Application Form

FORDHAM
New York City's Jesuit University

Graduate School of Arts and Sciences

APPLICATION FOR ADMISSION

Office of Graduate Admissions

216 Keating Hall * 441 East Fordham Road
Bronx, New York 10458-5161
Telephone 718/817-4416 * Fax 718/817-3566

General/Financial Aid Deadline: January 2

Matteo Ricci Fellowship Deadline: April 1

I. PERSONAL DATA (Please type or print clearly)

_______________
Social Security #

____________________________________
Last (Family) Name

_____________________________
First Name, Middle Name

Title:(optional) ___Mr. ___Ms. Other________	Other name under which your records might appear:
Gender: ___Male ___Female	________________________________________
Current/Local Address Until _______________	Permanent address if different from current address:
_________________________________________	_________________________________________
_________________________________________	_________________________________________
_________________________________________	_________________________________________
Telephone _______________________________	Telephone _______________________________
E-Mail _______________________________ Date of Birth ___________________________ Place of Birth___________________________ Permanent Residence _____________________ Citizenship ____________________________	*Predominant Ethnic Background (Optional)* (The following information will be used only as unidentifiable portions of statistical reports requested of education institutions by the Department of Health and Human Services under Title VI of the Civil Rights Acts of 1964.) ___ White (non-hispanic) ___ Asian or Pacific Islander ___ Black (non-hispanic) ___ Native American (Indian) ___ Hispanic ___ Alaska Native

Check one: ___Current immigration status or ___Intended Visa status
___US Permanent Resident ___F-1 ___J-1 ___J-2 ___B-2 ___Other (specify) __________________

How have you contacted Fordham? (Check all that apply):
___Phone Call ___Office Visit ___WWW ___Poster Card ___Letter
___GRE Forum ___Newspaper ___E-mail ___Recruiting Event ___Other ______________

II. ACADEMIC INFORMATION

Term: ___Fall ___Spring ___Summer Year: 20______	___Check if applying for financial aid ___Check if applying for University housing
Proposed Program: *Int'l Pol Eco & Development* Specialization (Optional): _______________________
Degree Level: (Check all that apply) __MA __Int'l Business & Finance Certificate Highest Degree Completed: __BA/BS __MA/MA __PhD	Attendance: ___Full time ___Part time Student Status: ___New ___Continuing ___Returning

Check here if you are in the process of earning a degree from Fordham University:
__BA/BS __MA/MS __Other(specify)_____________________________________________

III. APPLICATION FOR UNIVERSITY-SPONSORED FINANCIAL ASSISTANCE
Financial Aid Deadline: January 2 (Matteo Ricci Fellowship Deadline: April 1)

Fordham University offers the several forms of merit-based financial assistance. Students who want to apply for loans should contact Fordham University's Office of Financial Aid, Thebaud Hall, 441 East Fordham Road, Bronx, NY 10458-5161, telephone 718/817-3800. University-sponsored financial aid, with the exceptions of High School Teachers Enrichment Fellowships and the Matteo Ricci Fellowship, is only available to full-time students. Students submitting this application will be considered for all forms of financial assistance that are available in the department to which they are applying. Financial aid is awarded on an annual basis, and these awards pertain to the beginning of each academic year. If your file was not completed by then or you deferred admission to a later date, you must re-apply for financial aid. If awarded financial assistance, you must agree to devote full time to graduate study and the duties involved in your appointment. Engagement in any other regular occupation requires approval of the dean.

Academic year/semester(e.g. 2008 Fall) ___________________________

Is there any special type of merit-based financial assistance for which you are particularly qualified and wish to apply (i.e., Regular Assistantships have no special requirements and are based solely on academic merit. Global Markets Assistantships require international business experience. Public Service Assistantships require US citizenship. Arrupe Fellowships have international development work experience and language requirements, Matteo Ricci Fellowships are restricted to students nominated by int'l non-profit relief, development, and policy advocacy organizations, the UN and its Agencies, Country Missions to the UN, and New York Consulates; Seix-Dow Fellowships are restricted to students of Hispanic origin; Peace Corps Fellowships are designated solely for returned Peace Corps Volunteers.)? If yes, please indicate why.

