8
A personal statement, resume, and recommendation are required. Please refer to page 4 of this booklet.
I certify that all of the information provided by me or on my behalf in support of my application for admission is complete and accurate. I acknowledge that I am obligated to supplement
my application as soon as I know or reasonably should know if the information I have provided or that was provided on my behalf is inaccurate or incomplete. I also certify that the personal
statement submitted in support of my application for admission is solely my own original work. I acknowledge that Pace University may, at its sole discretion, verify any information
submitted in conjunction with my application. I acknowledge that if I omit relevant information or provide inaccurate information or information that is misleading, submit a personal
statement that is not solely my own original work, or if I fail to supplement my application as required, Pace University may, at its sole discretion, deny my application for admission, rescind
my admission, impose disciplinary sanctions against me, dismiss me from Pace University, and/or rescind any degrees or certificates awarded to me by Pace University.
I acknowledge that the application fee I have paid or will pay in the future is not refundable.
I acknowledge that I am bound by the policies, practices, and procedures of Pace University, whether published or unpublished, and I agree to comply with them.
Applicant’s Signature
Date (MM/DD/YYYY)
Please print name
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Please list, in chronological order, all colleges or universities attended since your high school graduation. Be sure to include all institutions at which you were, are, or will be enrolled
prior to your anticipated Pace University graduate program entry term. An official transcript from each institution must be received by the Pace University Office of Graduate Admission.
All documents not issued in English must be supplemented by professionally certified English Translations.
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Have you ever been placed on academic or disciplinary probation or been dismissed from any institution?
If yes, please attach your statement of the circumstances.
Yes
No
APP REC DATE (MM/DD/YYYY)
FEE REC DATE (MM/DD/YYYY)
FOR OFFICE USE ONLY
Non-Discrimination Statement
Pace University prohibits and will not tolerate discrimination or harassment in any of its programs or activities on the basis of sex, race, color, national origin, religion, creed, age,
disability, citizenship, marital status, sexual orientation, genetic predisposition or carrier status, veteran status, or any other characteristic protected by law. Pace University’s
Affirmative Action Officer has been designated to handle inquiries regarding the University’s non-discrimination and harassment policy and may be contacted at 156 William Street,
New York, New York 10038, (212) 346-1310, or at Marks Hall, Room 20, 861 Bedford Road, Pleasantville, New York 10570, (914) 773-3856.
Reasonable Accommodations
Pace University prohibits discrimination on the basis of disability and is committed to ensuring equal access to the application process for applicants with disabilities. An applicant who
may require a reasonable accommodation in order to complete the application process should contact the Director of Disability Services on either the New York City (212) 346-1526 or
Westchester Campus (914) 773-3710.
Have you ever been convicted of or plead guilty to a misdemeanor or felony?
If yes, please explain on a separate piece of paper (response required).
Note: Answering yes to either of the two questions above does not automatically bar you from admission to Pace University.
Yes
No
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