the graduate school at andrews university

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WELCOME TO THE GRADUATE SCHOOL AT ANDREWS UNIVERSITY

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WELCOME Thank you for your interest in the graduate school. Please read the following information regarding the forms contained in your application packet. Pay close attention to the information located on the next page about specific requirements for certain degrees/programs. If you have any further questions don’t hesitate to contact us. NOTE: The following individuals should not use this application packet: > Non-U.S. Residents > Students applying for an MDiv or DMin program > Students applying for any Physical Therapy program Please contact the Office of Graduate Admissions for a separate application packet if you fall into any of these categories. Application and $40 Application Fee Applications must be completed entirely, printed in ink or typed, and signed before the admissions process can begin. This form is enclosed. A $40 application fee is required and should be submitted at the time of application. We accept cash, credit card, check or money order. Make checks or money orders payable to Andrews University.

Immunization Record Although not required for acceptance to an Andrews University program, this form must be completed before registering for classes, and should be turned in as soon as possible. Students applying for off-campus programs (see list of Graduate Programs) do not need to turn this form in. If you have any questions, please call the Student Health Nurse at 269.473.2222.

Statement of Purpose and Professional History/Resume This form allows the Admissions Committee to understand your goals and objectives and determine where your experience lies. Please follow the instructions carefully on both sides of the enclosed form.

Residence Hall/Housing Applications (optional) Applicants desiring on-campus housing should complete one of these forms. Residence Hall applications are for single students only and Non-Dormitory Housing applications are for those who are single and over 22 years old, married, or have families. A list of local landlords and realtors is also available upon request.

Recommendation Forms Two recommendation forms are required for most master’s level applicants. Three recommendation forms are required for all students applying to the Theological Seminary, for those seeking an EdS degree, and for all Doctoral degrees. These forms are to be completed on your behalf by individuals who know your academic qualities and work skills/abilities well and are not your family members. Possible references are teachers, employers or chaplains/pastors. Recommendations should be sent in by the evaluator to AU Graduate Admissions. Be sure your name is on each form. Official Transcripts Official transcripts are required from the registrar of each college/university you have attended. Be sure to ask about transcript costs. If the language of instruction at the school(s) is not English, the school(s) must provide transcripts in both the original language of instruction and in a literal English translation. To be considered official, transcripts (including translations) must be sent directly from your school(s) to the AU Graduate Admissions office or be received by AU Graduate Admissions in an unopened, school-sealed letterhead envelope. Official and certified copies of examination reports and all secondary certificates (e.g., “O” and “A” levels) are also required if you have been educated outside of the United States. Transcript request forms are provided for your convenience. NOTE: Transcripts become property of the university and may be released intra-campus for purposes of academic advisement, evaluation and administration as deemed necessary.

GRE/GMAT The Graduate Record Examination (GRE) General Test is required of all applicants to a graduate degree program, except MBA applicants who must take the Graduate Management Admissions Test (GMAT) instead. Applicants to the MSA: Church Administration program have the option of taking either test. Applicants to graduate certificate programs, or degrees in MAPMin and MAYM do not have to take the GRE or the GMAT. Individuals who have graduated from a non-accredited institution must have a GRE score of 900 on the verbal and quantitative sections combined. Official test scores must be sent directly to AU Graduate Admissions from the Educational Testing Service (ETS). The Andrews University ETS code is 1030. Scores from tests taken more than five years prior to admission are not accepted. GRE testing sites, dates and information are found at www.gre.org or email [email protected] or call 609.771.7670. GMAT testing sites, dates and information are found at www.mba.com or email [email protected] or call 609. 771.7670. TOEFL/MELAB If English is not your first language or you are not a four-year graduate of a high school or an accredited college/university in a country where English is the spoken language or medium of instruction, you are required to take the TOEFL or the MELAB. Please contact the AU Graduate Admissions office for further information.

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WELCOME TO THE GRADUATE SCHOOL AT ANDREWS UNIVERSITY

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ADDITIONAL REQUIREMENTS FOR SPECIFIC DEGREES If you are applying for one of the following degrees please read this information carefully and check in the pocket for additional forms or instructions regarding your application process:

MA: Communication Interdisciplinary Studies Statement of Purpose, Portfolio, and Essay This degree asks that you submit a Statement of Purpose, Portfolio, and an essay on a given topic at the time of application. Please read and follow the instructions found in the pocket.

MAPMin Ordination Information Please provide a copy of your ordination certificate if you have obtained one. (Not required for admission) Recommendations This degree requires general recommendations from the following individuals: a colleague in the Pastoral Ministry field, and a local church elder who knows your work. A separate recommendation form is included in the pocket for your Conference President or the Administrative Executive of your employing organization to fill out and return to us. 16PF Test Application Form Follow the instructions on the enclosed form and return it promptly with your payment of $20 to cover the expenses of the test.

MA: Religion, MA: Religious Education, MAYM, & MTh 16PF Test Application Form Follow the instructions on the enclosed form and return it promptly with your payment of $20 to cover the expenses of the test.

MS: Nursing and MS: Clinical Laboratory Science Further Information Please locate a sheet with instructions for additional admission requirements in the pocket.

ThD & PhD—Seminary Research Paper Please return one of your current research papers based on the requirements explained on the enclosed form. Financial Statement The Seminary requires this financial plan from all ThD and PhD applicants. 16PF Test Application Form Follow the instructions on the enclosed form and return it promptly with your payment of $20 to cover the expenses of the test.

EdD & PhD—Education Research Paper Please return one of your current research papers based on the requirements explained on the enclosed form. This requirement is optional for all doctorate education programs except for the Leadership programs.

