We’re looking forward to welcoming you to our community of learning at Assumption College Graduate School. Please submit this form to tell us your plans. Personal Information This is new information that differs from my original application. This is new information that differs from my original application. First Name * Last Name * Address 1 * Address 2 Town/City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Home Phone * Cell Phone Accept Admission Semester in which you plan to start Spring 2017 Summer I 2017 Summer II 2017 Fall 2017 Spring 2018 Counseling Psychology and School Counseling Students Only: Is this the semester for which you were accepted? Yes No Program Applied Behavior Analysis Business Administration Business Administration - Accelerated Clinical Counseling Psychology Health Advocacy Rehabilitation Counseling Rehabilitation Counseling - Online School Counseling Special Education I plan to attend Full-time, 9 credits or more Part-time, 6 credits or less I have submitted the Free Application for Federal Student Aid Yes No I intend to apply for Federal Student Aid Yes No If receiving Financial Aid/Loans, please contact Financial Aid at 508-767-7158 or firstname.lastname@example.org for information. The amount of credits taken may affect your financial aid award/loan. 2. All Financial Aid forms must be complete at acceptance in order for award to be applied toward your registration. Deposit I am remitting my $200 non-refundable deposit online at https://assumption.afford.com/ by selecting Non-refundable Graduate Deposit. (Online payments may be made using a checking/statement savings account or credit/debit card. A small convenience fee is applied to credit/debit card payments.) I am remitting my $200 non-refundable deposit by check, payable to Assumption College and mailing it to Graduate Studies, 500 Salisbury Street, Worcester, MA 01609 Defer Admission I would like to defer admission to an upcoming semester. I would like to defer admission to an upcoming semester. Semester you would like to defer to Decline Admission I will not be attending Assumption College, the reason I am not attending is: I will be attending the program at I will be attending the program at I am unable to attend the program at this time due to financial reasons. I am unable to attend the program at this time due to financial reasons. I am unable to attend due to my current work schedule/situation. I am unable to attend due to my current work schedule/situation. I am unable to attend due to personal reasons. I am unable to attend due to personal reasons. Other Other Thank you for completing this form. If you have any questions, please contact Graduate Studies at 508.767.7387 or email@example.com Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.