Master of Arts in Community Counseling

Personal Information
First Name:
Middle Initial:
Last Name/Surname:
Maiden/Alternate Name:
Mailing Address:
Street Address:
(if different from above)
City:
State:
Zip Code:
Country:
Home Phone:
Cell Phone:
Email Address:
Date of Birth:
Have you ever been convicted of a felony? No        Yes

If yes, please explain:

The following information is requested for tracking purposes only and will not affect your application:
Citizenship:
Ethnicity:
Are you Hispanic or Latino?
Race:
Gender:
Religious Preference:
How did you hear about Missouri Valley College Graduate Studies?

Indicate that you have fulfilled each requirement for admission
Bachelor's degree
Grade point average
If Bachelor Degree is not in psychology, which of the following classes have you completed?

General or Introduction to Psychology

Theory of Personality

Abnormal Psychology

History of Psychology

Research Design

Physiological Psychology

(If you are uncertain whether or not you have had the above classes, leave the box blank and you will be contacted.)
How do you plan to send the following? Please check one for each.
Resume email mail
Personal Statement email mail
I waive my right to view the contents of my letters of recommendation. I understand that my decision to waive my right to review the evaluator comments submitted on this form will not affect the decision of the Admissions Committee.*
I do not waive my right to view the contents of my letters of recommendation. I understand that my decision to review the evaluator comments submitted on this form will not affect the decision of the Admissions Committee.*
*Please note: The Family Education Rights and Privacy Act of 1974 accords admitted students the right to review these recommendation forms unless that right is waived.
Name of Reference        Email
 
 
 
*Applicants must either ask the above references to complete the Reference Letter Form or should send them a printed copy to fill out.
Printable Reference Letter Form (PDF)
Master of Arts in Community Counseling (MACC)
Educational Plans
Entry Year:
Term:
Do you plan to enroll as:
(If international, you must be full-time)
Will you apply for Financial Aid:
(*If Yes, must completeFree Application for Federal Student Aidonline.)
Graduate Records Exam
(Official score sheet must be submitted to the Admissions Office. Minimum combined score of 900 required for admission into program; exceptions will be considered on an individual basis.)
Have you taken the GRE?
Score Verbal:
Quantitative:
If you answered No, date you will take the GRE:
Educational History
(Bachelorís degree from a regionally accredited institution required) All applicants must have official transcripts sent directly to the Missouri Valley College Admissions Office for all college and universities attended. International transcript must be evaluated by World Education Services (wes.org) or another approved outside evaluator.
First Education
Institution:
Location:
Dates Attended:
Degree/Major:
GPA:
Second Education
Institution:
Location:
Dates Attended:
Degree/Major:
GPA:
Third Education
Institution:
Location:
Dates Attended:
Degree/Major:
GPA:
Employment History
Do you plan to hold salaried employment while enrolled?
Will your employer be paying for a portion of your tuition?
International Students
Missouri Valley College requires verification of available funding for International Students by submission of an Affidavit of Support form.† Forms are available online or by contacting the Admissions Office.
Is English your native language? (If no, you must submit TOEFL results)
Have you taken the TOEFL?
If yes, TOEFL score:
If no, date you will take the TOEFL:
Do you now have a visa?
If yes, Visa Type and Expiration Date:
I hereby certify that all information given in this application is complete and accurate to the best of my knowledge.† I understand that intentional omission or falsification of requested information can lead to disqualification or eventual dismissal from the program.
Date:
Name:

This application must be completed in its entirety and submitted to the Missouri Valley College Admissions Office, 500 E. College Street, Marshall, MO 65340. The following must also be submitted:†

  • $30 application fee (non-refundable)
  • 3 letters of professional reference
  • GRE score sheet
  • Resume
  • Personal Statement
  • Final official transcripts sent directly from each institution of higher education you have attended

Once all required documents are received, you will be contacted for a mandatory on-site interview if the documents you provided meet the Admissions standards.

Missouri Valley College does not discriminate on the basis of race, age, gender, color, religion, disability, national or ethnic origin in the recruitment and admission of students.