END

ANDREWS UNIVERSITY APPLICATION FOR GRADUATE ADMISSION

Mail to:

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Graduate Admissions, Andrews University

Phone:

269.471.6321

Email:

[email protected]

Berrien Springs, Michigan 49104-0620, USA

Fax:

269.471.6246

Web:

www.andrews.edu/grad

(OFFICE USE ONLY)

ID

Admission to Andrews University is available to any student who meets the academic and character requirements of the University and who expresses willingness to cooperate with its policies. Because Andrews University is operated by the Seventh-

G

day Adventist Church, the majority of its students are Seventh-day Adventists. However, no particular religious commitment is required for admission; any qualified student who will be comfortable within its religious, social, and cultural atmosphere

Amount

may be admitted. The University does not discriminate on the grounds of race, sex, color, creed, national or ethnic origin, age, Receipt

disability, or other legally protected characteristics.

PLEASE PRINT CLEARLY—NOTE: There is an application fee of $40 (non-refundable); please include with this application. LAST/FAMILY NAME

FIRST NAME

MIDDLE NAME

MAIDEN/PREVIOUS NAME(S)

HOME: STREET ADDRESS

APT #

CITY

STATE

ZIP CODE

HOME TELEPHONE (

)

EMAIL ADDRESS

WORK TELEPHONE (

)

CELL NUMBER (

COUNTRY

)

TEMPORARY MAILING ADDRESS (IF DIFFERENT FROM ABOVE): STREET ADDRESS CITY

APT #

STATE

TEMPORARY TELEPHONE (

ZIP CODE

)

COUNTRY

AT TEMPORARY ADDRESS: FROM M/D/Y

TO M/D/Y

PROGRAM DATA WHICH DEGREE ARE YOU APPLYING FOR? (Please also note specific Program and Concentration/Emphasis below) MA

MS

MArch

MAPMin

MAT

EdD

PhD

ThD

GRADUATE CERTIFICATE

MAYM

PROGRAM

MBA

MMus

MSA

MSCLS

MSW

MTh

EdS

CONCENTRATION/EMPHASIS

OFF-CAMPUS PROGRAM SITE (if applicable) ANTICIPATED TERM OF ENROLLMENT

SEX

MALE

SUMMER (MAY/JUNE) 20

FEMALE

AUTUMN (AUG) 20

BIRTH DATE: M/D/Y

SPRING (JAN) 20

COUNTRY OF BIRTH

U.S. SOCIAL SECURITY NUMBER (if applicable)

CITIZENSHIP: COUNTRY AND STATE/PROVINCE

FOR NON-U.S. CITIZENS ONLY: ARE YOU PERMANENT RESIDENT OF UNITED STATES? YES: STATE NO: CIRCLE ONE

ALIEN CARD# STUDENT VISA F-1

VISITORS VISA B-2

DEPENDENT F-2

NATIVE LANGUAGE

DEPENDENT J-2

EXCHANGE VISITOR

J-1 SPONSORED

REFUGEE VISA

NUMBER OF YEARS OF STUDY IN AN ENGLISH SPEAKING SCHOOL

ETHNICITY: Your disclosure/non-disclosure of the information below will not affect your eligibility for admission. The federal government requests that we collect this

data for statistical purposes. The categories below do not denote scientific definitions of anthropological origins; we and the government recognize that the categories are not perfect or inclusive of everyone’s complex backgrounds. Nevertheless, please select the one group with which you most closely identify. BLACK/NON-HISPANIC MARITAL STATUS RELIGIOUS PREFERENCE

AMERICAN INDIAN OR ALASKAN NATIVE SINGLE

ASIAN OR PACIFIC ISLANDER

HISPANIC

WHITE/NON-HISPANIC

MARRIED

SEVENTH-DAY ADVENTIST

OTHER DENOMINATION (PLEASE SPECIFY)

NONE Please turn sheet over to continue

ANDREWS UNIVERSITY APPLICATION FOR GRADUATE ADMISSION

HAVE YOU EVER BEEN SUSPENDED OR DISMISSED FROM HIGH SCHOOL OR COLLEGE? HAVE YOU EVER BEEN CONVICTED OF A FELONY?

NO

(2/2)

NO

YES: DATE AND NATURE OF OFFENSE

YES: DATE AND NATURE OF OFFENSE

TEST INFORMATION I HAVE TAKEN OR PLAN TO TAKE THE: GRE

GMAT

during:

MONTH

YEAR

TOEFL

MELAB

during:

MONTH

YEAR

EDUCATIONAL HISTORY HAVE YOU PREVIOUSLY ATTENDED ANDREWS UNIVERSITY OR ONE OF OUR COLLEGE OR UNIVERSITY AFFILIATES? (Visit www.andrews.edu for a list of our affiliates) NO

YES: ATTENDED FROM MO/YR

TO MO/YR

DEGREE RECEIVED AND DATE

ANDREWS ID NUMBER

PLEASE LIST ALL OTHER COLLEGES AND UNIVERSITIES YOU HAVE ATTENDED (Use an additional sheet if necessary):

1) Name of Institution Attended From (MO/YR):

4) Name of Institution To (MO/YR):

Attended From (MO/YR):

City, State, Country

City, State, Country

Degree and Major Completed

Degree and Major Completed

Actual Date of Completion

Actual Date of Completion

2) Name of Institution

5) Name of Institution

Attended From (MO/YR):

To (MO/YR):

Attended From (MO/YR):

City, State, Country

City, State, Country

Degree and Major Completed

Degree and Major Completed

Actual Date of Completion

Actual Date of Completion

3) Name of Institution

6) Name of Institution

Attended From (MO/YR):

To (MO/YR):

To (MO/YR):

