Please read carefully and respond fully.

Revised 8/7/02

The University of Oklahoma Department of Educational Leadership

College of Education and Policy Studies

APPLICATION FOR ADMISSION

MASTER OF EDUCATION DEGREE

IN ADULT AND HIGHER EDUCATION

NOTE: If at all possible, please type your responses on this form. Otherwise, please print legibly.

Date: ______________

A. General Information:
1. Name ____________________________________________________________________
(Last) (First) (Middle)

Social Security Number Date of Birth _______________________

Home Telephone __________Work Telephone __________E-mail address_____________

2. Permanent Address _________________________________________________________

3. Current Address ____________________________________________________________

(if different)

4. Colleges and universities attended (include all undergraduate and graduate work)
Use additional sheets as needed.

Name and Location Years Major Degree GPA

a. ___

b. ___

c. ____

d. ___

e. _

f. _

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B. Professional Interests:
1. Based on your current thinking, which work setting(s) seem most appropriate to your future occupational
objectives? (check all that apply)
Government Vocational/Technical School
Adult & Continuing Education Business or Industry
Community College Military (active duty)
College or University Other
Specify
2. Which of the following programs do you foresee as being included in your educational future?
a. M.Ed. in

b. Ph.D. in

c. Other

C. Background Experience:
1. Type of experience (check all that apply)
Years of Experience
a. Administrator (middle management)
b. Administrator (upper management)
c. Teacher/trainer/educator __________
d. Program Planner __________
e. Other (please describe below):

2. Organizational Experience (check all that apply)

Years of Experience
a. University/College ___________
b. Military (active duty) ___________
c. Government (other than military) ___________
d. Business/Industry ___________
e. K-12 (public/private) ___________
f. Vocational/Technical School ___________
g. Other (please describe below)

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3. Beginning with your most recent major job, supply the following information. Be sure to account for any
gaps in employment. If in the military, please indicate your rank.
(Use additional sheets as needed).
a. Dates of employment: Title: ___________________________________
Name and address of employer: _____________________________________________
______________________________________________________________________
Description of your work: _________________________________________________
______________________________________________________________________

Reason for leaving: ______________________________________________________

b. Dates of employment: Title: ___________________________________

Name and address of employer: _____________________________________________
______________________________________________________________________

Description of your work: _________________________________________________

______________________________________________________________________
Reason for leaving: ______________________________________________________

c. Dates of employment: Title: ___________________________________

Name and address of employer: _____________________________________________
_______________________________________________________________________
Description of your work: __________________________________________________
_______________________________________________________________________
Reason for leaving: _______________________________________________________

4. I now belong to or have belonged to the following professional or honorary organizations:

Organization & role (offices held, etc.) Years of Membership
a. from to
b. from to
c. from to ________

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D. Interest in Adult and Higher Education
a. Area of Emphasis (choose from one of the following)
Adult and Continuing Education
Higher Education: Administration
Higher Education: Institutional Research
Higher Education: Student Services
_____Higher Education: Community College
_____Higher Education: Intercollegiate Sports Administration
Distance or Distributive Learning
Training and Development

c. Attach a statement regarding your interest in this field using the following points as the basis for your
statement:
• when and why you decided you wanted to study and work in this field
• subsequent considerations or developments that have held your interest in the field
• your strongest assets
• why you feel you would be successful in the program
• present limitations or weaknesses and conditions you feel might cause difficulties in your
graduate work or professional activities.

NOTE: THIS CAREER INTEREST STATEMENT IS ESSENTIAL.

Your application cannot be processed without it. Please respond fully to each point.

E. Are you interested in a Graduate Assistantship?

G Yes G No
If you are interested in a graduate assistantship please indicate which area: (If you are interested in more than
one area, please rank your choices, 1=high)
Adult or Continuing Higher Education
Student Services
Institutional Research
Higher Education Administration
_______ Other. Please specify.
Students interested in a graduate assistantship should provide a list of three to five references.

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F. In order to help us evaluate our recruiting efforts, please indicate
how you came to know about our program.
Contact with the EDAH faculty
Announcements made in some other classes
From friends or acquaintances
Mail-out letters or brochures
_______EDAH website
University recruiters
Other:

___________ ___________________________________________________
Date Signature
Please return to: University of Oklahoma, Educational Leadership, Attn: Trudy Rhodes, 820 Van Vleet Oval,
Norman, OK 73019-0260