Graduate Application ChecklistAll graduate program applications are consolidated into one form that can be used to apply for any graduate program. Graduate Application for Admission Save my progress and resume later | Resume a previously saved formResume LaterIn order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Page 1Graduate Application for Admission CampusPortlandOnline Program of StudyPlease select...Master of Arts in CounselingMaster of Arts in Global Development & JusticeMaster of Arts in Teaching English to Speakers of Other LanguagesGraduate Advanced TESOL CertificateGraduate Foundations in TESOL Certificate Program of StudyPlease select...Master of Arts in Global Development & JusticeMaster of Arts in Teaching English to Speakers of Other LanguagesMaster of Arts in Nonprofit ManagementMaster of Science in Management & LeadershipGraduate Advanced TESOL CertificateGraduate Foundations in TESOL Certificate Admission forPlease select...Fall 2020 (August) Admission forPlease select...Fall 2020 (August) Admission forPlease select...Spring 2020 (January)Fall 2020 (August) Admission forPlease select...Spring 2020 (Spring Semester, A Session)Spring 2020 (Spring Semester, B Session)Fall 2020 (Fall Semester, A Session)Fall 2020 (Fall Semester, B Session) Admission forPlease select...Spring 2020 (Spring Semester, B Session)Fall 2020 (Fall Semester, A Session)Fall 2020 (Fall Semester, B Session) Admission forPlease select...Summer 2020 (May) Admission forPlease select...January 2020 (Spring Semester, A Session)March 2020 (Spring Semester, A Session)August 2020 (Fall Semester, A Session) Application Deadline Due to the travel associated with beginning this program, students must apply for admission to the spring cohort by April 1. In order to book travel arrangements, students are encouraged to submit all supplemental application documents as soon as possible, and no later than April 15. Peace & Reconciliation Concentration Multnomah's MA in Global Development and Justice program offers an optional emphasis in Peace and Reconciliation. Would you like to learn more about this course of study?Yes, I am interested in hearing more about the Peace and Reconciliation emphasis in Multnomah's MAGDJ program. First Name Middle Name Last Name Preferred First Name (If Different) Have you gone by any other legal names? (such as a maiden name) E-mail Cell Phone Home Phone Allow Text MessagesAllowDo Not Allow Mailing Address CityPlease select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYOutside the USAAAEAPASDCFMGUPWVI State Zip CodeHidden Fields Student (Record Type) Constituent (Record Type) Household (Record Type) Educational Institution (Record Type)Page 2Additional Personal Information Are you a U.S. Citizen?YesNo Are you a U.S. Permanent Resident?YesNoAn international student is one who will be attending a university in the United States without residency or citizenship, typically on an F-1 visa. International students have additional application requirements as part of the Visa application process, often including an English language proficiency exam and transcript evaluation by an evaluation service. The admissions department can assist with questions about this process. Country of CitizenshipPlease select...United States of AmericaCanadaAfghanistanAlbaniaAlgeriaAndorraAngolaAntiguaArgentinaArubaAustriaAustraliaAzoresBahamasBahrainBalearic IslandsBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanal ZoneCanary IslandsCape Verde IslandsCayman IslandsCentral African RepublicChadChilePeoples' Republic of ChinaColombiaComoro IslandsCongoCook IslandsCorsicaCosta RicaCote d'IvoireCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEstoniaEthiopiaEast TimorFaroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuinea-BissauGuineaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitLaosLatviaLebanonLeeward IslandsLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoRepublic of MacedoniaMadeira IslandsMalagasyMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMexicoFederated States MicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNevisNew BritainNew CaledoniaNew HebridesNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern IrelandNorwayOkinawaPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPrincipeQatarReunion IslandsRomaniaRussiaRwandaRyukyu IslandsSaudi ArabiaSouth AfricaScotlandSenegalSeychelles IslandsSierra LeoneSikkimSingaporeSouth KoreaSlovakiaSloveniaSolomon IslandsSomoliaSpainSpanish North AfricaSpanish SaharaSri LankaSanta Cruz IslandsSt. KittsSt. LuciaSt. ThomasSt. VincentSudanSultanate of OmanSurinameSouthwest AfricaSwazilandSwedenSwitzerlandSouth YemenSyriaTaiwanTanzaniaThailandTobagoTogoTongaTrinidadTurks IslandTunisiaTurkeyTuvaluUgandaUnited KingdomUkraineUnited Arab EmiratesUruguayVatican CityVenezuelaVietnamVirgin IslandsWalesWindward IslandsWestern SamoaYemenYugoslaviaZaireZambiaZimbabwe Date of Birth GenderFemaleMale Do you plan to apply for financial aid?YesNo Are you an honorably discharged veteran of active duty in any