To (MO/YR):

Attended From (MO/YR):

City, State, Country

City, State, Country

Degree and Major Completed

Degree and Major Completed

Actual Date of Completion

Actual Date of Completion

To (MO/YR):

DISABILITY SERVICES: Qualified students with disabilities are encouraged to inform the university of their disability and enter into a dialogue regarding ways in which the university might reasonably accommodate them. The university can only respond to what it knows. It is the student’s responsibility to provide necessary documentation of disabilities from a qualified, licensed professional before accommodation can be considered. For more information, contact Student Services at 269.471.3215. PLEASE READ AND SIGN: The information I have provided is complete and accurate, and I understand that any omission of information could significantly delay my accep-

tance. I further understand that any falsification of admission documents is reason for immediate cancellation of my application and/or denial to Andrews University. SIGNATURE

DATE

(OFFICE USE ONLY) In-process Entry Date

By

Residence Hall App. Sent

By

Housing Application Sent

By

Medical Forms Sent

By

END

ANDREWS UNIVERSITY GRADUATE STATEMENT OF PURPOSE AND PROFESSIONAL HISTORY

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STATEMENT OF PURPOSE Type or print a statement of approximately 500 words (master’s level applicants), 600 words (doctoral level applicants), or 350 words (MAPMin or MAYM applicants). List your objectives for seeking the degree to which you are applying. Include the nature and purpose of your interest in pursuing graduate education to meet your personal, professional, and academic goals; your philosophical perspective; and an indication of what you hope to accomplish professionally in ten years following the completion of your proposed course of study. (Use a second sheet if more space is needed). MA Communication applicants: Please refer to the directions on the additional form.

SIGNATURE PRINT NAME

DATE BIRTH DATE (M/D/Y)

U.S. SOCIAL SECURITY NUMBER (if applicable)

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ANDREWS UNIVERSITY GRADUATE STATEMENT OF PURPOSE AND PROFESSIONAL HISTORY

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PROFESSIONAL HISTORY Please include positions or jobs held during the last ten years. If you prefer, you may submit your current resume. MSW applicants must submit a resume. If more space is needed, please use a separate sheet.

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

EMPLOYING ORGANIZATION

TITLE OR OFFICE

LOCATION

DATES: FROM

TO

TO

TO

TO

TO

TO

TO

TO

SPECIAL PROJECTS Please use this space to tell us about any special projects undertaken in connection with your professional or previous studies. This includes any published books or articles. Use an additional sheet if necessary.

SIGNATURE

DATE

PRINT NAME

END

ANDREWS UNIVERSITY GENERAL RECOMMENDATION FORM

APPLICANT INFORMATION AND AUTHORIZATION—TO BE COMPLETED BY APPLICANT FULL NAME DEGREE PROGRAM FOR WHICH YOU ARE APPLYING U.S. SOCIAL SECURITY NUMBER (if applicable)

BIRTH DATE (M/D/Y)

Please provide the information requested above, and take or mail this evaluation form to a person who knows you well. At least one form should be filled out by a college teacher in your proposed area of specialization, and another by a work/field practicum supervisor or a minister of religion. Urge them to return these forms to us immediately, since your application will not be processed until our office receives these evaluations. If the forms are to be returned from outside the United States, affix the required air mail postage. NOTE: Please do not request relatives to submit recommendation forms. If you are applying for a MAPMin degree, please find the recommendation form for the Conference President or Administrative Executive of your employing organization in the pocket. I waive my rights to examine this evaluation.

I do not waive my rights to examine this evaluation.

SIGNATURE

DATE

RECOMMENDATION—TO BE COMPLETED BY RECOMMENDER The above-named applicant is applying for graduate school and considers you to be in a position to evaluate his/her ability to successfully pursue a graduate program. If the applicant has checked above that he/she does not waive his/her rights to examine this evaluation, he/she will have the right to examine it. Please return this form today in order to expedite the evaluation of this candidate’s application. We will appreciate a confidential assessment from you concerning this applicant. Thank you for your cooperation. HOW LONG HAVE YOU KNOWN THE APPLICANT?

IN WHAT CAPACITY?

Please rate the applicant on each characteristic as compared to other students at the same level by filling in the appropriate circle. CHARACTERISTICS

SUPERIOR

EXCELLENT

GOOD

AVERAGE

BELOW AVERAGE

UNKNOWN

MOTIVATION FOR GRADUATE WORK INTELLECTUAL ABILITY FOR GRADUATE WORK BREADTH OF GENERAL KNOWLEDGE UNDERSTANDING OF MAJOR FIELD ABILITY TO ANALYZE IDEAS ETHICAL STANDARDS AND INTEGRITY INTERPERSONAL RELATIONS PROFESSIONALISM ORGANIZATIONAL ABILITY LEADERSHIP ABILITY DEPENDABILITY EMOTIONAL STABILITY PROMISE IN RESEARCH/SCHOLARSHIP/ENDEAVOR POTENTIAL FOR SERVICE IN CHOSEN FIELD

Overall, how do you rate this applicant as a candidate for a graduate program at Andrews University? HIGHLY RECOMMEND

RECOMMEND

RECOMMEND WITH RESERVATION

DO NOT RECOMMEND

For applicants whose first language is not English, please provide your evaluation of the applicant’s proficiency in the use of English:

ON A SEPARATE SHEET OF PAPER: Please provide your candid assessment of the applicant’s strengths and weaknesses. In your opinion, does the applicant possess the intellectual and personal qualifications necessary for success in graduate work? What do you think is the applicant’s potential for a successful career in the field? How might we help this applicant become successful? SIGNATURE

NAME (PLEASE PRINT)

