1.
Full Legal Name
Prefix
*Last:
*First
Middle
Preferred Name
Any other names under
which your documents might be received?
2.
*Social Security Number
3.
Sex
Male
Female
4.
Date and Place of Birth
*Birth Date (mm/dd/yyyy)
*City
*Country
5.
Religious Affiliation (optional)
6.
*Country of Citizenship
United States
Other
If you're not a U.S. citizen,
are you currently living in the United States?
Yes
No
If you're a Non-immigrant,
what is your current visa status?
Non-Applicable
F-1
F-2
J-1
J-2
B-1
H-1, L-1, C-1, or
A-1
H-4
Need
Other
If other, specify.
If you're a Permanent Resident,
what is your alien card identification?
7.
Military Status (if applicable)
Active
Reservist
Veteran Claiming Benefit
Veteran Not Claiming
Benefit
Non-Applicable
PL 634 Dependents
PL 894 Rehab
PL 358 Cold War
Vietnam Bill
PL 550 Korean
Non-Applicable
8.
Residence Address (current
mailing address)
*Street and Number
*City
*State/Country
*Zip Code
9.
Permanent Address (if different
from above)
Street and Number
City
State/Country
Zip Code
10.
Business Address
Street and Number
City
State/Country
Zip Code
11.
Contact Information
Residence Phone
Business Phone
Fax
Cell Phone
Pager
Primary Email
Secondary Email
12.
Employment Status
Parent organization for
whom you currently work
Your title or position
Immediate supervisor's name
Supervisor's title or position
Beginning date for your
current position
No. of years with
employer
13.
*Please select all the
categories that apply to you. Note! This information is for
statistical purposes only and you may decline to answer.
(CTRL click for multiple selections)
Unspecified
American Indian/Alaskan Native
Asian/Pacific Islander
Hispanic
White
Black Non-Hispanic
Foreign Student Under
Temporary Visa
Foreign Student, Refugee
Status
Other:
14.
Colleges and universities
(including SMU) in which you have registered for any course
work, whether or not credit was earned or a grade received.
Include all degrees and dates awarded. An official transcript
must be submitted for each college and university attended .
Begin with most recent.
*College or University
*Location
*Dates of attendance
From
To
*Major field
*Degree
Date received
*GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
College or University
Location
Dates of attendance
From
To
Major field
Degree
Date received
GPA
15.
GRE Scores
Not required for Executive
Tracks!
Verbal
Analytical
Quantitative
16.
*Applying for Financial
Aid
Yes
No
If yes, please indicate.
AMS - Payment Plan
Federal Student Loan
SMU Approved Voucher
Private Loan
Other
Non-Applicable
Other:
Please note!
Corporately sponsored students
participating in the Advanced Tuition Payment Program are required
to sign a promissory note at orientation and are ineligible
for financial aid!
17.
*Have you previously applied
to any program at SMU?
Yes
No
If yes, indicate date
of admission.
18.
*Have you ever been dismissed
or suspended from, or denied admission to, any school, college
or university, or graduate school?
Yes
No
If yes, explain.
19.
Please indicate the desired
program and degree.
MS Engineering
Management
MS Systems Engineering
MS Information
Engineering and Management
MS Software Engineering
MS Security Engineering
MS
Electical Engineering with Telecommunications Design Specialization
MS Telecommunications
ME Manufacturing Systems
Management
MS
Packaging of Electronic and Optical Devices
MS Facilities Management
20.
If sufficient enrollment
is not met for the program above, what is your 2nd program of
choice?
MS Engineering
Management
MS Systems Engineering
MS Information
Engineering and Management
MS Software Engineering
MS
Electical Engineering with Telecommunications Design Specialization
MS Tecommunications
ME Manufacturing Systems
Management
MS
Packaging of Electronic and Optical Devices
MS Facilities Management
21.
Essays
*Personal
Statement
What do you expect to accomplish through the School of Engineering's
Executive Masters Degree Program?
What learning experience do you expect, and how will you apply
them to your professional career?
What are you personal reasons for wanting to undertake this
program of study?
*Statement
of Job Responsibility
Describe the organizational unit to which you are attached
and relate it to the total organization in terms of size and
scope of business. Please give an accurate description of
your position. What is your scope of responsibility?
To what position do you report? What is the scope and size
of your profit-and-loss responsibility?
What are your management responsibilities with respect to
staff?
22.
Sponsorship
Candidates
for the SMU School of Engineering Executive Masters Degree
Program are generally nominated and sponsored by their organizations.
The sponsor understands that all payments are non-refundable.
The sponsor agrees that the applicant will be free of professional
duties on those days that the School of Engineering's classes
are scheduled.
In cases where there is no corporate sponsorship, the applicant
agrees to abide by the terms and conditions outlined for organizational
sponsors. In these cases, the applicant must provide the sponsor's
contact information.
Name of the sponsor
Title of the sponsor
Phone
Email
23.
Tuition
Tuition for the
Executive Masters Degree Program for the School of Engineering
is estimated to be $25,750, including a $2,500 non-refundable
deposit. All candidates that are accepted into an Executive
Masters Degree Program are required to submit the deposit by
the date indicated. We cannot reserve a seat in the class
until the deposit is received.
24.
Application Payment
Please note that
your application will not be finalized until your $60 application
fee is paid.
Payment Options
Credit Card
Bill Me
Will Call
Credit Card Type
Visa
Master Card
Non-Applicable
Credit Card Number
Credit Card Expiration Date
25.
Who referred you to the
SMU Executive MS Degree Program?
26.
Intellectual
integrity and academic honesty are fundamental to the process
of learning and evaluating academic performance, and maintaining
them is the responsibility of all members of an educational
institution. The inculcation of personal standards of honesty
and integrity is a goal of education in all the disciplines
of the University. Students and faculty must mutually share
the knowledge that any dishonest practices permitted will
make it more difficult for the honest students to be evaluated
and graded fairly and will damage the integrity of the whole
University. Students should recognize that both their own
interests - and their integrity as individuals - suffer if
they condone dishonesty in others. All students at SMU have
the responsibility to uphold the integrity of their own education.
There are two basic Honor Code violations that each student
should be aware of: 1) giving and receiving of unauthorized
aid and 2) plagiarism. By submitting this application, I understand
that any breach of the Honor Code is considered a serious
violation of University standards. I am aware that it is my
responsibility to abide by the SMU Honor Code. I agree that
upon acceptance of the offer of admission to bind myself to
the terms and conditions of the SMU Honor Code.
I certify that all statements made in this application for
admission to the Executive Masters Program at the SMU School
of Engineering are correct to the best of my knowledge. I
realize that all documents submitted in support of this application
become the property of SMU. I understand and agree that any
misrepresentation or omission of facts in my application will
justify the denial of admission or the cancellation of admission.
SMU will not discriminate
in any employment practice, education program, or educational
activity on the basis of race, color, religion, national origin,
sex, age, disability, or veteran status. SMU's commitment to
equal opportunity includes nondiscrimination on the basis of
sexual orientation. The Director of Affirmative Action has been
designated to handle inquiries regarding the nondiscrimination
policies and may be contacted at (214) 768-3601.