SWELL Application

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Fields marked with * are required.

Personal Information

First Name *

Last Name *

Middle Name *

Maiden Name *

Gender *

Male

Female

Date of Birth *

Citizenship *

Self-identified Ethnicity *

Current Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Phone Number

Religious Preference *

Employment

Are you employed? *

Yes

Where? *

Supervisor's Name *

Supervisor's Phone Number *

Academic Interests

At which campus/extension center do you plan to pursue this degree?

Brownwood

El Paso

New Braunfels

My primary interest area is *

Please explain *

I will apply for a Graduate Assistantship *

Yes

References

Please identify two (2) references and their title and phone/e-mail contact information; both should be able to address your promise as a graduate student in Sport and Wellness Leadership.

Reference 1 *

Reference 2 *

I authorize the references provided in this application to give any and all information concerning my character and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to Howard Payne University. *

Yes

Additional Information

Have you ever been convicted of, pled guilty or no contest to, or received probation, suspension, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)? *

Yes

Please state where, when and the nature of the offense. A felony conviction is not an automatic bar to admission. The university will consider the nature and date of the offense. *

I understand that the university may review criminal history of applicant. This application becomes the property of the university. The university reserves the right to accept or reject this application verified & affirmation accepted. *

Yes

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent admission. *

Yes

Essay

Submit 500-word statement of your professional goals, how SWELL can benefit you in achieving them, and what your experiences to date may contribute to your fellow students and the program.

Essay *

Maximum file size: 8.39MB

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