Personal Information:
   
 
Last Name*
 First Name*  
 
     
E-mail Address*
 Confirm E-mail*  
 
     
(Please double check to make sure your e-mail address is correct. We will be contacting you through this address.)
     
Buxton University Programs    
Preferred Degree* Major*  
 
     
Address:    
Street* City*  
 
State* Zip  
 
Country* Phone  
 
 
 
 
 
 
 
 
 
   
 
The following optional information is for statistical and reporting purposes only and will not have an impact on our decision.
Date of Birth:
How would you describe yourself:
Sex:
 
   
  Education:
 
 
List all post-secondary schools attended, with dates and degrees earned, if any. If you have never attended college, please check here:
   
 
1) Institution Name Did you Graduate?  

 
LOCATION (City, State)
 Dates of Attendance Major
Degree expected or received
 Date of Degree GPA
   
 
   
 
2) Institution Name Did you Graduate?  

 
LOCATION (City, State)
 Dates of Attendance Major
Degree expected or received
 Date of Degree GPA
   
 
   
 
3) Institution Name Did you Graduate?  

 
LOCATION (City, State)
 Dates of Attendance Major
Degree expected or received
 Date of Degree GPA
   
 
List any special educational experiences you have had, such as independent study projects, work as a tutor, study abroad, etc., and any school, community, sports, and religious activities in which you have participated. Include any special recognition you have received for these activities.
   
   
  Professional Experience:
 
 
You may attach your resume to enhance the information requested by this form. Simply click below to attach it. (We will only accept resumes in the following formats: Word, Text, Acrobat, or HTML. Maximum attachment size is 1.5 megabytes.)
 

 
  Attach your Resume here

   
 
Job 1    
From
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Company Name Position  
 
     
Specific Responsibilities:
   
   
Job 2    
From
 To
  
 
Company Name Position  
 
     
Specific Responsibilities:
   
 
Job 3    
From
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Company Name Position  
 
     
Specific Responsibilities:
   
 
Please describe any other information you feel may qualify you for the degree(s) you seek. Include military experience, volunteer work, etc.
   
 
PLEASE READ
BEFORE SUBMITTING YOUR APPLICATION
REQUIRED ACKNOWLEDGMENT:
I have read and agree to the policies and procedures of Buxton University . I certify that I am at least 18 years of age and all information contained herein is true and correct.
 
   
 
   
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