BROWARD INTERNATIONAL UNIVERSITY - BIU · 2017. 9. 22. · BROWARD INTERNATIONAL UNIVERSITY 1940 N. Commerce Pkwy / Suite 1 / Weston FL 33326-3245 / U.S.A. Tel.: (954) 870-7359

BROWARD INTERNATIONAL UNIVERSITY 1940 N. Commerce Pkwy / Suite 1 / Weston FL 33326-3245 / U.S.A.

Tel.: (954) 870-7359 / Fax: (954) 337-0210

STUDENT APPLICATION FOR ADMISSION TO GRADUATE STUDY FORM

STUDENT APPLICATION FOR ADMISSION TO GRADUATE STUDY FORM (ADMISSION FORMS)_1 Page 1 of 4

PERSONAL INFORMATION (Please Print)

Last Name: _____________________ First Name: ___________________ Middle Name: ______________ Male Female

Date of Birth: __________________ Birth Place: ________________________ Country of Citizenship: __________________________ Month / Day / Year

Permanent Address: ___________________________________________________________________________________________

City: ________________________ State: ___________________ Zip Code: __________ Country: ___________________________

Mailing Address: ______________________________________________________________________________________________

City: ________________________ State: ___________________ Zip Code: __________ Country: ___________________________

Cell Phone: ( ) ____________ Home Phone: ( ) ____________ Work Phone: ( ) _____________ Country/Area Code Country/Area Code Country/Area Code

Main E-mail Address: __________________________________ Alternative E-mail Address: _________________________________

Native Language: English Other (please specify): _______________________________________________________

ADDITIONAL INFORMATION

Country of Residence: __________________________ If the U.S.A.: I am a U.S. Citizen Lawful Permanent Resident

If U.S. Citizen, Social Security Number: ________ - ______- __________

If U.S. LPR, Social Security Number: ________ - ______- __________ Alien Resident Number: A# _______ - ______ - ______

In what state do you claim residency? ____________________ If it is Florida, how long have you resided there? ___________________ Consecutive Years / Months

PREVIOUS EDUCATION

List the Last Three (3) Colleges/Universities Attended (if attended to less than three (<3), write "NONE" where applicable).

Name of School: ________________________________ Address: ________________________________ Graduated?: Yes No City / State / Country

Area of Study: __________________________________ Deg. Earned: _________________ GPA: ______ Date of Grad.: ___________ Month / Day / Year





MISCELLANEOUS

Please selected from the options below the statement that best describes how did you hear about Broward International University?

BIU Representative in my Country Newspaper Advertising Radio Advertising Educational Fair

Website Alumnus Current Student Reputation of Program

Faculty Advisor or Counselor Other (please specify): ___________________________________________________


ACADEMIC PROGRAM PLAN INFORMATION

Academic Degree you wish to pursue: ______________________________________________________________________________

Program Title: _________________________________________________________________________________________________

I am requesting Enrollment for the following Academic Term:

Winter Spring Summer Fall of the Year ________ Starting Date: _________________________

I understand that I have the option of registering for courses that are instructed in English, Spanish, or a combination of both. I also understand that if English is not my native language, I will be allowed to register courses that will be instructed in the English Language, provided that I have satisfied the English proficiency requirement as stated in the University’s Catalog and the Student Handbook. Under these understandings, I request the Language of Instruction to be:

English Spanish Bilingual

REFERENCES

Please provide the name of three (3) people who can comment on your interest in graduate study and your ability, potential, and readiness for the graduate program you have selected. You must seek references from Faculty members, Advisors, internship Supervisors, current or past Employers, Supervisors from paid or volunteer experiences, or Colleagues. All references must address the applicant’s ability, potential, and readiness for the graduate education program of study that you have selected. In the event that you are currently enrolled in a Master, PhD, or a Doctoral program at Broward International University (BIU), only two (2) references from Faculty with whom you took classes at BIU will be required. Letters of recommendation, signed by the recommender, may be submitted on paper or via email to [email protected].