branch of the US Armed Forces?YesNoCurrently Serving Anticipated Date of Discharge Do you have special needs that Multnomah should be aware of to help you succeed?YesNoInformation shared here is confidential and will not be a factor in your admission decision Please help us understandInternational StudentsPlease note: There are limited financial aid options for undergraduate international students and as a general rule, if you cannot cover at least 80% of the cost through sponsorship or personal financial resources, it probably will not be possible for you to attend MultnomahAdditionally, we advise that all international students applying as residential students allow 6-8 months between the time they apply to Multnomah University and their intended first semester of studying on campus. This is to allow time for processing the proper documentation for you to apply for a visa. Ethnic & Racial Information (Optional) Are you Hispanic/Latino?YesNoOptional - this information will not be a factor in your admission decision Please select one or more of the following races:American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite or CaucasianOptional - this information will not be a factor in your admission decisionHousehold Marital StatusPlease select...SingleMarriedSeparatedDivorcedWidow/Widower Are you interested in campus housing?YesNoSpouse Information Relationship to youPlease select...Spouse First Name Last Name EmailPlease note: This email address should not match the email given for other individuals on this application. Entering the same email address as the applicant or other individuals on this form may result in a technical error. Does this person share your mailing address?YesNo Mailing Address CityPlease select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYOutside the USAAAEAPASDCFMGUPWVI State Zip CodePage 3Academic HistoryCollegePlease list every post-secondary institution you have attended or are currently attending. Failure to list all institutions you have attended may result in denial or revocation of admission or disciplinary action. Please list institutions beginning with the most recent. Use the "Add Another Institution" button to enter information for more than one college. Institution Name City StatePlease select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYOutside the USAAAEAPASDCFMGUPWVI Attended from: Please use the format mm/dd/yyyy to avoid processing errors. Approximate month and day is acceptable. Attended to: Please use the format mm/dd/yyyy. If currently attending, enter an estimated date for completion. Are you currently enrolled at this institution?YesNo Approximate Credits Earned What is the highest level of education you have completed?Please select...Bachelor's DegreeMaster's DegreeDoctorateAssociate's DegreeSome CollegeHigh School Diploma Have you completed a bachelor's degree?YesNoIn Progress Have you completed at least 12 college level foreign language credits?Please select...YesNoI will prior to beginning this program When did you complete your degree? When will you complete your degree? Major of study:Page 4Lifestyle ResponsibilitiesMultnomah University is a Christian university built on evangelical, protestant tradition. In the community, our actions and attitudes impact one another. Growth in the body of Christ often comes through accountability. Because Multnomah is a tight-knit community built on Biblical principles and comprised of growing individuals, Multnomah expects students to adhere to a code of conduct.As a Christian University, students at Multnomah are expected to conduct themselves in line with the guidelines, principles, and regulations published in the catalog and student handbook. Multnomah seeks to be an alcohol-free, tobacco-free, drug-free, and sexually pure campus and our students agree to live according to the Human Sexuality and Purity Understandings. In the past year, have you struggled with a lifestyle issue (drinking, smoking, drugs, sexual impurity, or degrading entertainment) that would conflict with these behavioral standards?YesNo Please explain Have you used illegal substances within the last year?YesNo Please explain Have you plead guilty (or no contest), been adjudicated, or otherwise been convicted of a crime or subject to a civil indictment or other disciplinary action?YesNo Multnomah students are expected to participate in a local church, and enter fully into fellowship with the Multnomah community. Is it your intent to comply with these expectations?YesNo If not, please provide an explanationPlease note that offers of admission may be revoked should additional information arise that indicates unlawful or unethical behavior. MA in Counseling Background CheckUpon successful completion of an interview, MAC candidates will be invited to complete a background check.Criminal or Disciplinary Disclosure & Authorization to Release InformationBecause you indicated that you have a civil or criminal indictment, conviction, history and/or disciplinary action on this application, you