Jackson State University- Division of Graduate Studies

Application for Admission to Graduate Degree Candidacy:  Masters'

Directions:  On-line directions are found in "CyberOrientation".  Click here: Master.
Please submit three (3) copies of form (one original and two copies) to the Division of Graduate Studies.

Section 1.  To be completed by the student.  Complete the "typed" section prior to printing and obtaining the required signatures.

Name:   JSU ID No. J

Street, Apt. No.

City, State, Zip.

Home/Cell Telephone:    E-mail: 

Expected Date of Graduation:   Year:   Semester:  select one Fall Spring Summer

1.  Degree: Select one Master of Arts Master of Arts in Teaching Master of Business Administration Master of Music Education Master of Professional Accountancy Master of Public Health Master of Public Policy and Admin. Master of Science Master of Science in Education Master of Science in Teaching Master of Social Work  Major: Select 1 Accounting Biology Business Chemistry Communicativie Disorders Computer Science Criminal Justice Early Childhood Educational Admin. and Super. Elementary Education Engineering English Environmental Science Guidance Hazardous Materials History Mass Comm. Mathematics Music Physical Ed. Political Science Public Policy and Admin. Public Health Reading Rehab. Counseling Science Ed. Secondary Ed. Social Work Sociology Sports Science Special Ed. Technology Urban & Regional Planning

2.  Graduate English Competency Examination Select one GECE Passed GECE Exempt ENG 500 Completed, with "B" or Better  List Semester:  
3. Program Option Selected  Select One Thesis: Complete Section 2 Project: Complete Section 2 Extra Coursework: Go To Section 3 Recital (MME only): Go to Section 3 Note:  The Committee may be formed at a later date.  Omit Section 2 and complete the "Committee Approval  Form".

Signature of Student/Date:  ___________________________/____

Title:

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Section 2. Committee Approval:  We have read this proposal for significance, methodology, sources of data, compliance with IRB/IACUC regulations and recommend its acceptance. We agree to serve on this committee in accordance with the policies of the department/program, college, and Division of Graduate Studies.

Signatures

Committee Chair/Date Name Typed:	Committee Member/Date Name Typed:
Committee Member/Date Name Typed:	External Committee Member/Date Name Typed:

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Section 3.  Certification and Recommendation of the Department/Program and College.

We have examined the entire graduate record of the student named above. The required grade point average (GPA) of the department/program has been maintained. The requirements of the department/program, school, college and the Division of Graduate Studies for Candidacy have been met.   (Please attach a current Degree Evaluation).)

We recommend that this student be admitted to candidacy for the degree indicated. (Please sign and date).

Major Advisor: _____________________________/_______	Graduate Program Director: ______________________________/______
Department Chair: _______________________________/_____	Academic College Dean: ______________________________/______

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Section 4.  Accepted for the Graduate Council.

Graduate Dean:  ___________________________/_________

Effective: January 2008, supercedes Forms A and II.