Application - Counseling

* Required Fields

Desired Entry Term
Fall (Aug.) Spring (Jan.) 20
Status*
Full-Time Part-Time
Degree seeking Non-degree seeking
Specialization Track
Marriage and Family
Clinical Mental Health
School Counseling

Personal Information
Gender	Male Female
First Name	*
Middle Name
Last Name	*
Marital Status
If your records are listed under any other name, please indicate
Address
City
State
County/Province
Zip
Country (if not USA)
Primary Phone
Secondary Phone
Business Phone
Email	*
Date of Birth
Social Security Number
Church Affiliation/Denomination
United States Citizen?	Yes No
If no, indicate country of citizenship and Visa status
Have you previously applied to Geneva graduate programs?	Yes No
If yes, which graduate program did you apply to and with what entry date?
How did you hear about the Master of Arts in Counseling program?

Ethnic Background
The following information is requested for statistical purposes only.
Do you identify yourself as a person of Hispanic/Latino origin? Yes No
Please indicate your race. Check all that apply.
Asian/Pacific Islander
Black/African American
Caucasian
Native American/Alaskan Native
Other

Educational Background
Please list in chronological order all colleges, universities and graduate or professional schools attended. Please include undergraduate and/or graduate credits taken in addition to your conferred degree.
Name of College/University
Location
Degree (e.g. B.A.; B.S.)
Date Awarded
Major

Name of College/University
Location
Degree (e.g. B.A.; B.S.)
Date Awarded
Major

Name of College/University
Location
Degree (e.g. B.A.; B.S.)
Date Awarded
Major
You must request an official transcript from each institution. All credentials should be mailed directly to Geneva College, M.A. in Counseling Program, 3200 College Avenue, Beaver Falls, PA 15010-3599

Employment
Please list all work experiences beginning with the most recent. Please include all applicable volunteer or ministry responsibilities.
Employer/Organization
Position:
Dates

Employer/Organization
Position:
Dates

Employer/Organization
Position:
Dates

If there are gaps in time in which you were not employed or did not attend school, please account for these gaps.

Letters of Recommendation
Please submit three recommendations from professors and/or supervisors(former or current) who are able to evaluate your academic and/or work related abilities. Hard copy reference forms can be downloaded by clicking here.
Name
Address
Organization
Contact Number
Relationship to Applicant

Name
Address
Organization
Contact Number
Relationship to Applicant

Name
Address
Organization
Contact Number
Relationship to Applicant

Essay
Please submit your essay below. Note: You cannot save this application and come back and complete it at a later date. If you cannot complete your essay at this time, please submit the rest of your application now by clicking the submit button below and mail your essay and all other credentials to: Geneva College, M.A. Counseling Program, 3200 College Ave., Beaver Falls, PA 15010. .
Please explain specifically why you are applying to the M.A. in Counseling program at Geneva College. Helpful suggestions would be to cover some of the following topics: How does this graduate program relate to your career goals? Where do you see yourself in the next five to ten years and how can we help you to attain those goals. Describe reasons why you chose a professional counseling program with a Christian faith-based foundation. Please feel free to go into as much detail as you would like within the guidelines provided or share information that you think is important for us to know about yourself.

Affirmation
I certify that the information I have provided on this application form and all other application materials is complete, accurate and true to the best of my knowledge. I understand that any misrepresentation in giving false or incomplete information on any part of this admission application material may result in cancellation of my application, admission decision and registration.
Signature

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Point of Excellence

Geneva offers an Adult Degree Completion Program (ADCP) to finish a degree in Human Resources, Human Services, Christian Ministry Leadership or Organizational Development.

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