INSTITUTION

POSITION

MAILING ADDRESS

DATE PHONE NUMBER (

)

ANDREWS UNIVERSITY GENERAL RECOMMENDATION FORM

APPLICANT INFORMATION AND AUTHORIZATION—TO BE COMPLETED BY APPLICANT FULL NAME DEGREE PROGRAM FOR WHICH YOU ARE APPLYING U.S. SOCIAL SECURITY NUMBER (if applicable)

BIRTH DATE (M/D/Y)

Please provide the information requested above, and take or mail this evaluation form to a person who knows you well. At least one form should be filled out by a college teacher in your proposed area of specialization, and another by a work/field practicum supervisor or a minister of religion. Urge them to return these forms to us immediately, since your application will not be processed until our office receives these evaluations. If the forms are to be returned from outside the United States, affix the required air mail postage. NOTE: Please do not request relatives to submit recommendation forms. If you are applying for a MAPMin degree, please find the recommendation form for the Conference President or Administrative Executive of your employing organization in the pocket. I waive my rights to examine this evaluation.

I do not waive my rights to examine this evaluation.

SIGNATURE

DATE

RECOMMENDATION—TO BE COMPLETED BY RECOMMENDER The above-named applicant is applying for graduate school and considers you to be in a position to evaluate his/her ability to successfully pursue a graduate program. If the applicant has checked above that he/she does not waive his/her rights to examine this evaluation, he/she will have the right to examine it. Please return this form today in order to expedite the evaluation of this candidate’s application. We will appreciate a confidential assessment from you concerning this applicant. Thank you for your cooperation. HOW LONG HAVE YOU KNOWN THE APPLICANT?

IN WHAT CAPACITY?

Please rate the applicant on each characteristic as compared to other students at the same level by filling in the appropriate circle. CHARACTERISTICS

SUPERIOR

EXCELLENT

GOOD

AVERAGE

BELOW AVERAGE

UNKNOWN

MOTIVATION FOR GRADUATE WORK INTELLECTUAL ABILITY FOR GRADUATE WORK BREADTH OF GENERAL KNOWLEDGE UNDERSTANDING OF MAJOR FIELD ABILITY TO ANALYZE IDEAS ETHICAL STANDARDS AND INTEGRITY INTERPERSONAL RELATIONS PROFESSIONALISM ORGANIZATIONAL ABILITY LEADERSHIP ABILITY DEPENDABILITY EMOTIONAL STABILITY PROMISE IN RESEARCH/SCHOLARSHIP/ENDEAVOR POTENTIAL FOR SERVICE IN CHOSEN FIELD

Overall, how do you rate this applicant as a candidate for a graduate program at Andrews University? HIGHLY RECOMMEND

RECOMMEND

RECOMMEND WITH RESERVATION

DO NOT RECOMMEND

For applicants whose first language is not English, please provide your evaluation of the applicant’s proficiency in the use of English:

ON A SEPARATE SHEET OF PAPER: Please provide your candid assessment of the applicant’s strengths and weaknesses. In your opinion, does the applicant possess the intellectual and personal qualifications necessary for success in graduate work? What do you think is the applicant’s potential for a successful career in the field? How might we help this applicant become successful? SIGNATURE

NAME (PLEASE PRINT)

INSTITUTION

POSITION

MAILING ADDRESS

DATE PHONE NUMBER (

)

ANDREWS UNIVERSITY GENERAL RECOMMENDATION FORM

APPLICANT INFORMATION AND AUTHORIZATION—TO BE COMPLETED BY APPLICANT FULL NAME DEGREE PROGRAM FOR WHICH YOU ARE APPLYING U.S. SOCIAL SECURITY NUMBER (if applicable)

BIRTH DATE (M/D/Y)

Please provide the information requested above, and take or mail this evaluation form to a person who knows you well. At least one form should be filled out by a college teacher in your proposed area of specialization, and another by a work/field practicum supervisor or a minister of religion. Urge them to return these forms to us immediately, since your application will not be processed until our office receives these evaluations. If the forms are to be returned from outside the United States, affix the required air mail postage. NOTE: Please do not request relatives to submit recommendation forms. If you are applying for a MAPMin degree, please find the recommendation form for the Conference President or Administrative Executive of your employing organization in the pocket. I waive my rights to examine this evaluation.

I do not waive my rights to examine this evaluation.

SIGNATURE

DATE

RECOMMENDATION—TO BE COMPLETED BY RECOMMENDER The above-named applicant is applying for graduate school and considers you to be in a position to evaluate his/her ability to successfully pursue a graduate program. If the applicant has checked above that he/she does not waive his/her rights to examine this evaluation, he/she will have the right to examine it. Please return this form today in order to expedite the evaluation of this candidate’s application. We will appreciate a confidential assessment from you concerning this applicant. Thank you for your cooperation. HOW LONG HAVE YOU KNOWN THE APPLICANT?

IN WHAT CAPACITY?

