Master of Arts in Community Counseling
Personal Information
First Name *
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Last Name/Surname *
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Maiden/Alternate Name
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Mailing Address *
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Street Address(if different from above)
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City *
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State *
Zip Code *
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Country *
Home Phone
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Cell Phone
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Email Address *
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Date of Birth *
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Have you ever been convicted of a felony? *
If yes, please explain:
Your answer
The following information is for tracking purposes only and will not affect your application:
Citizenship
Are you Hispanic or Latino?
Race:
Gender:
Religious Preference:
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How did you hear about Missouri Valley College Graduate Studies?
Your answer
Indicate that you have fulfilled each requirement for admission
GPA
Your answer
If Bachelor's Degree is not in psychology, which of the following classes have you completed?
If you are uncertain whether you have had the classes below, leave the box blank and you will be contacted.
How are you going to send us the following?
Resume
Personal Statement
I waive my right to review the contents of my letters of recommendation. I understand that my decision will not affect the decision of the Admissions Committee.
Note: the Family Education Rights and Privacy Act of 1974 accords admitted students the right to review these recommendation forms unless that right is waived.
References
References must either ask the above references to complete the Reference Letter Form or should send them a printed copy to fill out.
Submit letters of recommendation online at: https://goo.gl/forms/BJGouHA2JpVla7bj1
Printable letters: http://www.moval.edu/wp-content/uploads/2017/09/RefLetterForm.pdf
Reference 1 - Name and Email
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Reference 2 - Name and Email
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Reference 3 - Name and Email
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Educational Plans
Entry Year
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Entry Term *
What kind of student will you enroll as?
(If international, you must be full-time)
Will you apply for financial aid?
If yes, you must complete the Free Application for Federal Student Aid (FAFSA). fafsa.ed.gov
Graduate Records Exam
Have you taken the GRE? *
Verbal Score:
Your answer
Quantitative Score
Your answer
If you answered "No", the date you will take the GRE:
MM
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DD
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YYYY
Educational History
(Bachelor's degree from a regionally accredited institution required) All applicants must have official transcripts sent directly to the Missouri Valley College Admissions Office for all college and universities attended. International transcript must be evaluated by World Education Services (wes.org) or another approved outside evaluator.
First Education
Institution:
Your answer
Location:
Your answer
Dates Attended:
Your answer
Degree/Major:
Your answer
GPA:
Your answer
Second Education
Institution:
Your answer
Location:
Your answer
Dates Attended:
Your answer
Degree/Major:
Your answer
GPA:
Your answer
Third Education
Institution:
Your answer
Location:
Your answer
Dates Attended:
Your answer
Degree/Major:
Your answer
GPA:
Your answer
Employment History
Do you plan to hold salaried employment while enrolled?
Will your employer be paying for a portion of your tuition?
International Students
Missouri Valley College requires verification of available funding for International Students by submission of an Affidavit of Support form. Forms are available online or by contacting the Admissions Office.
Is English your native language?
(If no, you must submit TOEFL results)
Have you taken the TOEFL?
If yes, TOEFL score:
Your answer
If no, date you will take the TOEFL:
Your answer
Do you now have a visa?
If yes, what is the type and expiration date of the visa?
Your answer
I hereby certify that all information given in this application is complete and accurate to the best of my knowledge. I understand that intentional omission or falsification of requested information can lead to disqualification or eventual dismissal from the program.
Date: *
Your answer
Name: *
Your answer
This application must be completed in its entirety and submitted to the Missouri Valley College Admissions Office, 500 E. College Street, Marshall, MO 65340. The following must be submitted:
-$30 application fee (non-refundable).
-3 letters of professional reference.
-GRE score sheet.
-Resume.
-Personal Statement.
-Final official transcripts sent directly from each institution of higher education you have attended.

Once all required documents are received, you will be contacted for a mandatory on-site interview if the documents you provided meet the Admissions standards.

Missouri Valley College does not discriminate on the basis of race, age, gender, color, religion, disability, national or ethnic origin in the recruitment and admission of students.

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