Application for Graduate Readmission

Readmission applications to the graduate programs are processed on a rolling basis and admission decisions are generally made within two weeks of receipt of the requested documents. It is suggested to submit all admission documents by the admission deadlines online at http://www.heidelberg.edu/academiclife/grad/deadlines. Students who have not attended Heidelberg in over 6 years may no longer have documents on file and coursework may no longer apply to a degree.

Personal Information

First Name: *

Middle Name:

Last Name: *

Suffix:

Preferred First Name:

Former Last Name(s):

Gender: *

Female

Male

Date of Birth: *

Month

Day

Year

Are you a US citizen? *

Yes

Country of citizenship: *

Contact Information

Preferred Telephone: *

Home

Cell

Cell Phone Number:

Home Telephone Number:

Email Address: *

Permanent Home Address

Street: *

City: *

County

State/Province:

ZIP/Postal Code: *

Country: *

Is your mailing address different than your permanent address? *

Yes

Mailing Address

Street: *

City: *

County *

State/Province:

ZIP/Postal Code: *

Country: *

Education Information

List any colleges or universities you have attended since attending Heidelberg University.

	School Name	Location (City, State, ZIP/Postal Code, Country)	Dates Attended (mm/yy-mm/yy)	Est. # of Credits Earned	Degree/Cert. Earned
School 1
School 2
School 3

Enrollment Information

Application for: *

Readmission

Reactivation

Readmission is when a student was previously enrolled at Heidelberg. Reactivation is when a student has previously applied to Heidelberg but never enrolled.

Application for enrollment in: *

Educational Goals *

Obtain a Master's degree

Non-degree; coursework only

Program *

Master of Arts in Counseling

Master of Arts in Education

Master of Business Administration

Master of Music Education

Primary Track *

Clinical Mental Health

School

In addition to one's primary track counseling students may elect to complete academic requirements for license only in the alternate track. Select an option below:

License Endorsement

Clinical licensure

School licensure

Track *

The "Curriculum & Instruction" track is open to applicants who are already licensed teachers. The "Generalist" track is for applicants who do not hold a teaching license. The teacher cohort is a group of licensed teachers completing the program together. Please note: Licensure is not part of the MAE program.

Endorsements

4/5 Early Childhood Endorsement (must have a Pre K-3 license)

K-12 Reading Endorsement

Teaching English to Speakers of Other Languages (TESOL)

Complete as a non-degree student or as electives in the MAE degree program - must hold a valid teaching license.

Program *

Track *

Endorsements

4/5 Early Childhood Endorsement (must have a Pre K-3 license)

K-12 Reading Endorsement

Teaching English to Speakers of Other Languages (TESOL)

Complete as a non-degree student or as electives in the MAE degree program - must hold a valid teaching license.

Professional Development Workshops

Course Options *

Certificates or Licenses

	Name of Cert or License	Teaching Area Validations, Endorsements	State
Cert. or License 1
Cert. or License 2
Cert. or License 3

List name and type of each teaching, supervisory or administrative certificate or license that you hold

Where do you plan to take the majority of our coursework? *

Tiffin Campus

Arrowhead Park Campus in Maumee

Online (TESOL and Reading Endorsements Only)

Where do you plan to take the majority of our coursework? *

Tiffin Campus

Arrowhead Park Campus in Maumee

Online (TESOL and Reading Endorsements Only)

Additional Information

When did you last attend Heidelberg? (mm/yyyy) *

Did you leave in good standing? *

Yes

Why not? *

Academic reasons

Financial reasons

Judicial reasons

Catalog year to fulfill graduation requirements

It is usually the year you originally entered Heidelberg. Ex. 2010-11. If no catalog year is listed, you will be defaulted to the current catalog.

Are you a Heidelberg employee, spouse, or graduate assistant participating in a tuition-reimbursement plan? *

Yes

Do you intend to file the Free Application for Federal Student Aid (FAFSA)? *

Yes

Other Required Information

Have you ever been found guilty of a misdemeanor, felony or other crime? *

Yes

Please explain, including the approximate date of the incident *

By clicking Submit (below), I affirm that the information presented in my application is complete and accurate to the best of my knowledge. I understand that any intentional omission or misrepresentation of information on this form could result in denial of admission or dismissal from the University. I am aware that all transcripts submitted to Heidelberg in support of my application become the property of the University.

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Application for Graduate Readmission