Graduate Application

Education

If you have attended school under another name (i.e. maiden name), please list below.

What is your language or mother tongue?*

How many previous colleges?*

1.) Name of College*

1.) College Location*

City State / Province / Region Country

1.) Did you graduate from this college/ will graduate?*

Yes
No

1.) Were your classes quarters or semesters?*

Quarters
Semesters

1.) Overall GPA*

Please input your GPA within the range of 0.0 - 4.0

1.) Month/Year Graduated or Expected Graduation*

1.) What was your Degree Type, Major, and Emphasis*

2.) Name of College*

2.) College Location*

City State / Province / Region Country

2.) Did you graduate from this college?*

Yes
No

2.) Were your classes quarters or semesters?*

Quarters
Semesters

2.) Overall GPA*

Please input your GPA within the range of 0.0 - 4.0

2.) Month/Year Graduated*

2.) What was your Degree Type, Major, and Emphasis*

3.) Name of College*

3.) College Location*

City State / Province / Region Country

3.) Did you graduate from this college/ will graduate?*

Yes
No

3.) Were your classes quarters or semesters?*

Quarters
Semesters

3.) Overall GPA*

Please input your GPA within the range of 0.0 - 4.0

3.) Month/Year Graduated or Expected Graduation*

3.) What was your Degree Type, Major, and Emphasis*

4.) Name of College*

4.) College Location*

City State / Province / Region Country

4.) Did you graduate from this college/ will graduate?*

Yes
No

4.) Were your classes quarters or semesters?*

Quarters
Semesters

4.) Overall GPA*

Please input your GPA within the range of 0.0 - 4.0

4.) Month/Year Graduated or Expected Graduation*

4.) What was your Degree Type, Major, and Emphasis*

5.) Name of College*

5.) College Location*

City State / Province / Region Country

5.) Did you graduate from this college/ will graduate?*

Yes
No

5.) Were your classes quarters or semesters?*

Quarters
Semesters

5.) Overall GPA*

Please input your GPA within the range of 0.0 - 4.0

5.) Month/Year Graduated or Expected Graduation*

5.) What was your Degree Type, Major, and Emphasis*

Does your academic record accurately reflect your capabilities?*

Yes
No

Describe why not*

Is your undergraduate degree in communication disorders, speech and hearing science, or speech language pathology?*

Yes
No

List the pre-requisite leveling courses you have taken.*

(Include Course Name/Number, Institution Name, Semester, and Grade per line.)

List any academic honors, awards, or achievements you have received.

List any scholarships you have been awarded.

Please list community service activities you have been involved in during the past 5 years including the organization name, your role/responsibilities, dates position was held, and include a brief description of activities you performed in your role.*

(Role, Dates of Participation, Organization Name, Description per line)

Please list any leadership activities that you have been involved in over the past 5 years including the organization name, your role/responsibilities, dates position was held, and include a brief description of activities you performed in your role.*

(Role, Dates of Participation, Organization Name, Description per line)

List any scholarly activities in which you have participated (conferences attended, research projects, etc.)

(Activity, Location, and Date per line.)

List any achievements, awards, and observation hours

(Activity, Location and Date per line.)

List any extracurricular activities you were involved in during your undergraduate program.

(Activity, Name of Institution, and Date from-to per line.)

List any volunteer opportunities you had that are related to speech language pathology.

(Activity, Location, and Date per line.)

List any employment experiences you had related to direct patient care.

Please include medical school.
(Activity, Location, and Date per line.)

Do you have documentation of your completed 25 observation hours signed by a certified SLP? (If admitted, documentation must be submitted to the Clinic Director by June 1)*

Yes
No

How do you plan to complete the 25 observation hours by the June 1 deadline?*

Do you have documentation of observation hours signed by a certified PA?*

Yes
No

Have you graduated from a PTA program?*

Yes
No

Are you licensed?*

Yes
No

What is your license number?*

Have you attended another PT program?*

Yes
No

If yes, where?*

E.g., university, institution, etc.

(US Students) State*

Have you taken the TOEFL or IELTS?*

I have taken the TOEFL
I have taken the IELTS

If you have not taken either the TOEFL or IELTS, when are you going to take the test?

mm/yyyy formatting. I.e., for September, 2021, you would input 09/2021.

TOEFL Score*

IELTS Score*

Are you eligible to return to this PT program?*

Yes
No

Have you taken the GRE?*

Yes
No

How many attempts for the GRE?

Date last GRE was taken*

GRE Total Score*

Please fill out the highest score you received in each area below.

Verbal*

Quantitative*

Analytical Writing*

Have you requested the score be sent to Faulkner University? (Institution Code – 1034)*

Yes
No

Have you taken the MAT?*

Yes
No

Date MAT was taken*

MAT Score*

Have you taken the GMAT?*

Yes
No

Date GMAT was taken*

GMAT Score*

Graduate Application

Graduate Form

Citizenship

Admissions

General

Education

Employment

Agreement

NONDISCRIMINATORY POLICY

Introduction