will be asked to complete a background check once all of your application materials are received and processed.A previous disciplinary action, conviction, indictment or prosecution may not automatically bar an applicant from admissions to the university. We request that the applicant provide the Admissions Office permission to obtain a background check (at no cost to the student). By electronically signing below, the applicant authorizes Multnomah University to have complete access to pertinent educational, employment, criminal and civil information and records: Name: Date Signed: Please provide a complete and detailed explanation regarding any civil or criminal indictment, conviction, history and/or disciplinary action: Christian Character ReferencePlease provide the name and contact information for somebody who can serve as your Christian Character Reference. The admissions team will email your reference a form to complete on your behalf. This form should be completed by an individual who is able to attest to your commitment to Christian character and values, walk with Christ and maturity. This individual does not have to be on staff at a church, but could be in the role of spiritual mentor or church leader. They cannot be a family member.Your application file is not considered complete until a Christian Character Reference form has been received by the University's Admissions Office. Name First Name Last Name Phone EmailPlease note: This email address should not match the email given for other individuals on this application. Entering the same email address as the applicant or other individuals on this form may result in a technical error. In some circumstances, we may ask for an additional reference. If this is the case, your admissions counselor will let you know and request the additional information. Reference AuthorizationBy providing this information I am authorizing Multnomah to contact the person listed above as my Christian Character Reference. I understand that the information provided by my reference will be used as part of the admission decision process, and I waive my right to review this information. TypePlease select...Christian Character ReferenceChristian Character Reference Graduate and SeminaryAcademic or Professional ReferencePlease provide the name and contact information for somebody who can serve as your Professional Reference. You should select someone who is able to speak to your potential for success within your chosen program or professional field. Examples of people who students choose to serve in this capacity include employers, professors, colleagues, mentors, and others. The admissions team will email your reference a form to complete on your behalf. It should not be completed by a relative.Your application file is not considered complete until a Professional Reference form has been received by the University's Admissions Office. Name First Name Last Name Phone EmailPlease note: This email address should not match the email given for other individuals on this application. Entering the same email address as the applicant or other individuals on this form may result in a technical error. In some circumstances, we may ask for an additional reference. If this is the case, your admissions counselor will let you know and request the additional information. Reference AuthorizationBy providing this information I am authorizing Multnomah to contact the person listed above as my Academic or Professional Reference. I understand that the information provided by my reference will be used as part of the admission decision process, and I waive my right to review this information. TypePlease select...Academic or Professional ReferenceEssayPlease submit an essay of at least 500 words detailing:a. Your current relationship with Jesus Christ andb. Why you wish to attend Multnomah and your personal and/or vocational goals in completing this degree.Please retain a copy of your essay as it may be referenced in the future. Your essay should be your own original writing.Please submit an essay of at least 300-500 words describing your relationship with Jesus Christ and why you are interested in participating in this TESOL Certificate program.Please submit an essay of at least 500 words detailing:a. Your current relationship with Jesus Christb. Your background/experience in cross-cultural ministry, international development or justice initiatives c. Why you wish to attend Multnomah and your personal and/or vocational goals in completing this degree.Please retain a copy of your essay as it may be referenced in your admission interview.Your essay should be your own original writing. Please upload your essay hereMultnomah's Doctrinal StatementMultnomah University welcomes students from a variety of denominational backgrounds. The University holds to a short list of doctrinal articles. Though it does not require students to be in agreement with all points, it is important that you be familiar with the University’s doctrinal statement, found at