Please rate the applicant on each characteristic as compared to other students at the same level by filling in the appropriate circle. CHARACTERISTICS

SUPERIOR

EXCELLENT

GOOD

AVERAGE

BELOW AVERAGE

UNKNOWN

MOTIVATION FOR GRADUATE WORK INTELLECTUAL ABILITY FOR GRADUATE WORK BREADTH OF GENERAL KNOWLEDGE UNDERSTANDING OF MAJOR FIELD ABILITY TO ANALYZE IDEAS ETHICAL STANDARDS AND INTEGRITY INTERPERSONAL RELATIONS PROFESSIONALISM ORGANIZATIONAL ABILITY LEADERSHIP ABILITY DEPENDABILITY EMOTIONAL STABILITY PROMISE IN RESEARCH/SCHOLARSHIP/ENDEAVOR POTENTIAL FOR SERVICE IN CHOSEN FIELD

Overall, how do you rate this applicant as a candidate for a graduate program at Andrews University? HIGHLY RECOMMEND

RECOMMEND

RECOMMEND WITH RESERVATION

DO NOT RECOMMEND

For applicants whose first language is not English, please provide your evaluation of the applicant’s proficiency in the use of English:

ON A SEPARATE SHEET OF PAPER: Please provide your candid assessment of the applicant’s strengths and weaknesses. In your opinion, does the applicant possess the intellectual and personal qualifications necessary for success in graduate work? What do you think is the applicant’s potential for a successful career in the field? How might we help this applicant become successful? SIGNATURE

NAME (PLEASE PRINT)

INSTITUTION

POSITION

MAILING ADDRESS

DATE PHONE NUMBER (

)

ANDREWS UNIVERSITY REQUEST FOR OFFICIAL TRANSCRIPT OF CREDITS

TO THE REGISTRAR AT: NAME OF INSTITUTION ADDRESS: STREET NAME CITY

STATE

ZIP CODE

COUNTRY

I am making application to attend Andrews University. Please forward an official copy of my transcript to the address listed below showing all my classwork taken at your institution. Include the grades and credits for each class. I have included the appropriate transcript fee. If for any reason you cannot comply with this request, please inform me and the Graduate Admissions Office of Andrews University at the address listed below. NOTE: Please send the transcript in both the original language of your country and a literal translation into English if English is not the official language of your country. GRADUATE ADMISSIONS OFFICE ANDREWS UNIVERSITY BERRIEN SPRINGS, MI 49104-0620, USA

U.S. SOCIAL SECURITY NUMBER

BIRTH DATE (M/D/Y)

NAME (Please print as appears on record) HOME ADDRESS: STREET NAME CITY

APT # STATE

SIGNATURE

ZIP CODE

COUNTRY

DATE

ANDREWS UNIVERSITY REQUEST FOR OFFICIAL TRANSCRIPT OF CREDITS

TO THE REGISTRAR AT: NAME OF INSTITUTION ADDRESS: STREET NAME CITY

STATE

ZIP CODE

COUNTRY

I am making application to attend Andrews University. Please forward an official copy of my transcript to the address listed below showing all my classwork taken at your institution. Include the grades and credits for each class. I have included the appropriate transcript fee. If for any reason you cannot comply with this request, please inform me and the Graduate Admissions Office of Andrews University at the address listed below. NOTE: Please send the transcript in both the original language of your country and a literal translation into English if English is not the official language of your country. GRADUATE ADMISSIONS OFFICE ANDREWS UNIVERSITY BERRIEN SPRINGS MI, 49104-0620, USA

U.S. SOCIAL SECURITY NUMBER

BIRTH DATE (M/D/Y)

NAME (Please print as appears on record) HOME ADDRESS: STREET NAME CITY SIGNATURE

APT # STATE

ZIP CODE DATE

COUNTRY

ANDREWS UNIVERSITY IMMUNIZATION RECORD

Mail to:

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Student Health Service

Fax to:

269.473.6880

Andrews University

Phone:

269.473.2222

Berrien Springs, MI 49104-0960, USA

PLEASE PRINT CLEARLY U.S. SOCIAL SECURITY NUMBER

AU ID NUMBER (if known)

FIRST NAME

LAST NAME

HOME: STREET ADDRESS

APT #

CITY

STATE

ZIP CODE

HOME TELEPHONE

EMAIL ADDRESS

BIRTH DATE MONTH SEX

DAY

MALE

LEVEL

COUNTRY

YEAR

FEMALE

UNDERGRADUATE

GRADUATE

ANTICIPATED TERM OF ENROLLMENT:

FALL

WHERE DO YOU PLAN TO LIVE?

DORM

HAVE YOU ATTENDED ANDREWS BEFORE?

SPRING

SUMMER

UNIVERSITY APARTMENT NO

YEAR

COMMUNITY

YES: FROM MO/YR

TO MO/YR

HEALTH CARE PROVIDER MUST COMPLETE: REQUIRED To protect your health, and to be in compliance with the Michigan Department of Public Health and the Advisory Council on Immunization Practices, Andrews University REQUIRES proof of vaccination or immunity to measles, mumps, and rubella, as well as evaluation for tuberculosis PRIOR to registration.

M.M.R.

TUBERCULOSIS (TB) SCREENING

Two doses required

Required within 6 months prior to registration

DOSE 1: GIVEN AT AGE 12 MONTHS OR LATER

M/D/Y

/

/

TB SKIN TEST

DOSE 2: GIVEN AT AGE 4-6 OR LATER

M/D/Y

/

/

RESULTS:

RUBEOLA (MEASLES) ANTIBODY TITER

M/D/Y

/

/

MM OF IN DURATION

RESULTS

IMMUNE

NON-IMMUNE

BCG GIVEN:

M/D/Y

/

/

NEGATIVE

YES

POSITIVE UNKNOWN NO

UNKNOWN

CHEST X-RAY Required within one year only if TB skin test is positive CHEST X-RAY DATE CHEST X-RAY RESULTS NEGATIVE

M/D/Y

/

/

POSITIVE, EVIDENCE OF ACTIVE TB NEGATIVE, EVIDENCE OF INACTIVE TB

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ANDREWS UNIVERSITY IMMUNIZATION RECORD

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HEALTH CARE PROVIDER MUST COMPLETE: RECOMMENDED The following vaccinations are recommended. You should discuss these with your physician or other health care provider. Individual vaccination may be required as a prerequisite to clinical rotations (HEPATITIS B), or encouraged, if injured (TETANUS). This list does not include immunization that may be recommended only as a part of study or travel abroad.

