Fill and Sign the Sample Rubrics for Project Proposal Form

Application Form UNDERGRADUATE DEGREE-COMPLETION Additional information and instructions are available for download from www.rowancgce.com/forms. College of Graduate & Continuing Education Program Information Every item below is required for proper processing. Not all programs allow entry every term and/or module or are available at every location. Please visit your program of interest’s webpage for details: www.rowancgce.com/programs. Rowan ID (if applicable): Anticipated Entry Point: Fall / Spring / Summer Program Name: Location: Do you intend to be a full-time student? Yes / Year: 20 1 / Module (if applicable): No 2 / Program Code: Glassboro / Camden / Online / 3 / 4 / 5 / 6 Major Code: Other COGS / Focus Area / Track / Clinic Location (if applicable): Applicant Information Full Legal Name (Last / First / MI, Suffix, Etc.): Other names that may appear on your academic records: Birth Date: / / SSN: Home Phone Number: ( ) - - Email: - Other Phone Number: ( ) - Permanent Home Address (Number / Street / Apt. Number): City / Town: State / Province: County / Parish: Country: Zip Code: Current Mailing Address if different than above (Number / Street / Apt. Number): City / Town: State / Province: County / Parish: Country: Zip Code: Demographics Gender, ethnicity, and race are requested for Federal Government reporting purposes only. Gender? Male / Female What is your ethnicity? Hispanic or Latino / Not Hispanic or Latino If you chose Hispanic or Latino, please choose one of the following: Central or South American / Cuban / Mexican / Puerto-Rican / Hispanic Other Regardless of your responses to questions above, please choose one or more race categories from the list below: American Indian or Alaskan Native / Asian / Black or African American / Native Hawaiian or Other Pacific Islander / White Citizenship For more information on applying as an international student, please visit www.rowancgce.com/internationalstudents. Select: U.S. Citizen / Alien or Permanent Resident / Non-Resident Alien If you are not a U.S. citizen, please list your country of citizenship: If you are not a U.S. citizen and you currently hold a visa, please indicate the type of visa: What is your first language, if not English? 1 | Application Form: Undergraduate Degree-completion Your Life. Your Education. Your Terms. Educational Background List in reverse chronological order all colleges or universities at which you have officially registered, including any previous attendance at Rowan University* (formerly Glassboro State College and Rowan College of New Jersey). All institutions where any credit-bearing work was taken must be listed below and official transcripts must be submitted— regardless of number of credits taken. *Former Rowan applicants and students may be contacted to submit additional information. Location City & State Name of College / Institution Dates of Attendance MM / DD / YY to MM / DD / YY College Courses (if currently enrolled) AA / / to / / / / to / / / / to / / / / to / / / / to / / / / to / / / / to / / / / to / / Name of College / Institution Do you anticipate receiving your degree from a New Jersey Community College? If yes, which of the following: / OFFICIAL USE ONLY Credit GPA AAS / Yes / Credit No AS Graduation Date: Are you currently enrolled as a NJ STARS participant? Yes / No Work / Life Experience Required for all programs. Applicants to all CGCE programs must submit a current professional resume. Are you currently employed? Yes / No If yes, please provide the name of your employer: How Did You Learn About This Program? Direct Mail (Email or Postal) / Print Advertisement / Recruitment Event or Representative / Internet Search or Advertisement / Broadcast (Television or Radio) / Other 2 | Application Form: Undergraduate Degree-completion Your Life. Your Education. Your Terms. Submitting Your Application Completed applications should be returned to CGCE Admissions with a $65 non-refundable application fee. Check or money order payable to Rowan University. Major credit/check cards (Visa, MasterCard, Discover, American Express) accepted. Applicants must also submit with the application all supporting documentation (transcripts, test scores, recommendations, etc.). Submit all materials to: Rowan University, CGCE Admissions Enterprise Center, Suite 200 225 Rowan Boulevard Glassboro, NJ 08028 • Faxed (856.256.5637) and emailed (cgceadmissions@rowan.edu) items are acceptable for everything except official test scores, official transcripts, and letters of recommendation. • Please do not send materials for CGCE programs to any address or office other than the one above as this will delay processing. Additional information and instructions are available for download from www.rowancgce.com/forms. Important! All applicants must read and sign the following: • I certify that all information submitted in the admission process— including the application, any supplements, and any other supporting materials— is my own work, factually true, and honestly presented, and that these documents will become the property of the College of Graduate & Continuing Education (CGCE) and Rowan University and will not be returned to me. I understand that any misrepresentation of fact will constitute cause for cancellation of my application prior to admission or dismissal following admission. • I understand that admission to the CGCE at Rowan University is competitive. CGCE applicants are admitted according to the standards and requirements established by Rowan University’s academic departments. Program-admission committees use different criteria, according to the requirements of the profession and the number of applicants applying to the program. Each component of the application is carefully reviewed and taken into consideration for each candidate. • I agree to abide by all rules, regulations, policies and procedures of the CGCE and Rowan University. • I acknowledge that in order for my application to be evaluated, all required application materials must be received prior to the application deadline for the entry point indicated on this application; otherwise, my application cannot be evaluated for that entry point. I understand that application deadline information can be found on my program of interest’s webpage located at www.rowancgce.com/programs. • I acknowledge that I have reviewed Rowan University’s Student Consumer Information Report at www.rowan.edu/ierp/fastfacts/consumer.html. Signature: Date: / / The College of Graduate & Continuing Education and Rowan University do not discriminate on the basis of race, color, ethnicity, national origin, religion, creed, sex, age, marital status, parental status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation. 3 | Application Form: Undergraduate Degree-completion Your Life. Your Education. Your Terms. Credit Card Authorization Please complete the form below if you are paying the $65 application fee with a credit card only (Visa, MasterCard, Discover, or American Express). I, , hereby authorize charging my credit card in the amount of $65.00. Cardholder’s Name (Please Print) Check One: Visa / MasterCard / Discover / American Express Account Number: Cardholder’s Phone Number: ( Expiration Date (MM/YY): ) / - Cardholder’s Signature: 4 | Application Form: Undergraduate Degree-completion Your Life. Your Education. Your Terms.