Full Name Relationship to Applicant

1. _____________________________________________ _____________________________________________

2. _____________________________________________ _____________________________________________

3. _____________________________________________ _____________________________________________

MANDATORY DISCLOSURE

Broward International University is fully committed to maintaining a safe environment for all members of the University academic community. To this effect, the University requires that any applicant for admission to one of its programs of study, who has been convicted of a felony, or involved in behavior that resulted in injury to any person or personal property, or subjected to any formal disciplinary action at any College or University in which he/she was previously enrolled, discloses this information as a mandatory requirement in the admissions process. A previous conviction or misconduct is a matter of concern that required thoughtful review, but does not necessarily make the applicant automatically ineligible for admission to the University. Therefore, you must truthfully answer the following questions:

Have you ever pled guilty, or been convicted of a criminal offense, or been designated as sexual offender/predator, Yes No

Do you currently have charges pending against you or have had charges pending at any time? Yes No

Have you ever been dismissed, suspended, expelled, placed on probation or otherwise involuntarily separated from any Secondary School, College, or University, or withdrawn to avoid such involuntary separation, for a NON-ACADEMIC reason? Yes No

If you answered “yes” to any of these questions, you must submit a letter of explanation detailing the circumstances. This information will be controlled confidentially, unless otherwise required by law. Furthermore, if future circumstances make your answers to the above questions inaccurate, misleading or incomplete, you must provide the Office of the University Registrar with updated information.

OTHER REQUIREMENT

International Credentials (degrees and grade-posted transcripts) must be provided as official documents issued by the Institutions.

International Credentials must be accompanied by a certified English translation if the language of instruction was other than English.

Holders of academic degrees from foreign Institutions must provide official documentation of degree equivalency for admission.

Submit an essay describing your commitment to become a professional in the field of study of your choice. This document should include a description of your understanding of the worthiness of this profession, your personal experiences within this field of study, your professional aspirations within this profession, and your expectations regarding your potential contributions and accomplishments to support and improve the worthiness of this profession. In addition, please indicate the reason you have chosen Broward International University and how completing a degree from Broward International University will better prepare you as a professional in this field of study.

Check the program of study you are applying for admission to, in order to determine any other requirement, if any, that you must also comply with.

A $50.00 application fee must be submitted with your application for admissions. This fee is subject to change without notice.


STATEMENTS OF UNDERSTANDING

I certify that the information provided on this application is true, accurate, and complete, and agree to abide by the admission policies and requirements of Broward International University. I understand that falsification of any information on this application and its credentials, or deliberate attempt to withhold known information, may be cause for denial of your application for admission or cancellation of admission and enrollment if previously approved. I also understand that I may be required to verify any of the responses provided in this application.

I understand and agree that if my records, as required for admission, are not complete within the initial academic term of enrollment or if any information provided is found to be false, I may be suspended from classes without a refund of any fee paid.

I understand that an incomplete application and/or missing required documents will delay the admissions process.

I understand that this application is not complete unless it is signed, dated, and all the required information has been provided. I also understand that this application will not be processed unless it is returned along with the required essay and the $50.00 application fee.

__________________________________ _____________ SIGNATURE OF APPLICANT DATE

DO NOT WRITE IN THIS SECTION - FOR INFORMATION PURPOSES ONLY

GRADUATE ACADEMIC PROGRAMS OFFERED BY BROWARD INTERNATIONAL UNIVERSITY

MASTER OF

Business Administration

MASTER OF SCIENCE DEGREE IN

Computer Software Engineering

Virtual Education

DOCTORAL DEGREE IN

Business Administration

Virtual Education


DO NOT WRITE IN THIS SECTION - FOR ADMINISTRATIVE PURPOSES ONLY

EVALUATION OF APPLICATION (If Application is for Admission to Graduate Study, Comments and Recommendations must be completed by the Office of the University Registrar and Dean of the College or School responsible for the administration of the selected Program)

COMMENTS (from the OFFICE of the UNIVERSITY REGISTRAR): ______________________________________________

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RECOMMENDATIONS (from the OFFICE of the UNIVERSITY REGISTRAR): _____________________________________

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COMMENTS (from the DEAN of the COLLEGE / SCHOOL ADMINISTRATING the SELECTED PROGRAM): __________

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RECOMMENDATIONS (from the DEAN of the COLLEGE / SCHOOL ADMINISTRATING the SELECTED PROGRAM): _

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________________________________________________ ____________________________ ______________ SIGNATURE OF AUTHORIZED UNIVERSITY OFFICIAL OFFICIAL'S TITLE DATE

Broward International University is committed to a policy of equal access to educational opportunities. Therefore, Broward International University admits Students, grants scholarships, and conducts all educational programs of study without regard to race, color, religion, gender, gender orientation, sexual orientation, age, marital status, national origin, ancestry, or disability.

Documents

BROWARD INTERNATIONAL UNIVERSITY - BIU · 2017. 9. 22. · BROWARD INTERNATIONAL UNIVERSITY 1940 N. Commerce Pkwy / Suite 1 / Weston FL 33326-3245 / U.S.A. Tel.: (954) 870-7359