Application for Returning Students

Life is unpredictable. It is not unusual to take a break before finishing a degree program. You’re not alone. We can get you back on track!

This application is intended for Ph.D. students who have been absent from the program for at least a full calendar year and would like to re-enroll. This form will guide you through:

Updating your records and adding additional transfer credit, if applicable.
Confirming your degree choice.
Providing the necessary forms for re-admission.
Determining a reasonable re-entry date.

In addition to this form, you will be asked to submit a current résumé and a paragraph or two describing your rationale for returning to the program. Required fields are denoted by (*).

Personal Info

First Name*

Middle Initial

Last Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County of Residence

Phone*

Phone Type*

Secondary Phone

Secondary Phone Type

Email*

Legal Gender*

Male
Female

Legal gender is required for federal reporting purposes.

Date of Birth*

Returning Information

Name While Attending*

Date of Last Attendance*

Preferred Re-Entry Date*

Please confirm your desired area of concentration.*

Global Health Leadership
Higher Education Administration
MBA Pathway
Organizational Leadership / Higher Education
Organizational Management

Additional Education

Have you attended any other college or university since you lasted attended Indiana Tech? If so, please tell us about it below.

University Name

State

Graduation Year

Degree Earned

Major

GPA

Note: A complete official transcript from the above college or university must be received by Indiana Tech before final approval for readmission.

If you would like this additional credit to be considered for transfer, have you requested the corresponding transcript be sent to Indiana Tech?*

Yes
No
Not Applicable

Please mail your transcripts to the following address:

Ph.D. Program
Indiana Tech
1600 E. Washington Blvd.
Fort Wayne, IN 46803

Or, have them sent electronically by the awarding university to phd@indianatech.edu.

Additional Application Materials

Please submit a current résumé including educational record, employment history, and relevant accomplishments, publications, presentations, and professional contributions.

Current Résumé*

Accepted file types: pdf, Max. file size: 25 MB.

*PDF format only

Rationale for Returning*

Please provide a paragraph or two describing your rationale for returning to the program. Feel free to tell us about any accomplishments or academic/professional progress made during your absence or any new educational goals that may have emerged.

Comments

Please specify any additional comments or clarifications related to your application.

Payment Options

Each Ph.D. student must select a payment option. This gives the Business Office the information needed to process your tuition account. View a description of each option.

Select a payment option*

Pre-pay
Financial Aid
Voucher/Authorization Form Process
Direct Billing
Deferment for Employer Assistance ($25 fee per year)
Military

Date FAFSA filed*

Employer phone number*

Employer contact name*

Benefit type*

Policies

Please read the information carefully. After reading, check the boxes to confirm that you understand the policies.

Non-Discrimination Policy

Indiana Tech admits students without regard to race, color, national or ethnic origin, or disability to all rights, privileges, programs, and activities generally accorded to or made available to students at the school. Indiana Tech does not discriminate on the basis of race, color, national or ethnic origin, or disability in administration of its educational policies, admissions policies, scholarship, loan programs and athletic and other school administered programs. Indiana Tech will make reasonable accommodations for qualified individuals with a disability so that such individuals can enjoy the same access to services, programs or activities as other non-disabled individuals.

Acknowledgment*

I have read and acknowledged the Indiana Tech Non-Discrimination Policy.

Possible Re-Entry Interview

I acknowledge that the completion of this form does not imply automatic re-entry into Indiana Tech’s Ph.D. program. I recognize I might be asked for additional information or asked to interview with the Program Director prior to re-entry.

Acknowledgment*

I acknowledge the possibility of a Re-Entry Interview.

Indiana Tech Verification Agreement

I do hereby certify that all the information listed on this application is, to the best of my knowledge, accurate and truthful.

Acknowledgment*

I have read and agreed to the Indiana Tech Verification Agreement.

Initials*