Mount St. Mary's College: Delaney Center: CPSI Form



	Delaney Center: News

Mount Saint Mary's College Delaney Center for Public Sector Information:

Financial Aid:

If you plan to apply for financial assistance, you should file the Free Application for Federal Student Aid(FAFSA) as soon as possible in your application process (ideally by March 1 for fall entrance and October 1 for spring entrance). For further information, contact the Financial Aid Office at (301) 447-5207.

In addition to traditional financial aid, the State of Maryland offers assistance to disabled individuals including purchase of special equipment to aid in classroom work as well as the workplace. Contact: Center Director Joseph Vince at (301) 447-3416.

Students receiving VA benefits should contact the Registrar and notify the Delaney Center for Public Sector Information.

Admissions decisions are made without reference to any application for aid.

Application for admission in:

	S1 January 14
	S2 March 11
	M1 May 13
	M2 July 8
	F1 September 2
	F2 October 28

Legal Name:

Prefer to be called:

Sex:

	Male
	Female

E-mail Address:

Social Security Number:

Permanent Home Address:

Street Name:

Street Name 2:

City:

State:

Zip:

Country:

Home Phone:

Use Home Address for correspondence?

	Yes
	No

Street Name:

Street Name 2:

City:

State:

Zip:

Country:

Phone number at correspondence address (if applicable):

Correspondence Address Valid From:

To:

Citizenship Status:

	USA
	Permanent Resident
	Visa Student
.	Type of Visa
.	Country of Citizenship:

If not English, what is your native Language?

Applicants whose native language is not English should enter the result of the TOEF1 and have official scores sent to the Office of Continuing Studies.

Date Taken:

Score:

Employer Information:

Current Employer/ Company Name:

Street Name:

Street Name 2:

City:

State:

Zip:

Current position, title, or responsibilities:

Employer's type of business or profession:

Years of professional experience:

Work Telephone:

Does your employer provide tuition remission benefits?

	Yes
	No

Work Experience (most recent first):

1.	Organization:
	City/State:
	Dates:
	Position:
2.	Organization:
	City/State:
	Dates:
	Position:
3.	Organization:
	City/State:
	Dates:
	Position:

Resume or Essay:

Make sure you send a resume or brief statement, in essay form, describing your undergraduate collegiate activities, military experience, professional and/or business experience and career objectives to the Mount St. Mary’s Office of Continuing Studies.

Education Information (most recent first):

List the colleges and universities you have attended.

School Name:

City/State:

Dates:

Degree and Major:

Graduated?

	Yes
	No

School Name:

City/State:

Dates:

Degree and Major:

Graduated?

	Yes
	No

School Name:

City/State:

Dates:

Degree and Major:

Graduated?

	Yes
	No

Transcripts:

Make sure you request that the Registrar of each institution send an official copy of your transcripts to the Mount St. Mary’s Office of Continuing Studies.

How did you first learn of Mount St. Mary’s Delaney Center for Public Sector Information?

	Alumni (A)
	Trade/ Professional (P)
	Mount Publications (L)
	Relatives (R)
	Exployer (I)
	Mount Representative (O)
	Internet (T)
	Current Student (S)
	Radio (K) Please Specify
.
	Newspaper (P) Please Specify
.
	Other (Z) Please Specify:
.

Choose a payment type:

	Check (make payable to Mount St. Mary's College)
	Credit Card (if checked, complete information below)

Credit Card Information (if applicable):

	Visa
	MasterCard
	American Express
	Credit Card Number:

	Exp. Date
	-
	Name on card:

Optional Items:

Provision of this information is voluntary and in no way affects admissions decisions. The information is requested solely for the purpose of reporting statistical information to federal agencies.

Date of Birth:

	Native American/ Alaskan American
	Asian American/ Pacific Islander
	Black/ African American
	Caucasion/ White
	Hispanic American/ Chicano/ Puerto Rican
	Other (specify):

Delaney Center (main)

Mission

Download an Application

Advisory Board Members