Graduate Restart Application for Admission

This application is for students who were previously enrolled in a graduate program at ETBU who are requesting to participate in the Graduate Restart Admissions process. If you desire to enroll as a first-time freshman, an undergraduate transfer student, or an undergraduate adult education student, please complete the undergraduate application available at this link. If you are applying for a Graduate Program for the first time, please complete the graduate application for admission.

First Name

Last Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Country

Middle Name

Preferred Name

Maiden Name

Email Address

Social Security Number

Date of Birth

Gender

What is the best way for you to be contacted by the Graduate Admissions Office?

Main Phone

Previous Enrollment Information

In which Graduate Program were you previously enrolled?

Dates Previously Attended

Current Enrollment Information

Graduate Program currently applying for

Starting Term

Starting year

Additional Information

Have you ever been convicted or adjudicated of a felony or Class A misdemeanor?

Have you attended any college since you left ETBU?

Please list all colleges and dates attended

Please explain what circumstances prevented success in your prior attempt at graduate school and why you feel you can be successful at this time.

Mission Statement

I agree with ETBU’s Mission Statement

University Mission Statement and Core Commitments

I understand that as a Christian institution, East Texas Baptist University places emphasis on high standards of personal conduct by all students. Therefore, if accepted for admission, I agree to abide by the rules and regulations of the University as set forth in the catalog and student handbook. I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for rejection or dismissal.

I understand that if my student account, for any semester enrolled, becomes delinquent and all methods of collection have been exhausted by the University, my account will be turned over to a third party collector and I will be responsible for all collection and legal fees. I understand that I am waiving the option to view all letters of recommendation or recommendation forms submitted on my behalf as part of my application file. Check to electronically sign

I authorize East Texas Baptist University to apply excess Title IV funds to all other educationally-related charges that have been or will be charged to my student account during my attendance at ETBU.