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ON-LINE APPLICATION

* Please note:  Do not print and mail this electronic application. If you prefer to submit a paper application, return to Graduate School paper application to print an application form to be completed and mailed with a check.

Use upper and lower case characters throughout this application and make sure to always use the Back arrow to return to the online application if you leave it to review another page.

GENERAL INFORMATION
1. Name:
First Name: (required)
Middle Initial: OR Middle Name:
Last or Surname: (required)
Suffix:
2. Other Names:
List any other name(s) which may appear on transcripts or test score reports which may differ from the Name listed above.
(last, first middle; e.g. Smith, Joan A)
(last, first middle; e.g. Smith, Joan A)
3 U.S. Social Security No
- -
(Required of all U.S. Citizens and permanent residents applying for entrance to
AIDAN UNIVERSITY)
4. Permanent Address:
Street Address 1: (required)
Street Address 2:
City: (required)
State or Province: (required)
Zip or Postal Code: (required)
Country: (required)
U.S. Tel No.: (- (required)
U.S. Fax No.: (- (required)
International Tel.:
International Fax.:
5. Mailing Address: (If different than Permanent Address)
Valid until: / / (e.g. 09/01/2002)
Street Address 1: (required)
Street Address 2:
City: (required)
State or Province: (required)
Zip or Postal Code: (required)
Country: (if not U.S.)
U.S. Tel No.: (-
6. E-Mail Address:
7. Confirm E-Mail Address:
8. Date of Birth:
/ /   (Month/Day/Year, example: 02 / 09 /1975) (required)
(Note:  please enter all dates with 2 digits for month, 2 digits for day and 4 digits for year.)
9. Gender:
 Female  Male (required)
10. Residency
U.S. Citizen?
Yes  No:
If No, specify country of citizenship
          If No, are you a Permanent U.S. resident?
          Yes  No  
If you are NOT a U.S. citizen or a Permanent Resident,
please complete questions 11, 12.
11 What U.S. Visa, if any, are you currently holding?
None     
12. If You Are An International Student,
Please Give Us Your City and Country of Birth:

ENROLLMENT PLANS
13. When do you plan to begin your enrollment?
Fall Semester  Spring Semester*  Summer Session
Year:  (enter 4 digit year - e.g. 2002)
14. Graduate Educational Objective:
Select below only one degree program and level of study. To apply to multiple programs, you must submit separate applications. For graduate programs Education and Public Health, all specializations are identified within [ ]; for all other programs, enter your area of study, specialization, or concentration in free form in the space entitled "Sub-field or Specialization".
(required)
Sub-field or Specialization 
EDUCATION
15. Give names of all colleges and universities attended (except those where 5 or fewer credits were taken), dates of attendance, and degrees received
(remember to use 2 digits for month and 4 digits for year):
Ugrad/Grad U
Years
of
Attendance
Degrees Granted or Expected
Name of Institution Univ. of Texas
Major Field of Study Mathematics
From
Yr.
To
Yr.
Mo. Yr.
Degree Bachelor of Science
1998
2002
05
2002
Ugrad/Grad U
Years
of
Attendance
Degrees Granted or Expected
Name of Institution Univ. of Texas
Major Field of Study Mathematics
From
Yr.
To
Yr.
Mo. Yr.
Degree Bachelor of Science
1998
2002
05
2002
Ugrad/Grad U
Years
of
Attendance
Degrees Granted or Expected
Name of Institution Univ. of Texas
Major Field of Study Mathematics
From
Yr.
To
Yr.
Mo. Yr.
Degree Bachelor of Science
1998
2002
05
2002
Ugrad/Grad U
Years
of
Attendance
Degrees Granted or Expected
Name of Institution Univ. of Texas
Major Field of Study Mathematics
From
Yr.
To
Yr.
Mo. Yr.
Degree 1998
2002
05
2002
Ugrad/Grad U
Years
of
Attendance
Degrees Granted or Expected
Name of Institution Univ. of Texas
Major Field of Study Mathematics
From
Yr.
To
Yr.
Mo. Yr.
Degree Bachelor of Science
1998
2002
05
2002
16. Have you applied for admission to Aidan University at any previous time?
Yes: Term(s)   e.g. Fall 1999 No
GRADE POINT AVERAGES (optional)
Please furnish to the best of your ability your undergraduate and graduate grade point averages (GPA's) using the following scale:
A=4.00, A-=3.67, B+=3.33, B=3.00, B-=2.67, C+=2.33 ... F=0.0.

