Graduate Restart Application

This application is for students who were previously enrolled in a graduate program at ETBU who are requesting to participate in the Graduate Restart Admissions process. Approval by the Graduate Admissions Committee will allow you to proceed to the next step of submitting Graduate and Post-Graduate Application for Admission.

If you desire to enroll as a first-time freshman, an undergraduate transfer student, or an undergraduate adult education student, please complete the undergraduate application available at this link. If you are a first-time applicant, you do not need to submit this form; you only need to submit the Graduate and Post-Graduate Application for Admission

Personal Background

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Phone Number

Email Address

What is the best way for you to be contacted by the Graduate Admissions Office?

Main Phone

Mailing Address

Country

Street

City

Region

Postal Code

Social Security Number

We are committed to protecting your privacy.

Upon receiving the secure transmission of your Social Security Number, it is immediately encrypted. Only the last 4 digits of your Social Security Number are available in plaintext for identification and account matching purposes. Your Social Security Number is available for decryption only by those officials who oversee automated loading of personal information into student information systems, and only for that limited purpose.

Our databases are actively monitored and are firewalled to ensure the protection of your personal information, and we employ all industry-standard safeguards.

Additional Information

Have you ever been convicted or adjudicated of a felony or Class A misdemeanor?

Yes

You answered "Yes" to the question about having been convicted of a felony or class A misdemeanor. In order to process your application, we need you to provide more information. Please provide details below concerning the dates and circumstances of the conviction or adjudication, any time served, and your rehabilitation program.

If you have any questions, please contact the Office of Graduate Admissions at gradadmissions@etbu.edu.

Previous Enrollment Information

In which Graduate Program were you previously enrolled?

If your previous degree is no longer offered, please indicate what degree you were previously pursuing at ETBU

From

Current Enrollment Information

Graduate Program currently applying for

Starting Term and Year

Have you attended any college since you left ETBU?

Yes

Please explain what circumstances prevented success in your prior attempt at graduate school and why you feel you can be successful at this time.

Agreements and Signature

I agree with ETBU’s Mission Statement: University Mission Statement and Core Commitments. Select "I agree" to electronically sign:

I understand that as a Christian institution, East Texas Baptist University places emphasis on high standards of personal conduct by all students. Therefore, if accepted for admission, I agree to abide by the rules and regulations of the University as set forth in the catalog and student handbook. I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for rejection or dismissal. Select "I agree" to electronically sign:

I understand that if my student account, for any semester enrolled, becomes delinquent and all methods of collection have been exhausted by the University, my account will be turned over to a third party collector and I will be responsible for all collection and legal fees. Select "I agree" to electronically sign:

I authorize East Texas Baptist University to apply excess Title IV funds to all other educationally-related charges that have been or will be charged to my student account during my attendance at ETBU. Select "I agree" to electronically sign:

In place of your signature, please type your full legal name: