We invite you to complete this pre-application form for the Higher Education Administration Program. By forwarding this form, you will begin an important process of learning more about the educational experiences available to you. Once we receive your pre-application, a faculty member will contact you to discuss your individual career objectives and how the GWU may help you accomplish them. If you decide to apply, a standard full application to GWU will be required. All information will be held in confidence.

PERSONAL INFORMATION PROFESSIONAL INFORMATION
Name
Home Address
City
State
Zip Code
Home Phone
Your Title/Position
How Many Years?
Organization
Work Address
State
Zip Code
Office Telephone
Fax
E-mail Address Required
Briefly describe your current responsibilities at work:
How do you think the Higher Education Administration Program can help you?
How did you come to hear about the Higher Ed program at the GW VA Campus ?
What is your previous education?
Institution
Major
GPA
Degree

© 2006 The George Washington University Virginia Campus
Higher Education Administration Doctoral Program
44983 Knoll Square • Suite 390 • Ashburn, Virginia 20147-2604
Voice (703) 726-8254 or (703) 726-3773 • Fax (703) 726-8211
highereducation@va.gwu.edu