www.multnomah.edu/about/doctrinal-statement. Have you committed your life to Jesus Christ as your personal Savior?YesNoUnsure Please explain I have read Multnomah's doctrinal statement and I am comfortable studying at an institution that holds to these positions.YesNo If not, please explain I believe the Bible is fully authoritative and divinely inspired.YesNo If not, please explain I believe that one God has always existed in eternal relationships as three persons: Father, Son, and Holy Spirit.YesNo If not, please explain I believe Jesus Christ is the eternal Son of God. Salvation is the gift of God offered to all by grace and received through personal faith in Jesus.YesNo If not, please explainMultnomah's Doctrinal StatementMultnomah University welcomes students from a variety of denominational backgrounds. The University holds to a short list of doctrinal articles. Though it does not require students to be in agreement with all points, it is important that you be familiar with the University’s doctrinal statement, found at www.multnomah.edu/about/doctrinal-statement. I am a ChristianYesNo I have read Multnomah’s doctrinal statement and I agree to respect and support it while studying at the university.YesNo If not, please explain Do you attend a church?YesNoOther Please explainChurch Involvement Which of the following best describes your church attendance?I attend church two or more times most weeksI attend church once per week most weeksI attend church irregularlyI seldom attend churchOther Please explain Church Name DenominationPlease select...Non-DenominationalAmerican BaptistAssembly of GodAmerican Missionary FellowshipAnglicanBaptistBibleBrethrenCatholic BelieverCatholicConservative BaptistChurch of ChristCongregationalChristianChristian & Missionary AllianceCommunityCovenantEvangelical Church of North AmericaEvangelical FreeEpiscopalFree MethodistFriendsFoursquareGeneral Conference BaptistChurch of GodIndependentInd Fundamental Churches of AmericaInterdenominationalJewish BelieverJewishLutheranMennonite BrethrenMethodistNazarenePlymouth BrethrenPentecostalPresbyterianProtestant BelieverProtestantRegular BaptistRoman CatholicReformedSouthern BaptistSeventh Day AdventistUnknownVillage MissionsWesleyan Methodist Please explain City, State Name of PastorDecision Factors How did you first hear about Multnomah?Please select...AlumniAdmissions CounselorCollege FairCo-worker or EmployerCurrent MU StudentFriendGuidance Counselor or TeacherGoogle SearchMU Faculty or StaffParent or RelativePastorRadioVisit to my high schoolWeb advertisementOther Explain What is the primary factor influencing your decision to apply?Please select...Academic Programs OfferedAcademic ReputationAdmissions CounselorAlumniBeliefs/ValuesCampus EventCampus VisitClassmateCollege FairCo-worker or EmployerFriendGuidance CounselorLocationMail or email communicationMU Faculty or StaffOther Explain Name of the person who referred you (so we can thank them)Interview PreferencesUpon submission of all the required admission documents, you will be invited to complete an interview with an academic advisor or the dean. These interviews are scheduled between 9:00 a.m. and 4:00 p.m. PST, Monday through Friday. Please indicate your preference regarding your interview and your admissions counselor will be in touch to arrange specific details. Preferred Method PhoneOn CampusWeb Video Conference Mark all that are acceptable Preferred Day(s) MondayTuesdayWednesdayThursdayFridayMark all that are acceptable Preferred Time Before 10:00 Between 10:00 and NoonBetween Noon and 2:00Between 2:00 and 4:00Mark all that are acceptablePayment InformationPlease pay the application fee below using a credit or debit card. The non-refundable application fee is $40. Name on Card Card Number MM YY Code Billing EmailCertification & Authorization By submitting this application, I certify that I have provided complete and accurate statements on this application and I waive my right to see reference forms that are submitted on my behalf. I understand that if it is found to be otherwise, this may be cause for rejection or dismissal. I agree with the mission, goals, and core values of Multnomah University. I agree to abide by the guidelines, principles, and regulations published in the Multnomah catalog and student handbook. I understand that Multnomah seeks to be an alcohol-free, tobacco-free, drug-free, and sexually pure campus and I agree to live according to the Human Sexuality and Purity Understandings.YesNoI understand and affirm the following:If admitted, I will be learning in a Christian environmentAll of my professors will be ChristianChristian theology and the Bible will be woven into all of my courseworkI will respect Multnomah's guidelines and Doctrinal statementLinks:Mission StatementStudent Life HandbookHuman Sexuality and Purity Understanding Please type your full name in this box as a signature certifying the preceding statements are accurate and complete, to the best of your knowledge. 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