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Additional Application for the Dillard-51福利社 Accelerated Programs

Application Instructions

Multiple Applications Required for this Program

Please note that this program requires multiple applications: The main 51福利社 application listed on the program description page, and this additional application for the department and program that you are applying to. 

Written Statement

Before filling out this application, please prepare a statement, which covers the following information, and attach it at the bottom of this form. This form must be filled out completely at one time, you won't be able to partially fill it out and save your progress. Using no more than two typewritten, double-spaced pages, write an essay discussing your professional goals. Give attention to work with racial or ethnic minorities and diverse populations throughout your essay. Include:

  1. Your reason for wanting to be in a specific program
  2. Your professional goals as they relate to that program
  3. An assessment of your personal assets and liabilities
  4. Life experiences that might be useful in your work as a helping professional, including your work with racial/ethnic minorities and diverse populations.

Application form

Last Name
First Name
Middle Initial
Address line 1
Address Line 2
City
State
Zip Code
Home Phone
Cell Phone
Country of Citizenship
State in which you claim residence
Ethnicity
Ethnicity
Gender
Gender
Scholarships and Financial Aid held to date
Other honors received
Publications
Professional experience. Provide names of employers, dates of employment, and type of work.
Attach your written statement here.
One file only.
2 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.