Personal Data (* Indicates Required Application Input)
Name:
* (family) * (given) (middle)
Home Country Address:
* (street address) * (city) * (state/province) * (country) (postal code)
I-20 Mailing Address:
* (street address) * (city) * (state/province) * (country) (postal code)

* Email
Telephone Fax

Date of Birth:
Place of Birth:
* (mm/dd/yy) * (city) * (country)
Residence Country:
* (country)
Citizenship Country:
* (country)

 
Gender: *

Academic Information

If language of instruction is not English Pittsburg State Requires a TOEFL score to meet English language requirement . If TOEFL score is less than 520/190, you must enroll in the Intensive English Program. Official TOEFL scores must be sent directly from the testing agency. The code for Pittsburg State University is 6336.

Please indicate if you have taken the TOEFL test
(TOEFL score) (date)
I will enter Pittsburg State University *
(year) ex. 2005
Please choose program: * I will meet the language requirement to enter the Graduate Program
(choose start month)
I will NOT meet the language requirement so I will enter the Intensive English Program(IEP) prior to the Graduate Program
(choose start month)
If you previously attended PSU indicate last term attended:
(year) ex. 2000
I previously applied to Pittsburg State University Indicate when
(year) ex. 2000

Declared Major:*
(Please be sure that you choose the correct degree with the major you are seeking - the degrees are listed after the major description in the drop down box.)

Check one I plan to come to the US alone.
I am planning to bring dependents with me. A separate list of dependents names, relationship, date of birth, birth country, citizenship country and residency country for each dependent is needed. Please fax or mail to Continuing and Graduate Studies Office as listed below.

Summary of Educational Experience: List all colleges and universities attended(even if no credit was earned). Official transcripts are required. Transcripts from U. S. colleges attended must verify GPA of 2.25 or higher.
Name of Institution Location(City and Country) Dates Attended Certificates/Degrees Granted Language of Instruction Date Conferred
NOTE: If you are beginning work towards an advanced degree, you must submit an official transcript from each institution attended. Transcripts are considered official only if they are received directly from the institution in a sealed envelope. Admission cannot be acted upon until all official transcripts are received. The graduate application fee is non-refundable and the supporting application materials are non-returnable. Students who are accepted into a program will receive a letter stating any conditions.

VERIFICATION

By submitting this application, I certify that the information provided is complete, accurate, and true, and agree to abide by the admission policies and requirements of Pittsburg State University. I understand that information given falsely or withheld could affect the decision on my application and may make me ineligible for admission and/or enrollment. Verification of responses may be requested for any applicant.
Full Name: *

Submit transcripts, test scores, and other materials to:
Pittsburg State University
Office of Continuing and Graduate Studies
1701 S. Broadway
Pittsburg, KS 66762-7520 USA
Telephone 620.235.4223

Submit questions to:
Pittsburg State University
International Programs and Services
1701 S. Broadway
Pittsburg, KS 66762-7532 USA
Telephone 620.235.4680 FAX 620.235.4962
email