Graduate Application

Basic Information

First Name

Middle Name

Last Name

Birthdate

Email Address

Primary Phone

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address is different than Permanent Address

Mailing Address

Country

Street

City

Region

Postal Code

Bachelor's Degree Information

DeleteInstitution _ID_
Academic History
Where did/will you receive your bachelor's degree? When did/will you receive your bachelor's degree? When did/will you receive your bachelor's degree? Institution CEEB Code Level of Study

Add College

Employment Information

Current Employment Status

Employer

Job Title

Enrollment Information

Entry Term

Academic Program

Are you interested in scholarship opportunities?

Yes

No

Are you applying for a GA position

References

Reference 1

First Name

Last Name

Email

Phone

Reference 2

First Name

Last Name

Email

Phone

Additional Information

Military Affiliation

Citizenship Status

Are you Hispanic or Latino? Optional

How would you describe your race? Optional; select all that apply

How did you hear about us?

If "Other" please type how you first heard about Nichols College Graduate Programs

Application Acknowledgement Certification

I attest that I am hereby applying for admissions to Nichols College. I agree to abide by its regulations. I certify that the foregoing information is true and complete to the best of my knowledge and fully realize that omission or falsification of information will be considered sufficient reason for rejection of this application or for dismissal.

Signature