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Social Work Program Application

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First Name
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Last Name
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Telephone
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Address 1
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Address 2
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City
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State
select
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ZIP
  
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G#
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Do you plan on completing the program full time (two academic years) or part time (three academic years)?

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Oakland University Email
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Have you applied to the program before?
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Application Packet Checklist:







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Preferred Campus
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Have you previously applied to the program?
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Sex:
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Date of birth:
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Citizen of what country?
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Do you require special services for disabilities?
Race (optional):
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TOTAL TRANSFER CREDITS:
TRANSFER GRADE POINT AVERAGE:
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TOTAL CREDITS EARNED AT OU:
OU GRADE POINT AVERAGE:

Post Secondary Education #1

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Institution (include Oakland University if applicable)
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City/State:
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Dates Attended:
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Major:
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Total Credits:
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GPA:

Post Secondary Education #2

Institution:
City/State:
Dates Attended:
Major:
Total Credits:
GPA:

Completion of Prerequisites

SW/SOC 210

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SW 210 (If you are an OCC MHA student, Please select "MHA" from Dropdown menu) Grade:
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Semester Completed:
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Institution
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Currently Enrolled:

BIO 104/111

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BIO 104/111 Grade:
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Semester Completed:
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Institution:
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Currently Enrolled:

PSY 100

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PSY 100 Grade:
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Semester Completed:
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Institution:
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Currently Enrolled?

SOC 100

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SOC 100 Grade:
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Semester Completed:
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Institution:
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Currently Enrolled?

PS 100

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PS 100 Grade:
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Semester Completed:
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Institution:
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Currently Enrolled?
Please identify any concerns regarding your GPA and what you are doing to address these issues.

Honors and Awards

Please include dates.

School and Community Activities

List all activities which you were engaged. Include amount of hours.

Employment Experience

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Name of Organization (most recent)
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Dates:
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Duties:
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City/State:
Name of Organization:
Dates:
Duties:
City/State:

Volunteer Experience

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Name of Organization (most recent)
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Total Hours:
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Duties:
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City/State:
Name of Organization:
Total Hours:
Duties:
City/State: