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Application for Admission to Graduate School
Fort Hays State University
Hays, Kansas 67601-4099
Items with an asterisk are for reporting to Federal Compliance Agencies only and will not be used in determining admission status.
Last Name:
First Name:
Middle Name:
Maiden Name:
Give any other names under which you have previously enrolled at FHSU or at any other college or university:
 
E-mail Address:
 
Mailing Address:
Address:
City:
County:
State:
Zip Code:
Telephone No.:
 
Social Security Number:
 
City Of Birth:
State Of Birth:
Date Of Birth: \ \
 
Gender*: Male
Female
 
Program of Study (Major): Non-Degree Seeking
Certificate or Endorsement:
 
Semester you wish to enroll: -
 

Give the names, addresses and dates of all colleges and universities attended, including FHSU:

Institution Location Dates Attended Major Degree & Date
 
Ethnicity:
Are you Hispanic or Latino? : Yes
No
Race*:
Select one or more of the following:
American Indian or Alaska Native
(A person having origins in any of the original peoples of North and South America, including Central America, and who maintains a tribal affiliation or community attachment)
Asian
(A person 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
(A person having origins in any of the black racial groups of Africa)
Native Hawaiian or Other Pacific Islander
(A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
White
(A person having origins in any of the original peoples of Europe, the Middle East, or North Africa)
 
Have you lived in Kansas continuously for the past 12 months? : Yes
No
 
Check one box: American Citizen
Perm. Resident Alien
 
I fall within the definition of disabled. (A disability which substantially limits one or more major life activities)(OPTIONAL): Yes
No
I would like information on campus services for the disabled: Yes
No
 
Each applicant who is an American citizen or a Permanent Resident is required to pay a $35 application fee. Select from the following payment options:

I wish to submit the following credit card information to pay my $35 application fee:

MasterCard Visa Discover American Express
Name on Card:
Card Number:
Expiration Date (Month/Year):

I am mailing a $35 check or money order payable to FHSU to:

Graduate School
Fort Hays State University
600 Park Street
Hays, KS 67601-4099
 

Submission of this application form is the first step in applying to Graduate School. Other requirements are listed under Programs and Degrees. All materials should be sent directly to the Graduate School. Thank you!