Application for Admission
The mission of Keller Graduate School of Management is to provide high-quality, practitioner-oriented graduate management degree programs with an emphasis on excellence in teaching and service to adult learners.This mission is backed solidly by 75 years of educational excellence and service, as well as our accreditation. DeVry University is accredited by The Higher Learning Commission of the North Central Association, www.ncahlc.org.The University’s Keller Graduate School of Management is included in this accreditation.
Personal Information Last Name
First Name
Middle Initial
Street Address
Former Name (Optional)
Apartment/Suite
City
State
Zip/Postal Code
Country
□ No
If No, Country of Citizenship
County (required for MN/NJ/NY/OH residents) ) ( Home Telephone
( ) Business Telephone
( ) Mobile Telephone
E-Mail Address
Are You a U.S. Citizen or Permanent Resident?
□ Yes
Spouse’s Name (Optional)
Person to Contact in Emergency
( ) Telephone
Regarding the next four fields, see Personally Identifiable Information disclosure on back page. Gender
□ Male
□ Female
Ethnicity
□ Caucasian
□ African American (Non-Hispanic)
□ Hispanic
□ Asian/ Pacific Islander
□ Yes
□ No
□ American Indian/ Alaska Native
□ Unknown
Social Security Number Date of Birth (MM/DD/YYYY) If you previously applied to Keller, date of last admission test Are you currently working with a Keller admissions representative? If yes, please provide his/her name
For Office Use Only / Date Entered
/
Entered by (Initials)
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Administrative Offices DeVry University Keller Graduate School of Management One Tower Lane Oakbrook Terrace, IL 60181-4624 630.574.1960 888.KELLER.0 www.keller.edu
Education
List all colleges, universities and graduate schools you previously attended or currently attend.
g Name and Location of Institution Dates Attended (From-To)
□ Attended as: Undergraduate
□ Graduate
□ Both
□ Attended as: Undergraduate
□ Graduate
□ Both
□ Attended as: Undergraduate
□ Graduate
□ Both
g Name and Location of Institution Dates Attended (From-To) g Name and Location of Institution Dates Attended (From-To) Highest Degree Earned
Graduation Date
Name of institution from which you have or will have earned your bachelor’s degree
Describe your undergraduate program (and graduate program, if applicable); include grade point average, major, honors and awards.
GPA
Out of
Major
Employment and Activities Current Employer
City
State
Title
Dates Employed (From-To)
Supervisor’s Name
( ) Telephone
Summarize your current job duties and responsibilities.
Briefly describe other work experiences (if applicable).
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In what activities, including family obligations, do you actively participate outside the context of your full-time employment?
You may be able to take advantage of a reduced tuition rate. If your employer partners with DeVry University through the Corporate Education Program, reduced tuition is available. In addition, special pricing is available for active-duty military personnel serving in any of the five branches of the U.S. Armed Forces (including National Guard and Reserves) and their spouses.
Professional Career Objectives and Goals
Discuss why you have decided to pursue a graduate program at this time.
Describe your most significant career accomplishments and why you view them as such.
How do you envision your career five years from now?
Describe how you feel your graduate education will help you achieve your career goals.
Keller Program Offerings
Keller offers seven master’s degree programs and the opportunity to tailor your education with a variety of concentrations and graduate certificates. Which Keller master’s degree program(s) do you plan to pursue? □ MBA Master of Business Administration
□ MPA Master of Public Administration
□ MAFM Master of Accounting and Financial Management
□ MPM Master of Project Management
□ MISM Master of Information Systems Management
□ MNCM Master of Network and Communications Management
□ MHRM Master of Human Resource Management
Undecided on which program? g g g
MBA with concentration? Specialized master’s degree? Graduate certificate?
Take advantage of a complimentary consultation with one of Keller’s admissions representatives.
□ Undecided
□ Student-at-Large
In which of our six annual sessions do you plan to begin your education? □ July
□ September
□ November
□ January
□ March
□ May
In which year do you plan to begin your program?
Financing Your Keller Education
A number of financing options may be available to help qualifying students meet educational expenses. Keller admissions representatives can provide details on federal financial aid programs, as well as on payment options available through the School. In addition, many students take advantage of employer tuition reimbursement. □ Yes
□ No
Is your employer a DeVry Corporate Education Program participant?
□ Yes
□ No
Do you plan to apply for an educational loan?
□ Yes
□ No
Are you or your spouse in active duty in the U.S. military?
□ Yes
□ No
Are you currently incarcerated?
□ Yes
□ No
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Does your employer offer tuition reimbursement?
Admission Procedures
Applying to Keller Graduate School of Management requires no application fee.To complete the application process, simply follow these few steps: g Complete, sign, and fax or mail this application directly to the location you plan to attend. Fax numbers and mailing addresses are available via www.keller.edu. Applications may also be submitted in person. g Complete an interview with an admissions representative. g Submit proof of graduation. Acceptable documents include “Issued to Student” transcripts and copies of diplomas. g Submit official academic transcripts from the college or university where the baccalaureate or advanced degree was earned within six weeks from the start of the first session of enrollment.Transcripts marked “Issued to Student” are not accepted as official. g Provide GMAT or GRE scores, or take our alternative admission test, which can be completed in approximately one hour at the time of the interview at no charge. GMAT and GRE test scores are valid up to five years from the date of test completion. No time limit applies to scores from our alternative admission test. Complete admission requirements, as well as details on all School policies, are outlined in Keller’s academic catalog. Applicants will be notified of their acceptance or rejection within one week of completing all application procedures.They will then be instructed on any prerequisite skills coursework that may be required before they may enroll in most courses at the 500 level or above. Applicants seeking readmission should refer to the academic catalog. Tuition Deposit/Cancellation Policy
Upon completion of the application process, a $100 tuition deposit is due.The deposit is credited toward the first session tuition or refunded if the applicant is not accepted. If enrollment is cancelled after this deposit is made, a full refund, less a $50 administrative fee ($25 in Oregon), is issued upon request. Should receipt of the tuition deposit and cancellation fall within three business days of acceptance (five business days in Ohio and Minnesota; six business days in Indiana), no administrative fee will be charged. Refunds are not issued after one year.
Personally Identifiable Information
DeVry University has adopted privacy policies and practices designed to protect students’ personal information. Only information required to efficiently conduct our business and meet state and federal reporting requirements is collected.The information collected is only disclosed as permitted under the Family Educational Rights and Privacy Act of 1974, as amended (FERPA). DeVry’s FERPA policy is printed in the student handbook and is available for review in the Student Services Office. DeVry University is required to collect the social security number (SSN), gender, ethnicity and date of birth for a variety of legally mandated activities, including income tax reporting and administration of federally supported financial aid programs.The SSN is not used as the student’s primary identification; gender, ethnicity and date of birth are not used in determining admission. Students who do not provide the SSN at the point of application may experience a delay in financial aid processing.
Final Step
I affirm that the above statements are true and correct to the best of my knowledge and belief. I understand that any false or misleading statements may constitute grounds for denial of admission or later expulsion. I also understand that program availability and degrees awarded vary by location. I have read and understand Keller’s Academic and Professional Conduct policy stated in the academic catalog. I also grant the School permission to use my photograph in its catalog or School brochures. By signing below, I authorize Keller to contact me by telephone to discuss educational services provided by Keller Graduate School of Management.
Applicant’s Signature
Date
Note: DeVry University operates as Keller Graduate School of Management and DeVry Institute of Technology in New York.
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The credibility you expect.The flexibility you need.
09-102111 06/07