Application to Graduate Studies | Christopher Newport University

Graduate Studies >>> Admissions Information

Personal Information
Full Name:
Last Name	Middle/Former Name	First Name
Mr. Mrs.Ms.	Gender: Male Female

*Permanent Mailing Address

Address 1:

Address 2:

City: State: Zip Code:

Temporary Mailing Address

Address 1:

Address 2:

City: State: Zip Code:

Mailing Address until what date:

*Daytime phone number:	Evening phone number:	Cellular phone number:
*Date of birth:	Social Security Number: - -

*Citizenship: U.S. Citizen Resident Alien Non-resident Alien

If a non-resident alien, list country, visa type, and visa number:
, ,

NOTE: A copy of your U.S. Immigration & Naturalization Service (INS) identification card (Green Card) is required to be forwarded to the CNU Admissions Office before consideration for admission can be made.

Select ethnic designation: (for federal reporting purposes only)*
Black, Non-Hispanic Hispanic	American Indian or Alaskan Native White, Non-Hispanic	Asian or Pacific Islander Other

Application Information

*Application for:

Fall Spring Summer

*Application Status:

Full-time Part-time

Degree-seeking Non-degree

*Application Type:

Initial Admission
Re-admission
-Semester/year last attend CNU as a grad student:

Re-open
-Semester/year admitted to Graduate Program but withdrew or did not attend:

*Degree Program:

M.S. in Applied Physics and Computer Science

	Concentration
	Applied Physics
	Computer Science
	Computer Systems Engineering and Instrumentation

M.S. in Environmental Science

Master of Arts in Teaching with Licensure OR
Licensure Only

Endorsement
	Art (PK-12)	History and Social Science (6-12)
	Biology (6-12)	Mathematics (6-12)
	Computer Science (6-12)	Music, Choral (PK-12)
	Elementary (PK-6)	Music, Instrumental (PK-12)
	English (6-12)	Physics (6-12)
	French (PK-12)	Spanish (PK-12)
	History (6-12)	Theater (PK-12)

*Email address:

Testing Information

Fill in the applicable fields only. Leave blank any fields for tests that do not apply to you.

Test	Test taken (Mo/Yr)	Plan to take test (Mo/Yr)
Graduate Record Examination (GRE)
PRAXIS I
Test of English as a Foreign Language (TOEFL)

Academic Information

List the college where you earned your bachelor's degree and colleges awarding graduate credit, beginning with the most recent college. Failure to list the colleges required will result in cancellation of your admission to the University and of your registration in class.

College I

College: Location/City/State:

Undergraduate Graduate

Dates of Attendance: Graduation Date:

Credits Earned: Degree Earned:

College II

College: Location/City/State:

Undergraduate Graduate

Dates of Attendance: Graduation Date:

Credits Earned: Degree Earned:

College III

College: Location/City/State:

Undergraduate Graduate

Dates of Attendance: Graduation Date:

Credits Earned: Degree Earned:

Are you in good academic standing (eligible to return) at your most recently attended college?
Yes No

Have you even been suspended, dropped for academic deficiencies, been administratively withdrawn for academic reasons, or otherwise been declared ineligible to attend any college?
Yes No

If yes, please enter all the details here:

* To determine eligibility for in-state tuition, please complete the Application for Virginia In-State Tuition Rates.

Applications cannot be processed until the application fee (pdf)
and all required documents arrive in Graduate Admissions, Admin 323:

Christopher Newport University
1 University Place
Newport News, VA 23606

Submission of Application
By submitting this application, I certify that all the information I have provided is true.