UCDS Graduate School of Education

Application

Please fill out the following application form. Once submitted, you will receive a confirmation email with further instructions.

Applicant Name*
First Last
Email*
Cell Phone*
Mailing Address:*
Address City State Zip
Are you an international applicant?*
*The School is not yet SEVP approved so international students would not be able to obtain a student visa.
- Yes
- No
Current or Recent Relevant Job Title & Employer
Job Title Employer
List Undergraduate & Graduate Degrees*
Institution Degree Date
I would like to also apply for the UCDS Fellowship*
- Yes
- No
- Maybe
- Please, send me more information about the UCDS Fellowship
Date of Application
MM slash DD slash YYYY
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Email
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The UCDS Graduate School of Education does not discriminate on the basis of race, religion, creed, political ideology, color, sex, sexual orientation, gender identity, age, genetic information, national origin, ancestry, disability, marital status, honorably discharged veteran or military status, use of a service animal or any other status or condition protected by local, state or federal law.

Job Title	Employer

Institution	Degree	Date