TETANUS-DIPHTHERIA

POLIO

Primary series with DTaP or DTP and booster at 4-6 year and every

Primary series of 3 (oral) or 4 (injectable) doses plus a booster during

10 years thereafter

childhood

DOSE 1:

M/D/Y

/

/

DOSE 2:

M/D/Y

/

/

DOSE 1:

M/D/Y

/

/

DOSE 2:

M/D/Y

/

/

DOSE 3:

M/D/Y

/

/

DOSE 4:

M/D/Y

/

/

DOSE 3:

M/D/Y

/

/

DOSE 4:

M/D/Y

/

/

BOOSTER (WITHIN 10 YEARS)

M/D/Y

/

/

IMMUNIZATION LIKELY, NO RECORDS

BOOSTER (WITHIN 10 YEARS)

NOT IMMUNIZED

M/D/Y

/

IMMUNIZATION LIKELY, NO RECORDS

/ NOT IMMUNIZED

HEPATITIS B

VARICELLA

Three doses of vaccine or a positive Hepatitis B Surface Antibody

History of chickenpox, or a positive varicella antibody titer, or two

(HBSAb)

doses of vaccine at least one month apart (if immunized after age 13) indicates immunity

DOSE 1:

M/D/Y

/

/

DOSE 3:

M/D/Y

/

/

DOSE 2:

M/D/Y

/

/ HISTORY OF DISEASE

HEPATITIS B SURFACE ANTIBODY

M/D/Y

RESULTS

NON-IMMUNE

IMMUNE

/

YES

NO

VACCINATION

DOSE 1:

M/D/Y

/

/

*BOOSTER

DOSE 2:

M/D/Y

/

/

/

*AT LEAST ONE MONTH AFTER 1ST DOSE IF GIVEN AFTER AGE 13 IMMUNIZATION LIKELY, NO RECORDS

NOT IMMUNIZED VARICELLA ANTIBODY RESULTS

M/D/Y

IMMUNE

/

/

NON-IMMUNE

MENINGOCOCCUS

INFLUENZA

Recommended for freshman students, age 25 and below, living in

Annual immunization, in the late fall, recommended to avoid dis-

a residence hall and for individuals with immunodeficiency or who

ruption to academic responsibilities and strongly recommended for

have had a splenectomy

those with diabetes, asthma, heart disease, and certain other chronic diseases.

VACCINATION

M/D/Y

/

/ VACCINATION

IMMUNIZATION LIKELY, NO RECORDS

M/D/Y

/

/

NOT IMMUNIZED IMMUNIZATION LIKELY, NO RECORDS

NOT IMMUNIZED

HEALTH CARE PROVIDER FIRST NAME

LAST NAME

STREET ADDRESS CITY TELEPHONE SIGNATURE

STATE

ZIP CODE

COUNTRY

FAX NUMBER DATE

END

ANDREWS UNIVERSITY RESIDENCE HALL APPLICATION

Mail to:

Enrollment Management

(FOR OFFICE USE ONLY)

Andrews University

ID

Berrien Springs, MI

ROOM #

(1/2)

SINGLE OCCUPANCY

DOUBLE OCCUPANCY

MAILBOX #

PHONE #

DEPOSIT

49104-0740, USA

ROOMMATE

CONFIRMATION LETTER SENT

Fax to:

269.471.2670

1ST CONTACT SENT BY MAIL

OR EMAIL

Phone:

269.471.6346

ROOM INFO SENT BY MAIL

OR EMAIL

Email:

[email protected]

PACKET SENT BY MAIL

OR EMAIL

IMPORTANT INFORMATION ABOUT HOUSING, DEPOSIT PAYMENT, AND DEPOSIT REFUND—PLEASE READ CAREFULLY All single undergraduates under 22 years of age should plan on living in the residence hall, unless living full-time with parents in the community. Forms for community housing are available from the Student Services at 269.471.6686, and must be completed in person before financial registration can be completed. Your residence hall application and a $150.00 (U.S. funds) room deposit must be received before your room can be assigned. Once housing is assigned, the deposit is forfeited if you fail to move in for the semester specified or do not cancel before the session’s deadline. Upon proper check-out, your deposit will be transferred back to your account. Before moving into the residence hall, you must be financially cleared to attend Andrew University. Please do this in Registration Central before the August 15 deadline. The housing request indicates your willingness to accept all residence hall regulations. Read carefully and answer each question; write more if needed. NOTE: This application can also be completed electronically in Registration Central once you have been accepted to Andrews University.

PERSONAL DATA U.S. SOCIAL SECURITY NUMBER (if applicable) FIRST NAME

LAST NAME

HOME: STREET ADDRESS CITY

STATE

HOME TELEPHONE

EMAIL ADDRESS

COUNTRY

ZIP CODE

COUNTRY

ZIP CODE

TEMPORARY MAILING ADDRESS (If different than above) CITY

STATE

TEMPORARY TELEPHONE

AT TEMPORARY ADDRESS FROM M/D/Y

TO M/D/Y

NAME OF LAST SCHOOL ATTENDED

SEX

MALE

FEMALE

AGE

BIRTH DATE: MONTH

DAY

YEAR

PLANNING TO LIVE IN RESIDENCE HALL FOR WHICH SEMESTERS? CHECK ALL THAT APPLY SUMMER: YEAR & SESSION(S)

