Accelerated Graduate Application For Current St. John Fisher College Students Name* First Last Fisher ID#*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Preferred Phone Number*Is this a*Home PhoneCell PhoneWork Phone Program Applying For*EducationMBAM.S. in ManagementM.S. in Applied Data ScienceEducation Program Applying For*MS Adolescence Education and Special Education Initial Certification (Grades 7-12)MS Childhood Education and Special Education Initial Certification (Grades 1-6)MS Library MediaMS Literacy Education (Professional Certification)MS Special Education (Professional Certification)MBA Concentration*AccountingGeneral ManagementHealth Systems ManagementPharmaceutical IndustryContent Area*BiologyChemistryEnglishFrenchMathematicsPhysicsSocial StudiesSpanishProfessional Certification Area*Grades 1-6Grades 7-12Literacy Education Professional Certification Area*Birth–Grade 12Birth–Grade 6Grades 5–12 Semester Applying For*Please Note: The following programs are FALL START only: M.S. in Management, M.S. in Childhood and Special Education, M.S. in Adolescence and Special Education. The following program is SUMMER START only: online M.S. in Library Media.Fall 2017Spring 2018Summer 2018Fall 2018 Planned Course Load*For financial aid purposes, 9 credits is considered 3/4 time. Full Time (9 or more graduate credits)Part Time (less than 9 graduate credits)Student StatementHave you ever been convicted of a crime (felony or misdemeanor), or are such charges pending against you, in any state or country?*Exempt from the preceding question are any proceedings involving ‘youthful offender adjudication’ as defined in NYS Criminal Procedure Law Section 720.35; and any conviction sealed pursuant to NYS Criminal Procedure Law Section 160.55 or 160.58.YesNoHave you ever been suspended or dismissed from an institution of higher learning for disciplinary reasons?*YesNo* I certify that the information on this form is both complete and accurate. I understand that falsifying any part of this application may result in my being refused admission or being required to withdraw from the College.