Aquinas College :: Education

Undergraduate Information Request

Graduate Information Request

Request More Information

We will mail your information for the School of Education Graduate Programs upon receipt of this form. Required fields are indicated by an asterisk ( * ).

First Name:*

Middle Initial or Maiden Name:

Last Name:*

E-mail:*

Street Address:*

City:*

State:*

Zip:*

Home Phone:*

Cell Phone:

Employer:*

Birth Date:

High School Name/Location:*

Year Graduated High School:*

Have you ever previously attended a college/university?*

Yes No

If yes, please list the name of the college/university:*

Please indicate level of degree earned:*

Associate's Degree

Bachelor's Degree

Other:

I did not earn a degree

Do you already have a teaching certificate?

Yes No

How did you learn about this program?*

Postcard in the Mail

From an Aquinas Alumnus

I am an Aquinas Alumnus

Friend

Life-Long Knowledge, Member of the community

Aquinas Representative (faculty, staff, etc.)

Referral by other College, Agency, or Organization

Other:

Church

Spouse/Relative

Employer/Business Associate

Television

Newspaper

Yellow Pages

Present/Current Student

U.S. News & World Report Magazine

Please send me information about:*

Graduate Programs (bachelor's degree already earned)

Master in Education with Initial Certification
Master in the Art of Teaching
Master in Science Education

NOTE: You must specify a program in order for Aquinas to be able to send the appropriate materials.

Anticipated Start Date:*


1607 Robinson Road S.E., Grand Rapids, MI 49506-1799 - (616) 632-8900