Application for Admission
 Engineering Graduate Programs Division

Required information is marked with an asterisk ( * ).

* I am Applying for Entrance 

(Semester / Year)
* Degree Program

Personal Information  
* Title Mr. Ms.
* First name
* Initial
* Last name
* Street address
* City
* State/Province
* ZIP/Postal code
* Country
* Birth date
(mm/dd/yyyy)
* Birth place
* Social Security Number 
(9 digits only--no hyphens or spaces)
* Home phone
* Business phone
* Primary e-mail
* Secondary e-mail
  * Gender Female Male
 * Marital status Married Single
Ethnicity/Race

1) Are you Hispanic or Latino?
Yes, I am of Hispanic/Latino Origin - Includes all persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

No, I am not of Hispanic/Latino Origin

2) 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:
American Indian/Alaska Native - Includes all persons having origins in any of the original peoples of North and South America (including Central America), and who maintain a tribal affiliation or community attachment.

Asian - Includes all persons 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 - Includes all persons having origins in any of the Black racial groups of Africa.
Native Hawaiian or Other Pacific Islander - Includes all persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White - Includes all persons having origin in any of the original peoples of Europe, the Middle East or North Africa.
Religious preference

Citizenship

* Are you a U.S. Citizen? Yes  No
If not, what is
your residency status?
TOEFL, Date taken
TOEFL, Score
Official results must be submitted directly from the testing agency.
* Are you a veteran? Yes No
* Are you a Georgia resident? Yes No

Academic

* College/University
Attended

Location

Dates

Degree/
Major

GPA

Two official transcripts must be sent directly to Mercer University School of Engineering from each school. International Students must have a third party translation of their transcripts.

 

* Have you ever been placed on probation or suspended from any college or university?

Yes No
If yes, please explain here

Work History
List job history in reverse order showing present position first.

Position

Employer

Address

Dates


Comments

How did you hear about The Graduate Program here at Mercer?

Application Fee

Credit Card Information

* Cardholder's first name
* Cardholder's middle initial 
* Cardholder's last name
* Cardholder's daytime phone number (include area code)
* Card type American Express 
MasterCard
Visa
* Card number
* Card expiration date (mm/yyyy)
* Payment item Engineering graduate program admission application fee
* Application fee $35.00 U.S. citizen
$50.00 International

Code Of Conduct

I am familiar with the general regulations governing the conduct of the students at Mercer University as set forth in the Bulletin (see sections entitled "Code of Conduct" and "The Honor System") under which I am applying for admission.  I pledge to abide by these regulations and any other comparable regulations that may be adopted during the periods of my enrollment.  By the act of entering Mercer University, I agree to abide by the rules of the honor system.

By the act of entering Mercer University, each student personally consents to Mercer's Honor System and thereby agrees to be governed by its rules.  Furthermore, each student is personally responsible for knowing the rights and obligations as set forth in the Honor System.  The student is also expected to cooperate with all proceedings of the Honor System and to participate fully in the Honor System.  Students who refuse to accept the Honor System will be denied admission.

* If you agree, initial here 

 

Mercer University is committed to providing equal educational and employment opportunity to all qualified students, employees, and applicants, without discrimination on the basis of race, color, national or ethnic origin, sex, age, or disability.

Mercer University Home Page

Contact us:
 Engineering Graduate Programs Division
School of Engineering

1400 Coleman Avenue
Macon ,GA 31207-0001
Phone:
478.301.5480 or 800.637.2378 ext. 5480
Fax: 478.301-5433