MSHS Application, Health Sciences - Cleveland State University

School of Health Sciences

Admissions Critera and Requirements

(Print this application, complete and mail)

CLEVELAND STATE UNIVERSITY
DEPARTMENT OF HEALTH SCIENCES
APPLICATION FOR ADMISSION TO MASTER OF SCIENCE IN HEALTH SCIENCES

Name: ________________________________________

CSU ID# (If Known): ____________

Current Mailing Address:
Permanent Mailing Address:
E-mail Address:
Telephone:	Home: _____________________________ Office: _____________________________ Cell: _____________________________

I. Are you interested in a Certificate Program? If yes, please check below (these are optional):

________ Culture, Communication, and Health Care
________ Ergonomics/ Human Factors
________ Occupational and Physical Therapy in the Schools
________ Other (Please Specify): _____________________

II. Are you interested in the on-line track? Yes _____ No ______

If Yes, a) _____ Plan to complete entire degree onlin b) Plan to take _____ number of courses on-line

III. List Work Experience beginning with current position:

Dates	Employer	Position	Responsibilities

IV. Are you interested in applying for a graduate assistantship? Yes ______ No ______
Note: In addition to college graduate assistantships, limited university financial aid is available. Students seeking assistance should contact the University Financial Aid Office (216) 687-3764.

V. Personal Statement. In the space below, type a 300 to 500 word statement describing your reasons for pursuing the MSHS, the strengths you would bring to the program, and how completing the MSHS degree would assist you in addressing your professional role and goals.

VI. Anticipated Date of Graduation from the CSU - MSHS Program: __________________________

Please return this form directly to:	You must also complete an application for Graduate Admission and submit it with all specified documents to
Graduate Coordinator, Dept of Health Sciences Cleveland State University, Health Sciences Building Room 101, 2121 Euclid Avenue, Cleveland, OH 44115, U.S.A	Office of Graduate Admissions Cleveland State University 2121 Euclid Avenue, Room RTW 200, Cleveland, OH 44115.

(Rev. 09/02)

Graduate Catalog

Mailing Address
Cleveland State University
Dept. of Health Sciences
2121 Euclid Avenue, HS 101
Cleveland, OH 44115-2214

Campus Location
2501 Euclid Avenue
Health Sciences Building, Room 101
Phone: 216-687-3567
Fax: 216.687.9316
healthsci@csuohio.edu

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