within the first 8 days will be administratively withdrawn from that course and be subject to the University refund policy and a $100 withdrawal fee. Also, students who do not participate in the course for 2 consecutive weeks will be withdrawn from the course and be subject to the withdrawal fee.

GRACELAND UNIVERSITY'S REFUND POLICY
A student who completes the official withdrawal process will have charges for tuition refunded based on the percentage of the session that has not been completed, if withdrawal is prior to the 60% point of the session. Financial aid awarded will be returned based on the same percentage. Outside scholarships or non-federal loan assistance will remain on the studentís account unless the provider specifically requested a refund should the student withdraw.

A student who does not go through the official withdrawal process will be deemed to have attended through the mid-point in the session, unless the last date of attendance can be documented. Charges and financial aid will be adjusted accordingly, up to the 60% point in the session. After the 60% point no refund will be granted nor will financial aid be reduced for any withdrawal. The portion of the session completed is based on calendar days from the first day of the session through the last scheduled day, including weekends and mid-semester breaks of less than five days.

For any questions regarding these policies, call Student Accounts at 1.866.786.2792.

Transfer Credit Policy for Management and Differentiated Instruction emphases

Please visit http://www.graceland.edu/Academics/College-and-Schools/School-of-Education/Graduate-Programs/Transfer-Credit/ for documents require d at the time of admissions.


CONTRACT
I understand that withholding information requested on this application or giving false information will make me ineligible for admission to Graceland University or subject to dismissal. I also understand that the submission of fraudulent academic records by a student for undergraduate admission, transfer of credit, or any other purpose shall be cause for dismissal from the University. I certify that the information given in this application is complete and accurate, and if admitted, I agree to comply with the regulations of the University.

PLEASE NOTE: Other admission requirements, as listed in the university catalog, must be met before your application is considered complete.

APPLICANT'S NAME*


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* Required field

POLICY ON NONDISCRIMINATION

Graceland University does not discriminate against any student or prospective student on the basis of race, color, religion, age, sex, national origin, disability, or sexual orientation. We are a caring community dedicated to the physical, intellectual and spiritual well-being of each individual. Gracelanders join together to create an atmosphere of openness, mutual respect and diversity.