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Personal Information

Name

Address

Telephone Numbers

Email Address

Academic Plans

Demographic Information

Citizenship

Language

Additional Information

Church Information

Do you plan on using the Master of Divinity to fulfill ordination requirements with the Wesleyan Church?
Do you desire to enroll in the ordination track so as to fulfill the requirements for licensure during your first year with Wesley Seminary?

Global Academic Program Information

Optional Ethnicity Information

Select one or more of the following racial categories that apply to you.

Additional Information

Have you completed the GRE Exam?
I attest that I have access to a P-12 classroom for the purpose of completing required field experiences.
Have you previously completed the Transition to Teaching program at Indiana Wesleyan University?
Do you plan to seek an additional content area to your teaching license as a result of this program?
Are you a state-licensed teacher or hold an ACSI, FACCS or FCCS certification?
I attest that I have access to a central office administrator for the purpose of fulfilling internship requirements.
Are you a state-licensed building level administator?
Do you hold a Proficient or Accomplished Practioner license?
Do you have a RN license?
I plan on obtaining my RN license before class.
Has your license been revoked or encumbered?
Are you a licensed APN?
Are you certified as an APN?
Do you have 500 hours of direct patient care?
Do you have 1,000 hours of direct patient care?
Are you a Certified Financial Planner?
Are you a Kingdom Advisor?
Do you plan to apply for financial aid?
Have you applied to Indiana Wesleyan University previously?
Are you a veteran?
Have you ever been convicted?

Academic History

High School

College

Have you previously attended any colleges or universities for credit?

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Have you graduated?

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Have you graduated?

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Have you graduated?

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Have you graduated?

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Have you graduated?

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Employment Information

Current Employer

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Search for Current Employer

Does your employer offer tuition reimbursement?
The Master of Education programs require at least a semester and a day teaching experience. Please list the current and past positions that meet this requirement. The Educational Specialist program requires at least three years teaching experience. Please list the current and past positions that meet this requirement. The Pricipal Licensure program require at least two years teaching experience. Please list the current and past positions that meet this requirement.

Certification

Do you certify the following statements?* I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.
I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.