FALL: YEAR

ESTIMATED DATE OF ARRIVAL CLASS STANDING

SPRING: YEAR

ESTIMATED DATE OF DEPARTURE FIRST-TIME COLLEGE/FRESHMAN

SOPHOMORE

JUNIOR

SENIOR

GRADUATE

ANTICIPATED FIELD OF STUDY

ABOUT YOUR HABITS Please mark all words or phrases that best complete each statement below, or write in your personal response: I TRY TO KEEP MY ROOM

VERY CLEAN

WHAT IS YOUR USUAL BEDTIME? I AM A

HEAVY SLEEPER

CLEAN

REASONABLY ORDERLY

PICKED UP ONCE IN A WHILE

AND YOUR USUAL RISING TIME? LIGHT SLEEPER Please turn sheet over to continue

ANDREWS UNIVERSITY RESIDENCE HALL APPLICATION

IN MUSIC, I PREFER

(2/2)

ALL

ALTERNATIVE

CHRISTIAN/GOSPEL

CLASSICAL

COUNTRY

JAZZ

POPULAR

R&B

ROCK

OTHER

HIP-HOP/RAP

TYPE(S) OF MUSIC I STRONGLY DISLIKE I ENJOY PLAYING MUSIC

ALL OF THE TIME

EXCEPT WHEN I’M STUDYING

EXCEPT WHEN I’M SLEEPING

NONE OF THE TIME

ABOUT YOU Please mark the word or words that best describe you. All are optional, but helpful. LIFESTYLE ATTITUDES

CONSERVATIVE

LIBERAL

MODERATE

RELIGIOUS AFFILIATION

SDA

NONE

OTHER

RELIGIOUS ATTITUDE

STRONG FAITH

FAITH

INDIFFERENCE

ETHNIC BACKGROUND

ASIAN

BLACK

CAUCASIAN

STUDY HABITS

STUDIOUS

STUDY WHEN NEEDED

CONVERSATION STYLE

VERY TALKATIVE

PERSONAL INTERESTS

ATHLETICS/WORKING OUT

HISPANIC

ENJOY CHATTING

NATURE (CAMPING/HIKING/ANIMALS)

ON THE QUIET SIDE

CRAFTS/DESIGN

READING/WRITING

OTHER

FINE ARTS (MUSIC/ART)

VOLUNTEERING

MINISTRY/WITNESSING

OTHER

ROOMMATE INFORMATION Housing is based on double occupancy, but as space allows, exceptions are made for single occupancy. By requesting single housing, you indicate your willingness to pay the additional 75% single housing fee. Contact us for fee amount and any other questions. ARE YOU REQUESTING SINGLE HOUSING?

YES

NO

IF SPACE ALLOWS, WOULD YOU BE INTERESTED IN LIVING ON A QUIET HALL (ONE DESIGNATED FOR EXCEPTIONAL QUIET)? WOULD YOU PREFER TO ROOM WITH A PERSON HAVING A SIMILAR MAJOR? WOULD YOU BE INTERESTED IN LIVING WITH SOMEONE FROM OUTSIDE THE U.S.?

YES

NO YES

WILL YOU BRING A TV?

YES

YES

NO

INDIFFERENT NO

WOULD YOU BE INTERESTED IN LIVING WITH SOMEONE OF A RELIGION OTHER THAN YOUR OWN? WOULD YOU BE OPPOSED TO LIVING WITH SOMEONE WHO HAD A TELEVISION?

YES

INDIFFERENT

YES NO

NO

INDIFFERENT

INDIFFERENT

NO

We don’t always know who does or does not have a TV, but we’ll do our best with the information we’re given. PLEASE TRY TO PLACE ME WITH SOMEONE FROM (NAME OF ACADEMY/HIGH SCHOOL): ANY OTHER ROOMMATE ASSIGNMENT FACTORS YOU’D LIKE CONSIDERED:

PROPOSED ROOMMATE INFORMATION If you have already chosen a roommate, his/her application must be in and a room deposit paid or a new roommate will be assigned. ROOMMATE’S NAME

ROOMMATE’S CLASS STANDING

ADDRESS CITY

STATE

TELEPHONE DOES THIS PERSON PLAN TO LIVE WITH YOU?

COUNTRY

ZIP CODE

EMAIL ADDRESS YES

NO

END

ANDREWS UNIVERSITY APPLICATION FOR NON-DORMITORY HOUSING

Mail to:

University Housing Office

made to find a place for you,

Berrien Springs, MI 49104-0920, USA 269.471.6979

Email at:

[email protected]

Dates Accommodation Requested

Although every effort will be

500 Garland Avenue, Building G Phone at:

(1/2)

this form does not guarantee housing accommodation.

From: Month

Day

Year

To: Month

Day

Year

Online at: www.andrews.edu/housing

To have your application processed, please submit with this application a $320 application fee ($270 for single students applying with a roommate) payable to Andrews University Housing. Three hundred dollars will be refunded if you cancel, in writing, four (4) weeks before your requested accommodation date. Upon occupancy, $200 becomes your Security Deposit, $100 is a non-refundable cleaning fee ($50 each for roommates), and the remaining $20 is a non-refundable processing fee. NOTE: Undergraduates must be at least 22 years of age to be eligible for single accommodations. Please indicate your school of attendance:

GRADUATE SCHOOL

SEMINARY

UNDERGRADUATE SCHOOL

PERSONAL INFORMATION LAST/FAMILY NAME

FIRST NAME

BIRTH DATE (M/D/Y) U.S. SOCIAL SECURITY NUMBER (if applicable)

ANDREWS ID NUMBER

HOME: STREET ADDRESS

APT #

CITY

STATE

HOME TELEPHONE (

ZIP CODE

)

COUNTRY

EMAIL ADDRESS

Please indicate whether you are applying for single student housing or student family housing. NOTE: Express written permission must be obtained from the Housing Manager for more than one person to occupy a single student apartment. When two singles are allowed to share an apartment there is an additional $20 included in the rent. If you are planning to share your apartment with a roommate, you should apply at the same time for both applications must be recieved before an apartment can be assigned.

