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Application for Graduate Studies

Thank you for your interest in Goodwin University. By submitting this online application, you are one step closer to realizing your dream!

Information concerning birth date and gender is being collected for reporting purposes only and will not be used in the selection process for admission.

Personal InformationSave Progress

Semester you are applying for

Fall
Spring
Summer

Year

Program of interest

Last
First
Middle Name

Former Last Name(s)

Date of Birth mm/dd/yyyy

Social Security Number xxx-xx-xxxx

Gender

Male
Female

Have you ever been convicted of a felony?

Permanent AddressSave Progress

Permanent Address (Cannot Be A P.O. Box)

Street

City
State
Zip

Phone Number(s) / Email

Home xxx-xxx-xxxx
Work xxx-xxx-xxxx
Cell xxx-xxx-xxxx

Mailing Address (if different)

Street

City
State
Zip

Emergency Contact

Last Name
First Name

Phone xxx-xxx-xxxx
Relationship

Post-Secondary EducationSave Progress

Previously attended Goodwin University
New to Goodwin University, have attended other college(s)

Highest Education Level

High school diploma/GED
Some College
Undergraduate Certificate
Associate Degree
Bachelor's Degree
Master's Degree
Ph.D.

Previous College Background (starting with most recent)

College Name
State
Country
Graduation Year

Start Date of Attendance (mm/dd/yyyy)
End Date of Attendance (mm/dd/yyyy)
Degree Awarded

College Name
State
Country
Graduation Year

Start Date of Attendance (mm/dd/yyyy)
End Date of Attendance (mm/dd/yyyy)
Degree Awarded

College Name
State
Country
Graduation Year

Start Date of Attendance (mm/dd/yyyy)
End Date of Attendance (mm/dd/yyyy)
Degree Awarded

Family EducationSave Progress

Please check the following for family members with whom you lived while attending high school who have completed a four-year college degree.

Parent 1

mother
father
stepmother
stepfather

Parent 2

mother
father
stepmother
stepfather

Legal Guardian

Are you the first member of your immediate family to attend college?

Employment InformationSave Progress

Are you employed?

Employed full-time
Employed part-time
Not Working

Name of employer

Title/Position
Town and state of employer

Does your employer have a tuition reimbursement program?

EthnicitySave Progress

Please provide the following race and ethnic data. This information is requested on a voluntary basis by the U.S. Department of Education, National Center for Education Statistics. Your answer will not affect admission to or registration in the University.

Do you consider yourself Hispanic or Latino (including Spain)?

Regardless of your answer to the prior question, please select one or more of the following categories that best describe yourself:

American Indian/Alaskan Native (including the Original Peoples of the Americas)
Asian (including Indian subcontinent and Phillipines)
Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (including Middle Eastern)
Hispanic
Other

Citizenship StatusSave Progress

Are you a United States citizen?

If no, what is your country of citizenship?

Are you a Permanent Resident of USA? ( I-9 card )

If "yes", enter Alien registration #

Other citizenship Visa type

First Language
Primary language spoken at home

Military StatusSave Progress

Are you a United States Veteran?

Are you currently on active duty, in the Reserves or National Guard?

Are you currently a dependent of an active military family?

Applicant's StatementSave Progress

I, the undersigned, apply for admission to Goodwin University. I agree that the information given on this application is true to the best of my knowledge. I realize that failure to disclose fully and accurately all facts relating to this application could be grounds for dismissal. I understand that if this application is accepted and I enroll at Goodwin University, my contract with the University will include, and I have an obligation to abide by, all the terms and conditions in the Academic Catalog, as well as all policies, rules and regulations of the University. THE UNIVERSITY'S POLICIES, TERMS AND CONDITIONS INCLUDE DISPUTE RESOLUTION PROCEDURES AND AN AGREEMENT THAT ALL CLAIMS OR DISPUTES BETWEEN THE STUDENT AND THE UNIVERSITY WILL BE SUBJECT TO MANDATORY BINDING ARBITRATION AND A CLASS ACTION WAIVER. I acknowledge that I have carefully reviewed the dispute resolution procedures and the Arbitration Agreement, and I understand that they affect my rights.

Upon completion of my degree/certificate, I grant permission for Goodwin University to contact my employer to evaluate the effectiveness of the University's curriculum, strengthen its program and make certain the material covered is appropriate. I authorize my employer, to release dates of employment, job title, description of responsibilities and salary information to Goodwin University. I further authorize the Connecticut Department of Labor to release to Goodwin University Quarterly Unemployment Insurance Wage records pertaining to me for 72-months following my last day of attendance. I understand that such quarterly wage information, which is protected under state and federal law, is confidential and includes the name of my employer(s), my last name and first initial, my Social Security Number, and any wages reported by such employer during a specific calendar year quarter. I understand that the above confidential information will only be used by Goodwin University for the specific reasons outlined above and that all records will be destroyed upon the expiration of this release. This information may not be re-disclosed beyond the party identified in this release without my specific permission. A request for records outside of the scope of this release will also require an additional release.

Individual student information will not be published externally or used for any purpose other than internal data analysis. Consolidated information which will not contain any identifying information regarding me or contain information pertaining to me that could be combined with other information to identify me will be utilized for the purpose of fulfilling regulatory graduate employment reporting requirements. I further understand that I can revoke this authorization at any time, except to the extent that action has already been taken in reliance on it. This authorization will expire 72-months after my last day of attendance.

Additionally, I hereby grant permission for the University to photograph or videotape me and/or my schoolwork products for use in university publications and marketing materials. This application and the commitments herein are made with my consent, and I hereby guarantee the payment of all financial obligations incurred.

Electronic Signature - Please enter your initials here to serve as your signature
Date

Parent or Guardian StatementSave Progress

The applicant applies for admission to Goodwin University. On behalf of the applicant, I agree that the information given on this application is true to the best of my knowledge. I realize that failure to disclose fully and accurately all facts relating to the application could be grounds for dismissal. I understand that if this application is accepted and the applicant enrolls in Goodwin University, his/her contract with the university will include, and he/she will have an obligation to abide by, all the terms and conditions in the Academic Catalog, as well as all policies, rules and regulations of the University. THE UNIVERSITY'S POLICIES, TERMS AND CONDITIONS INCLUDE DISPUTE RESOLUTION PROCEDURES AND AN AGREEMENT THAT ALL CLAIMS OR DISPUTES BETWEEN THE STUDENT AND THE UNIVERSITY WILL BE SUBJECT TO MANDATORY BINDING ARBITRATION AND A CLASS ACTION WAIVER. I acknowledge that I have carefully reviewed the dispute resolution procedures and the Arbitration Agreement, and I understand that they affect the applicant's rights.

Upon completion of the applicant's degree/certificate, I grant permission for Goodwin University to contact the applicant's employer to evaluate the effectiveness of the University's curriculum, strengthen its program and make certain the material covered is appropriate. I authorize the applicant's employer, to release dates of employment, job title, description of responsibilities and salary information to Goodwin University. I further authorize the Connecticut Department of Labor to release to Goodwin University Quarterly Unemployment Insurance Wage records pertaining to the applicant for 72-months following the applicant's last date of attendance. I understand that such quarterly wage information, which is protected under state and federal law, is confidential and includes the name of the applicant's employer(s), the applicant's last name and first initial, the applicant's Social Security Number, and any wages reported by such employer during a specific calendar year quarter. I understand that the above confidential information will only be used by Goodwin University for the specific reasons outlined above and that all records will be destroyed upon the expiration of this release. This information may not be re-disclosed beyond the party identified in this release without my specific permission. A request for records outside of the scope of this release will also require an additional release.

Individual student information will not be published externally or used for any purpose other than internal data analysis. Consolidated information which will not contain any identifying information regarding the applicant or contain information pertaining to the applicant that could be combined with other information to identify the applicant will be utilized for the purpose of fulfilling regulatory graduate employment reporting requirements. I further understand that I can revoke this authorization at any time, except to the extent that action has already been taken in reliance on it. This authorization will expire 72-months after the applicant's last day of attendance.

Additionally, I hereby grant permission for the University to photograph or videotape the applicant and/or his/her schoolwork products for use in university publications and marketing materials. This application and the commitments herein are made with my consent, and I hereby guarantee the payment of all financial obligations incurred.

(Required if applicant is a minor)

Electronic Signature - Please enter your initials here to serve as your signature
Date

For office use only:
Admissions Officer Signature: _______________________________________

Optional: Save Progress

By providing an email address and password here, you will be able to come back at a later time to continue your application.

Passwords must be between 8 and 15 characters long. Please include at least one of each of the following: uppercase letter, lowercase letter, number.

Goodwin University complies with the "Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act." This report contains a summary of the Goodwin University Safety Department's policies and procedures along with crime statistics as required. Anyone wanting a copy of the report may obtain one by contacting Goodwin's Academic Department at (860) 528-4111 or by stopping by the office.

Goodwin University is an affirmative action/equal opportunity educator and employer, fully committed to the goal of providing equal opportunity and full participation in its educational programs, activities, and employment without discrimination because of race, color, religious creed, sex, age, national origin, political affiliation, marital status, veteran status, sexual orientation, mental or physical disability, or any other consideration not directly and substantively related to effective performance. This policy implements Federal and State laws, regulations, and executive orders. This information is collected for reporting purposes only and will not be used in the selection process for admission.