Graduate Application for Admission Application for Graduate Studies in Rehabilitation Counseling Degree Objective: Master of Science in Rehabilitation Counseling or Post-graduate Certificate in Rehabilitation Counseling. Indicate below the program to which you are applying * Master's degree in Rehabilitation Counseling online program Master's degree in Rehabilitation Counseling on-campus program Post-graduate Certificate in Rehabilitation Counseling (Category R) Semester * - Select - Summer 2019 Fall 2019 Spring 2020 Contact Information Name * Last 4 digits of SSN (use XXXX if international) * Current Address * Zip Code * Phone Number * State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Email Address * Education Enter latest information only. Additional education should be listed in your resume. Name of Institution * Address of Institution * Degree * Date From * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Date To * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 GPA * Work Experience Enter present or last employer information only. Other work experience should be listed in your resume. Employer Type * - Select -Present EmployerLast Employer Title of Position * Name of Employer * Address of Employer * Date From Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Nature of Work * Required Documentation Resume * Files must be less than 25 MB.Allowed file types: txt rtf pdf doc docx. Self-Statement * Files must be less than 25 MB.Allowed file types: txt rtf pdf doc docx. 2-3 double spaced pages entrance essay answering the following two prompts: Oftentimes our life experiences and interactions with various individuals influence our lifelong passions and direction. What specific life experiences and or individual interactions ignited your passion for rehabilitation counseling? Please discuss any attributes, experiences, or interests that would enable you to make a distinctive contribution to the rehabilitation counseling profession. As our world has become more complex and intersecting, we have also seen our client issues become much more challenging to address. As a future rehabilitation counseling professional, what do you believe are the responsibilities you would have for the client's well-being, and how would you hope to meet those responsibilities (given your present understanding of the role and responsibilities of a rehabilitation counseling professional)? The two letters of recommendation should come from: A recent professor A recent supervisor The person completing the letter of recommendation, should send the letters to: Callie Stanford Department of Disability and Addiction Rehabilitation University of North Texas 1155 Union Circle #311456 Denton, TX 76203-5017 Letters of recommendation are required for the on-campus/online graduate program only. Certificate applicants do not need to send letters of recommendation.