FAMILY

SINGLE

SINGLE (WITH ROOMMATE) NAME OF ROOMMATE (IF APPLICABLE)

If you have chosen to apply for student family housing please include the following information. If not, proceed to the next section. NAME OF SPOUSE

ANDREWS ID NUMBER

WILL YOUR SPOUSE BE IN CONTINUOUS RESIDENCE WITH YOU?

YES

NO

Please provide the following information about the children who will be living with you: NAME

BIRTH DATE (M/D/Y)

MALE

FEMALE

NAME

BIRTH DATE (M/D/Y)

MALE

FEMALE

NAME

BIRTH DATE (M/D/Y)

MALE

FEMALE

NAME

BIRTH DATE (M/D/Y)

MALE

FEMALE

PERSONAL ASSETS DO YOU HAVE A PIANO/ORGAN?

YES

NO

DO YOU HAVE A FREEZER?

YES

NO

NOTE: Freezers and pianos/organs are allowed only on ground floors, and by previous arrangement. Please list below the major items of furniture you will bring with you:

Please turn sheet over to continue

ANDREWS UNIVERSITY APPLICATION FOR NON-DORMITORY HOUSING

(2/2)

TYPE OF APARTMENT DESIRED Rental rates generally increase yearly and are effective as of June 1 of the current year. Monthly rent includes utilities, stove and refrigerator, and other furnishings as indicated in the Housing Handbook. One month’s rent is required before possession. Please visit our website for approximate costs and information.

SINGLE STUDENT: Please signify your first and second choice. All apartments are furnished. Married students have first priority for one or two-bedroom apartments. NOTE: Co-habitation of opposite sex singles is illegal, according to Michigan Law. 1

2

1

2

GARLAND EFFICIENCY

MAPLEWOOD ONE-BEDROOM WITH AIR-CONDITIONING

GARLAND ONE-BEDROOM

BEECHWOOD OR MAPLEWOOD TWO-BEDROOM WITHOUT AIR-CONDITIONING (For two same-sex singles to share, not rented to one person only)

STUDENT FAMILY: Please signify your first through fifth choice. NOTE: Express written permission must be obtained for other than student, spouse and legal dependents to occupy an apartment. Large families have priority for three and four bedroom apartments. 1

2

3

4

5

ONE-BEDROOM

1

2

3

4

5

GARLAND (FURNISHED)

TWO-BEDROOM BEECHWOOD (UNFURNISHED) BEECHWOOD (FURNISHED)

1

2

3

4

5

ONE-BEDROOM WITH AIR-CONDITIONING

GARLAND (UNFURNISHED)

MAPLEWOOD (FURNISHED)

GARLAND (FURNISHED) MAPLEWOOD (UNFURNISHED)

1

2

3

4

5

TWO-BEDROOM WITH AIR CONDITIONING

MAPLEWOOD (FURNISHED)

GARLAND (FURNISHED-ONE ONLY) MAPLEWOOD (UNFURNISHED)

1

2

3

4

5

MAPLEWOOD (FURNISHED)

THREE-BEDROOM GARLAND (UNFURNISHED-ONE ONLY) GARLAND (FURNISHED)

1

2

3

4

5

THREE-BEDROOM WITH AIR CONDITIONING GARLAND (FURNISHED)

1

2

3

4

MAPLEWOOD (UNFURNISHED)

5

FOUR-BEDROOM BEECHWOOD (UNFURNISHED)

MAPLEWOOD (FURNISHED)

CURRENT INFORMATION CURRENT LANDLORD’S NAME

ADDRESS

PHONE

PREVIOUS LANDLORD’S NAME

ADDRESS

PHONE

Please indicate your financial resources: GOVERNMENT LOANS/GRANTS

SELF-SPONSORED

GENERAL CONFERENCE/DIVISION SUBSIDY

LOCAL CONFERENCE SPONSORED

OTHER

IMPORTANT INFORMATION It is agreed that University Housing shall not be liable to pay nor the applicant entitled to receive compensation for any damage, loss, inconvenience, nuisance or discomfort occasioned because an apartment is not available for whatever cause at or for the time requested. An assigned apartment will not be held for more than one month from the date the assignment letter is sent, or one week beyond the requested accommodation date, if other applicants are waiting. Before receiving an apartment applicants applying for single student housing must submit to the Housing Office (1) a copy of their birth certificate and (2) a copy of their academic acceptance letter. Those applying for student family housing must submit (1) a copy of their marriage certificate, (2) the birth certificate of each dependent child and (3) their academic acceptance letter. There is to be no overcrowding. Maximum of two (2) persons per bedroom, except for children less than 12 years of age. We apologize but we must insist: NO PETS, NO WATERBEDS. Please initial here to indicate that you have read and understood this information:

APPLICATION AGREEMENT By signing this application, you verify that you have carefully read and completed the application to the best of your knowledge, and grant permission to University Housing to do credit and reference checks related to this application. If your application is denied, a refund check, minus the $20 processing fee, will be issued after thirty days from the receipt of your $320 application fee. NOTE: Incomplete applications will be returned. Please photocopy your completed application to retain for your future reference. SIGNATURE

DATE

SPOUSE OR ROOMMATE SIGNATURE (IF APPLICABLE)

DATE

END

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the graduate school at andrews university

WELCOME TO THE GRADUATE SCHOOL AT ANDREWS UNIVERSITY (1/2) WELCOME Thank you for your interest in the graduate school. Please read the following inf...

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