Peru State College
font size: - | +
print print

Graduate Application for Admission & Scholarships

 

Peru State College is an equal opportunity institution. PSC does not discriminate against any student, employee or applicant on the basis of race, color, national origin, sex, disability, religion, or age in employment and education opportunities, including but not limited to admission decisions. The College has designated an individual to coordinate the College’s nondiscrimination efforts to comply with regulations implementing Title VI, VII, IX, and Section 504. Inquiries regarding non-discrimination policies and practices may be directed to Eulanda Cade, Director of Human Resources, Title VI, VII, IX Compliance Coordinator, Peru State College, PO Box 10, Peru, NE 68421-0010, (402) 872-2230

 

We are no longer accepting applicants for the 2008 Summer Cohort programs for the Master of Science in Education. 2009 Summer Cohort applications will be accepted starting August 1, 2008.

 

Legal Name
First Name, Middle Name: ,
Last Name:
Social Security Number: i.e. 555-55-5555
Gender: female male
Martial Status:
Maiden Name:
Birth Information
Birth Month, Day, Year: , ,
Permanent Address
Address:
City, County: ,
State, Zip: ,
Phone Number: i.e. 555-555-5555
Email Address:
Current/Mailing Address (if different from above)
Address:
City:
State, Zip: ,
Phone Number: i.e. 555-555-5555
Next of Kin (notification in case of emergency)
Relationship:
Name:
Address:
City:
State, Zip: ,
Country:
Phone Number: i.e. 555-555-5555
Citizenship / Visa Type
Are You a U.S. Citizen: yes no
If Not: Country:
Visa Type, Expiration: ,
If you are an international student interested in an I-20 from Peru State College you can not submit this application. Please go to the international student section on the admissions page to find the printable international student application.
Background Information
Have you ever been convicted of, or are you currently under indictment for, a felony? (if yes, please supply a complete letter of explanation specifying the crime, docket or case number, court(s) of jurisdiction, and sentence or other remedy imposed.)
  yes no
n compliance with Title VI of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972, this information is for reporting purposes only.
(optional) Ethnic Background:
When do you want to start classes?
Enrollment Semester: MSED Cohort format begins in summer semester only
Program Information
Please indicate which type of admission you would like to apply for. If you select the Degree Seeking option, please make sure to select a program of study in the drop-down box.
Degree Seeking:

 

MSED Summer Cohort applications will begin acceptance on August 1 of the preceding year.

 

(for students who intend to earn a Master degree)

(Students applying for any of the MSED degrees must hold a teaching certificate unless approved by the graduate programs office.)

Certificate Renewal:

For the student seeking certificate renewal. If your Baccalaureate degree was earned at an institution other than Peru State College, but you want us to be your approving institution for certificate renewal, you must have the coursework Pre-Approved by the PSC Certification Officer.

Non-Degree/

Special Post-Graduate:

For those who intend to take an occasional course for personal enrichment or transfer to another institution. Anyone holding an undergraduate regionally accredited Baccalaureate or professional degree may register for individual courses at the graduate level without making application to a degree program. Submission of an official transcript is optional, but recommended if you indicate this type of admission. Special Post-Graduate students must meet prerequisite conditions, as determined by the instructor. Special Post-Graduate students are not admitted to Graduate School; they are only given permission to enroll in a specific graduate course. Should a Special Post-Graduate student wish to work toward a graduate degree, he/she will be required to apply for admission. This admission type is valid for one academic term.

List All Colleges Previously Attended (if necessary)
List all educational institutions (including PSC) that awarded you bachelor degree. Also list any educational institution that you have earned graduate credit from. Mail supplemental list if necessary.
Institution Name:

City, State:

 ,
Dates of Attendance:
Credits Earned:
Degree Earned:
Institution Name:

City, State:

 ,
Dates of Attendance:
Credits Earned:
Degree Earned:
Institution Name:

City, State:

 ,
Dates of Attendance:
Credits Earned:
Degree Earned:
Institution Name:

City, State:

 ,
Dates of Attendance:
Credits Earned:
Degree Earned:
Institution Name:

City, State:

 ,
Dates of Attendance:
Credits Earned:
Degree Earned:
Nebraska Residency
Peru State College reserves the right to request additional documentation.
Nebraska Resident:

Length of Residency:

(years)

Admission Information
Applied for or currently hold a Teaching Certificate?
  yes no
Optional
How did you hear about PSC:
Certification
I certify that the information that I provided on this application is complete, accurate and true. I agree to abide by the policies and regulations of Peru State College. I understand that any information given falsely or withheld will affect the decision on my application and make me ineligible for admission and/or enrollment or may be grounds for dismissal following enrollment. In order to promote academic integrity, the college subscribes to an electronic service to review papers for the appropriate citations and originality. Key elements of submitted papers are stored electronically in a limited access database and thus become a permanent part of the material to which future submissions are compared. Submission of an application and continued enrollment signifies your permission for this use of your written work.