Master of Science in Education Application

Applicant Information


Other Personal Information


Degree or Licensure

Select master's degree or licensure:

Select the grade level(s) for your degree or licensure:

Felony Conviction Disclaimer

Have you ever been charged with a violation of the law which resulted in probation, a jail sentence or the revocation or suspension of your driver's license?(*)

If you answered yes, please explain the incident:

Directory Information Release

Selecting "No" to the information release means you will not be in the campus directory, you will not appear in your hometown newspaper for honors or other awards, nor are we able to verify your enrollment or other information to lenders, potential employers, or others outside the campus community.

The following three items are optional.
This information is collected only for purposes of statistical reporting to federal agencies and is not used for purposes of determining admission or enrollment at Buena Vista University.

Other Information

Institution #1



Institution #2



Institution #3



List academic and/or professional honors received and/or special skills or competencies:

Professional Information

List positions relevant to your professional interests and training, beginning with the most recent.

Most Recent Employer

Employer #2

Employer #3

Employer #4

Employer #5


#1: Supervisor

#2: Professional Colleague

#3: Reference of your choice

Buena Vista University does not discriminate on the basis of color, national origin, sex, age, religion, sexual orientation or handicap in our admission process. Buena Vista University has an Open Admission Policy which we feel enhances the collegiate experience by insuring a diverse student population. No admission fee is required. The University respects the confidentiality of each document it receives including all transcripts, records, and test results used for purpose of evaluation and placement.
By clicking the Submit button, you are confirming that all the information contained on this application is correct, complete, and honestly represented. If this is correct, please click Submit to submit the form above.