Doctoral Application Application Please complete the following information as thoroughly as possible. Required fields are denoted by (*). You are required to provide Indiana Tech with transcripts from the college or university at which you earned your bachelor's degree and master's degree. You also may be asked to provide transcripts from other institutions to aid in the admissions decision. In addition to this application form and transcripts, you must submit a current résumé and an original essay. Please complete the following information as thoroughly as possible. Required fields are denoted by (*). In order to pursue the Doctoral Certificate in Global Leadership, students must have completed a doctoral degree or be ABD in their current program. Official doctoral transcripts must be sent to the university.Personal InfoFirst Name*Middle InitialLast Name*Preferred NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country County of ResidencePhone*Phone Type*CellHomeWorkOtherSecondary PhoneSecondary Phone TypeCellHomeWorkOtherEmail* Legal Gender*MaleFemaleLegal gender is required for federal reporting purposes.Citizenship*Citizenship/Residency Status*Nonresident AlienResident AlienUS CitizenAre you a veteran or member of the US military or a dependent of a veteran or member of the US military?*YesNoDate of Birth* Date Format: MM slash DD slash YYYY Place of BirthSelect EthnicityHispanic or LatinoNot Hispanic or Latino(Optional, will be used for statistical purposes only)Select the following race(s) you identify as: American Indian or Alaskan Native Asian Black or African-American Native Hawaiian or Other Pacific Islander White Academic PreferencesSelect a concentration*Organizational LeadershipHigher Education AdministrationBusiness Administration (for MBA graduates only)Start Date PreferenceClick here to access PhD Session DatesPreferred Start DateSession 1 (August)Session 2 (October)Session 3 (January)Session 4 (March)Session 5 (May-June)Session 6 (May-July)Summer 7 (July)Previous EducationPlease list all colleges or universities at which you earned a bachelor's degree at as well as all colleges and universities which you attended as a graduate student. Admission to the doctoral division of Indiana Tech requires you to have earned a master's degree from a regionally accredited institution.Please enter the most recent institution from which you have received a doctoral degree or are currently ABD.University Name*State*Graduation Year*Degree Earned*Major*GPA*Would you like to add another college experience?YesNoUniversity Name*State*Graduation Year*Degree Earned*Major*GPA*Would you like to add another college experience?YesNoUniversity Name*State*Graduation Year*Degree Earned*Major*GPA*Would you like to add another college experience?YesNoUniversity Name*State*Grad Year*Degree Earned*Major*GPA*Have you requested that transcripts be sent to Indiana Tech?*YesNoPlease mail your transcripts to the following address: Ph.D. Program Indiana Tech 1600 E. Washington Blvd. Fort Wayne, IN 46803 Financial InformationWhile it is ultimately the responsibility of each student to finance his or her own education, Indiana Tech will work with third parties to try to aid students in need of financial assistance. Please indicate which sources of financial aid you will be using so that we may better assist you.Financial Aid Sources Employer Tuition Assistance Veterans/Military Benefits Student Loans Other If you are in need of financial aid, you can submit the Free Application for Federal Student Aid. This form is required for all government aid and student loan programs. For more information about the various aid programs you can call the financial aid office at 260.422.5561, ext. 2334.Additional Application MaterialsYou must submit a current résumé including educational record, employment history, and relevant accomplishments, publications, presentations, and professional contributions.Current Résumé (PDF)*Accepted file types: pdf.You must submit an original essay* of between 500-1000 words addressing your interest in the program and intended goals. The essay should express a coherent position and demonstrate your written communication and critical thinking skills. *Use of APA 7th edition formatting is required.Original Essay (PDF)*Accepted file types: pdf.CommentsPlease specify any additional comments or clarifications related to your application.How did you hear about Indiana Tech?BillboardDirect Mail-CorporateDirect Mail-StudentDrive ByEvent-CorporateEvent-Ed Fair-ShowEvent-SpecialInternet-Indiana TechInternet-OtherPrint-MagazinePrint-NewspaperPrint-OtherPrint-PhoneBookRadio SpotReferral-CorporateReferral-OtherReferral-StudentTech GraduateTelevision SpotOtherPlease indicate how you heard about Indiana TechPayment OptionsEach 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-payFinancial AidPost 911 GI Bill ®VA Vocational RehabilitationMilitary Tuition AssistanceDirect BillingVoucher/Authorization Form ProcessDeferment for Employer AssistanceIf your military benefits do not cover full tuition, how will you pay the difference?Financial AidDeferred PaymentDate FAFSA filed* Date Format: MM slash DD slash YYYY Employer*Employer phone number*Employer contact name*PoliciesPlease 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. Indiana Tech Verification Agreement By signing my first and last name below, I do hereby certify that: all the information listed on this application is, to the best of my knowledge, accurate and truthful. I have elected to pay for my tuition as selected above. I understand that my account is my responsibility, regardless of whether or not I receive payment from my employer or other financial assistance and I agree to follow Indiana Tech’s payment policies. I understand that in the event my account is more than 30 days past due I will be assessed a $50.00 late charge per month on the past due balance. Due to lack of payment, the university may give my account to an outside agency to seek restitution. Furthermore, in the event the university has to incur any expenses collecting this account, I agree to pay all the costs of collection. This includes, but is not limited to, collection agency fees up to 50%, court costs, and/or any reasonable attorney fees. I authorize the university to release financial information about my account to those involved with collecting the balance due. Acknowledgment* I have read and agreed to the Indiana Tech Verification Agreement. Initials*Payment InformationThere is a $50 processing fee for this application. Please select how you would like to pay.Pay NowPay via CheckPlease take your payment to your local Indiana Tech location, or mail a check to: Ph.D. Program Indiana Tech 1600 E. Washington Blvd. Fort Wayne, IN 46803 You will be forwarded to our payment processor after submitting your application.