Barton College

GRADUATE APPLICATION

Note: A non-refundable fee of $50 must accompany your application. A subsequent page will allow you to securely submit this payment online.

PERSONAL INFORMATION

First Name:	*
Middle Name:	*
Last Name:	*
Suffix:
Preferred Name:
Address:	*
City:	*
State:	ZIP: *
Phone:	*
Email:	*
Birthdate:	- - *

ACADEMIC INFORMATION
Undergraduate Institution
* Required
Provide the name of the institution that awarded your undergraduate degree in elementary education:

Other Master's Programs
List other M.Ed. programs to which you have applied (separate entries with semicolons):

RECOMMENDATION AND PERSONAL HISTORY
Recommendation
List the name of the principal or other senior administrator of your current (or most recent) teaching position who will complete or has completed the online recommendation form for you.
Name:	*
Title:	*
Institution:	*

Work Experience
List the last three positions held, beginning with the current, or most recent, and including volunteer work.


Criminal History

Have you ever been suspended or dismissed from another institution?	If yes, specify details:

Have you ever been arrested for or convicted of a crime other than a minor traffic violation?	If yes, specify details:


STATEMENT OF INTEREST
Please provide a statement (350-500 words) that explains your interest in enrolling in a graduate level program of study and why you believe the Master of Education program at Barton College will better prepare you to meet your personal and professional goals.
* Required



AFFIRMATION
All of the following affirmations must be checked in order for this application to be processed.

	Evidence of an earned bachelor's degree from an accredited college or university is required for admission into Barton College's graduate program. I have directed the accredited college or university that granted my earned bachelor's degree to send an official transcript to Barton College's Office of Admissions.

	I certify that I have completed a minimum of one year of teaching experience.

	I certify that I have earned a recognized teaching license in elementary education from the State of North Carolina and will send a physical or electronic copy of this license to Barton College's Office of Admissions.

	I certify that all information given in this application is complete and accurate. If I am admitted to Barton College, I agree to abide by the established rules and regulations of the College and to accept the obligations imposed upon me by the Honor Code. Barton College is authorized to release information to the news media concerning my achievements.

	I agree that submitting my name and checking this box constitute my legally binding electronic signature on this application.