This is required information.
Incomplete applications will not submit.
NOTE: In order to apply electronically the applicant's
Social Security number must be provided.
Type none if no middle name
Other Last Names used on records
Type none if this does not apply to you.
Optional - for federal/state reporting purposes only
- This information will be used in a nondiscriminatory manner
consistent with civil rights laws.
Natural American Indian
Nav Hawaiian/Pacific Islander
Do you consider yourself to be Hispanic/Latino?
In addition, select one
or more of the following racial categories to describe yourself:
American Indian or Alaskan Native
Black or African American
Native Hawaiian or Pacific Islander
Are you a US Citizen?
Graduate - Degree seeking
Graduate - Non-degree Seeking
If you are seeking a degree, what
is your intended program/major?
College Student Affairs(MEd)
Computer & Information Science(MS)
Curr & Instruction-Elem(MEd) - Online
Curr & Instruction-Sec(MEd) - Online
Educ Administration & Sup(MEd)
Executive Public Administration(EMPA)
Master of Arts in Teaching (MAT 7-12 licensure)
Special Ed P-4(MEd)
Special Ed 4-12(MEd)
If you are not seeking a degree, please select purpose of enrollment:
Add'l License -- Building Administrator
Add'l License -- District Administrator
Add'l License -- Gifted & Talented
Add'l License -- Library
Add'l License -- LPC
Add'l License -- Math
Add'l License -- Middle School
Add'l License -- School Counseling
Add'l License -- Special Ed
License Renewal(6 hrs max) (specify below)
Spring 2010 (deadline 12/1/2009)
Have you previously attended SAU
Never previously enrolled at SAU Magnolia
Previously enrolled at SAU Magnolia as an undergraduate student
Previously enrolled at SAU Magnolia in School of Graduate
Previously enrolled at SAU Magnolia as both an
undergraduate and a graduate student
Please list all graduate work completed at colleges/universities you have
attended including Southern Arkansas University, Magnolia.
Please list the most recently attended college or
university first. If the college or university is
not listed, please select the state where it is located. Please complete
all columns shown -- selecting NONE or N/A where applicable.
Please list current teaching licenses (type NONE in first text box line if not applicable).
Total years of teaching experience
3 or more years
Have you ever been committed to a correctional or training
If the answer to either question is
"yes", give details below.
I agree to submit other materials which are
required for this admission application and understand that failure to do
so and /or the furnishing of false, incomplete, or misleading information
in connection with my admission or attendance at Southern Arkansas
University, Magnolia may at any time result in the termination of my
admission and registration at SAUM.
I agree that as a student I am subject to the
Southern Arkansas University, Magnolia Code of Student Conduct.
I agree that directory information as defined
by the Family Educational Rights and Privacy Act will be available to the
general public unless I notify the vice president for student affairs no
later than the end of registration week each semester or term that all or
part of the directory information should not be released without prior
consent. Directory information means information contained in an
education record of a student that would not generally be considered
harmful or an invasion of privacy if disclosed. It includes, but is
not limited to, the student's name, address, telephone listing, electronic
mail address, photograph, date and place of birth, major field of study,
dates of attendance, grade level, enrollment status (e.g., undergraduate
or graduate; full-time or part-time), activities and sports, weight and
height of members of athletic teams, degrees, honors and awards received,
and the most recent educational agency or institution attended.
I understand that submitting this
application will serve as my permission for the Office of Graduate Studies
and advisors of this program to have access to my academic records and
By submitting this information to Southern
Arkansas University you are agreeing to the above statement.
Southern Arkansas University, Magnolia is
committed to the policy of providing educational opportunities to all
qualified students regardless of their economic or social status, and will
not discriminate on the basis of race, age, color, sex, disability, or
When you have completed
the Online Graduate Application for Admission, click the "Submit" button
TIME ONLY. We recommend you print the
application before submitting,
in case there are problems with your submission.