____________________________________________________________________________

Indicate briefly any practical experience in: (a)teaching; (b)research; (c)library service; (d)office work; or (e)computer operation.

____________________________________________________________________________

IV. STATEMENT OF INTENT

On a separate piece of paper, please describe your purpose in undertaking graduate work in relation to the program of your choice. Include an explanation of your research and study interests, indicating how they relate to your professional goals. You may use the opposite side and/or attach a separate sheet. Please limit this essay to a maximum of 5 to 7 pages. Please type your essay.

V. LETTERS OF RECOMMENDATION:

Please provide the following information for these individuals from whom you have requested reference reports:

Full Name Title/Position & Department/Institution City/State/Nation

___________________ _____________________________________ ___________________

___________________ _____________________________________ ___________________

___________________ _____________________________________ ___________________

VI. PREVIOUS EDUCATION (Beyond secondary school)

Name/Location of school
(Please list in reverse chronological order) School Code
(4 Digit ETS Code) Attendance
began Dates (M/Yr)
ended GPA Degree
(e.g., BA. BS.) Date received
/expected

______________________ __________ ________ ________ ____ _________ ________

______________________ __________ ________ ________ ____ _________ ________

______________________ __________ ________ ________ ____ _________ ________

______________________ __________ ________ ________ ____ _________ ________

Have you taken non-matriculated courses at Fordham? __________ Number of Credits __________

Test Scores, if known
(official reports required)

Test Date V Q A Subj TOEFL TWE Languages Competency (Speak/Read/Write)

raw score
GRE
percentiles ____ ____
____% ____
____% ____
____% ____ __________
__________
__________ __________
__________
__________

TOEFL ____ ____

TWE ____ ____

Name of any published works, scholarly research done, etc., and/or honors or other evidence of high scholarship awarded to you.

______________________________________________________________________

I understand that, while a student at Fordham, I am subject to the disciplinary powers of the University as specified in the current Bulletin of the Graduate School of Arts and Sciences. All application forms, application fees and documentation remain the property of Fordham University and may not be returned. I also understand that no decision can be made until the transcripts of undergraduate and graduate records, reference reports and results of the Graduate Record Examination (including advanced examination) and TOEFL examination (if applicable) have been received. If accepted, I will submit all pertinent official final transcripts reflecting any and all degrees granted to me.

____________________ 20____ _____________________________________

(Date) (Signature of Applicant)

A non-refundable application fee of $85 is required.
This fee may be paid by cash, check or money order and is not refundable. Fee paid $______
__PD __RQ __WV __GS __RT
(for office use only)

Return all application materials to: Fordham University, Office of Graduate Admissions, 216 Keating Hall, 441 East Fordham Road, Bronx, NY 10458-5161, USA

Full Name	Title/Position & Department/Institution	City/State/Nation
___________________	_____________________________________	___________________
___________________	_____________________________________	___________________
___________________	_____________________________________	___________________

Name/Location of school (Please list in reverse chronological order)	School Code (4 Digit ETS Code)	Attendance began	Dates (M/Yr) ended	GPA	Degree (e.g., BA. BS.)	Date received /expected
______________________	__________	________	________	____	_________	________
______________________	__________	________	________	____	_________	________
______________________	__________	________	________	____	_________	________
______________________	__________	________	________	____	_________	________

Test	Date	V	Q	A	Subj	TOEFL	TWE	Languages	Competency (Speak/Read/Write)
raw score GRE percentiles	____	____ ____%	____ ____%	____ ____%	____			__________ __________ __________	__________ __________ __________
TOEFL	____					____
TWE	____						____

____________________ 20____	_____________________________________
(Date)	(Signature of Applicant)
A non-refundable application fee of $85 is required. This fee may be paid by cash, check or money order and is not refundable.	Fee paid $______ __PD __RQ __WV __GS __RT (for office use only)