Post-Graduate Certificate Application - Ph.D. in Global Leadership

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 Post-Graduate Certificate in Global Leadership, students must have completed a master's degree.

Personal Info

First Name*

Middle Initial

Last Name*

Preferred 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.

Citizenship*

Citizenship/Residency Status*

Nonresident Alien
Resident Alien
US Citizen

Are you a veteran or member of the US military or a dependent of a veteran or member of the US military?*

Yes
No

Date of Birth*

Place of Birth

Select Ethnicity

(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 Preferences

Select a concentration*

Organizational Leadership
Higher Education Administration
Organizational Leadership/Higher Education
Global Health Leadership
Business Administration (for MBA graduates only)

Start Date Preference

Click here to access PhD Session Dates

Preferred Start Date

Previous Education

Please 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.

University Name*

State*

Graduation Year*

Degree Earned*

Major*

GPA*

Would you like to add another college experience?

Yes
No

University Name*

State*

Graduation Year*

Degree Earned*

Major*

GPA*

Would you like to add another college experience?

Yes
No

University Name*

State*

Graduation Year*

Degree Earned*

Major*

GPA*

Would you like to add another college experience?

Yes
No

University Name*

State*

Grad Year*

Degree Earned*

Major*

GPA*

Have you requested that transcripts be sent to Indiana Tech?*

Yes
No

Please mail your transcripts to the following address:

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

Financial Information

While 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 Materials

You 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, Max. file size: 25 MB.

You must submit an original essay* of between 500-1000 words that addresses:

how the degree will assist with professional growth
the global leadership and research aspect of the degree
area of intended research/interests
identify which current faculty members align with your intended area of research

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, Max. file size: 25 MB.

Comments

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

How did you hear about Indiana Tech?

Please indicate how you heard about Indiana Tech

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
Post 911 GI Bill ®
VA Vocational Rehabilitation
Military Tuition Assistance
Direct Billing
Voucher/Authorization Form Process
Deferment for Employer Assistance

If your military benefits do not cover full tuition, how will you pay the difference?

Financial Aid
Deferred Payment

Date FAFSA filed*

Employer*

Employer phone number*

Employer contact name*

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.

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 Information

There is a $50 processing fee for this application. Please select how you would like to pay.

Pay Now
Pay via Check

Please 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.