Undergraduate Career GPA for all courses taken  e.g. 3.42
GPA for all courses taken in major field  e.g. 3.58
GPA for all courses taken in the last two years  e.g. 3.50

Graduate Career, if applicable GPA for all courses taken  e.g. 4.00

REFERENCES
17. Name two (or three depending on the program to which you are applying, see instructions) persons acquainted with your academic and/or professional experience. Print out the Recommendation Form NOW. Give one to each person writing a reference, who will return it directly to the Graduate Admissions Office. After printing, click on Back arrow to return to Application
Reference No. 1
Name
(required)
Swasey, Robert
Position
(required)
Professor
Address
(required)
Math Dept., U of Texas, Austin
Tell. No.
(required)
(000) 123-4567
Reference No. 2
Name
(required)
Swasey,Robert
Position
(required)
Professor
Address
(required)
Math Dept, U of Texas, Austin
Tell. No.
(required)
(000) 123-4567
Reference No. 3
Name
(required)
Swasey,Robert
Position
(required)
Professor
Address
(required)
Math Dept, U of Texas, Austin
Tell. No.
(required)
(000) 123-4567
EXPERIENCE
18. List any significant professional or career related experiences:
(remember to use 2 digits for month and 4 digits for year):
Approx. Dates of Employment
From To
Mo.
Yr.
Mo.
Yr.
Current Employer
05
1998
05
2002
Employer I.B.M.
Address 1 Main St., Bostan
Tell. No. (000) 123-4567
Job Title Systems Analyst
Previous Employer
Employer I.B.M.
Address 1 Main St., Bostan
Tell. No. (000) 123-4567
Job Title Systems Analyst
Previous Employer
Employer I.B.M.
Address 1 Main St., Bostan
Tell. No. (000) 123-4567
Job Title Systems Analyst
19. List significant academic honors or awards and honor society memberships:

20. Describe any teaching or tutoring experience:

21. If you wish to, please enter your Personal Statement below; otherwise, you must send a copy to the Admissions Office by surface mail. Securely attach a copy of your Application Transmittal Acknowledgement Page as the first page of your Statement or clearly print/type your name, birthdate and the graduate program to which you have applied at the top of your statement.

Your Personal Statement should be a brief but carefully written essay regarding: 1) your reasons you want to seek higher education in your chosen field of study, 2) your specific interests and experiences in this field, 3) any special skill or experiences that may relate to an assistantship, and 4) your career plans.

ETHNIC INFORMATION
Please check the applicable button.
22. American Indian or Alaskan Native
  • Person having origins in any of the original peoples of North America, and who maintains cultural identification through tribal affiliation or community recognition.

African American, not of Hispanic Origin

  • Person having origins in any of the Black racial groups in Africa.

Hispanic

  • Person of Mexican, Puerto Rican, Cuban, Central or South American culture or other Spanish culture or origin, regardless of race.

Asian or Pacific Islander

  • Person having origins in the Far East, Southeast Asia, the Indian sub-continent or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Phillipine Islands, Samos, India, Pakistan, Bangladesh, Sri Lanka, Sikkan, and Bhutan.

White, not of Hispanic Origin

  • Person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

African

APPLICATION FEE PAYMENT
(Must check one box below)
To expedite the processing of your application you can pay your application fee by credit card using the University's secure server. Your credit card will be charged the appropriate application fee of $50.00 and Evaluation Fee of $25.00 for a total of $75.00. (These fees are non-refundable)
23. I wish to pay for my application fee by check or money order which must be drawn on a U.S. bank or Traveler's Checks payable in U.S. dollars (be sure that they are signed in both places) and made payable to the Aidan University. I understand that my application will not be processed or considered by the University until payment is received by the Admissions Office. Your check/money order must be securely attached to a copy of the Application Transmittal Acknowledement sent to you by our office which you must print out after you have submitted your application and mail back to our office.
24. I wish to pay for my application fee of $50.00 and Evaluation Fee of $25.00 for a total of $75.00 with the following Credit Card. I approve these charges


APPLICANT'S CERTIFICATION
By typing my name below, I hereby certify that the above information is complete and correct. I have read and complied with all pertinent instructions and approve of all fees charged to the card of my choice should I elect this method of payment.
25.
  • Signature (name) of applicant:   (required)
  • Date:  
  • Remember that this application will not be processed until the application fees is received by the Admissions Office.
Please submit your application by clicking only once below and wait for a confirmation and information regarding your application status. When the Internet is busy, this submission may take a bit of time.
26.
Aidan University : 5353 Arlington Expressway, Suite 211, Jacksonville, Florida 32211
P.O. Box 351148, Jacksonville, Florida 32235-1148, USA
Office (888) 985-6467 x 104 or (904) 559-1303
Email:
info@aidanu.org
www.aidanu.org