MS in Human Services Application

This is the application form for the Master's in Human Services (formally FCS) graduate program at EIU. In addition to filling out an application with the EIU Graduate School, students interested in applying to the Master's in Human Services program must fill out this form.

Are you applying for the Human Services Online Cohort Program for Teachers? *

Are you applying for the Human Services Online Cohort Program for Teachers? Yes No
Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Date Baccalaureate Degree Received Date Baccalaureate Degree Received * / MM / DD YYYY
Major *
Institution
*
Applying to start in the: *
Of which year? *
Name of reference #1 Name of reference #1 * First Last
Email address for reference #1 *
Phone for reference #1 Phone for reference #1 * - ### - ### ####
Job title of reference #1 *
Name of reference #2 Name of reference #2 * First Last
Email for reference #2 *
Phone for reference #2 Phone for reference #2 * - ### - ### ####
Job title for reference #2 *
Please attach your letter of intent *

Attach Files
Please attach a current resume *

Attach Files