Speech-Language Pathology Supplemental Information

* denotes required

First name *

Middle name

Last name *

Program Information

Tell us if you are applying for Calvin's online or on-campus Speech-Language Pathology program.

By selecting the Calvin Main Campus, you will be taking some courses at Calvin face-to-face on our Grand Rapids, MI campus.

By selecting online, you will be taking your didactic courses online.

Please choose your location: *

Calvin Main Campus - Grand Rapids, MI

Online

Which track do you plan to pursue (select one)?

2-year track

3-year track

Are you a current Calvin undergraduate student applying to complete your studies in the Calvin Master's of Speech Pathology program?*

Yes

If you are applying to Calvin's Speech-Language Pathology Master's program, you will need to complete this form. If you are a post-baccalaureate student or completing your undergraduate degree at another University, you must also complete a full application in CSDCAS.

What is the status of your CSDCAS application?*

I have not started my CSDCAS application

I am in the process of applying in CSDCAS but have not yet completed the application

I have completed my application in CSDCAS

Demographic Information

Mailing address *

Country

Street

City

Region

Postal Code

Email address *

Mobile phone number*

Please text me important updates and reminders.

Yes (recommended)

Gender *

Birthdate *

Are you a US citizen? *

Yes

US Citizenship (hidden)

What is your citizenship *

Are you a Lawful Permanent Resident of the U.S.? *

SCHOOL INFORMATION

Term you wish to start? *

Do you currently attend another college or university?

Yes

Current college/university*

Do you currently have a college degree? *

Yes

Race/Ethnicity

The following information is important for our records and will not be used in a discriminatory manner.

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the racial/ethnic backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions (optional).

Definitions

Hispanic or Latino:: A person of Cuban, Dominican, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
American Indian or Alaska Native:: A person having origins in any of the original people of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.
Asian:: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American:: A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander:: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White:: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Are you Hispanic or Latina/Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

ACKNOWLEDGEMENT

I understand that Calvin University aims to provide an education that is shaped by the Christian faith as reflected in the Reformed tradition.

Please type your name to indicate a signature below*

Calvin does not discriminate with regard to age, race, color, national origin, sex, or disability in any of its education programs or other activities.

Program of Study-APP Acad Scope (hidden-denotes Speech-Language Pathology, MA (On-Ground)

Program of Study-APP Acad Scope (hidden-denotes Speech-Language Pathology, MA (Online)