Master of Arts in Liberal Studies Program Application

Personal Information
*First name:
*Middle initial:
*Last name:
If transcripts are under any other name, please specify:
*Social security number:
*Address:
*City:
*State:
*ZIP code:
*Email address:
*Home phone number:
Work phone number:
Anticipated start date:
Optional Information
*Information will be used for statistical reporting purposes only. All information is confidential.
Date of birth:
Gender: Male Female
Race:
Marital status:
Educational and Professional Background
*List all colleges and universities you have attended, with the most recent first. Please include:
Name of institution | City and state | Dates attended | Diploma or degree | Date awarded
Experience
*List all professional employment. Please include:
Position | Employer | Location | Dates (résumé may be substituted)
Optional: attach your résumé in Word format below. Maximum file size is 1,024 KB.
Additional Information
How did you find out about the Master of Arts in Liberal Studies program at St. Norbert College?

*In an effort to know more about you and your plans, please answer the following questions in approximately 500 words:

1. What motivated you to apply for a Master of Arts in Liberal Studies degree?
2. What are your future goals and how do you see this program helping you achieve these goals?
By submitting this application, you hereby certify that the information and attached documents (if any) are correct and complete to the best of your knowledge. You understand that withholding information requested or giving false information may make you ineligible for admission to St. Norbert College or subject to dismissal.
Thank you! Your information will be sent to the Master of Arts in Liberal Studies staff. If you have any questions or difficulty submitting this form, please contact Dinah Grassel at 920-403-3957 or mls@snc.edu. You may also download and complete the PDF application and send it to the M.L.S. office.