Graduate Admission Application

South Dakota School of Mines and Technology

Office of Graduate Education • 501 East Saint Joseph Street • Rapid City, SD 57701 • USA
1-800-544-8162 • (605) 394-2493 • Fax (605) 394-5360
Website: http://graded.sdsmt.edu • Email Contact: Graduate.Admission@sdsmt.edu


1. Personal Data


Full Legal Name: (International applicants: Your name on this application, which will be the name used on all South Dakota School of Mines and Technology [SDSM&T] records, must be exactly as it appears on your passport and visa application or you will not be granted a visa.)


Family Name (Surname) First Name (Given Name) Middle Name


Other Name(s) That Appear on Academic Records:
United States Social Security Number: -- (Required for US citizen or permanent residents)


Date of Birth
  MM DD YYYY


Permanent Address:


    Street Address, Route and Box, or Post Office Box Number
    City
    State Zip Code
    County (SD residents only)
    Country
    Telephone
    Email

Current Address (if different from permanent address):


    Street Address, Route and Box, or Post Office Box Number
    City
    State Zip Code
    County (SD residents only)
    Country
    Telephone
    Email

In case of emergency, contact:


    Name Relationship Phone Email

2. Residency Information


Are you a citizen or permanent resident of the United States?   Yes   No


US Residency


Legal Resident of For how long?


Are you a resident of the South Dakota?   Yes   No


If less than 12 months as a S.D. resident, what was the state of previous residency.


Are you, your spouse, or either of your parents a member of the United States Armed Services, stationed in South Dakota?   Yes   No


Will you be using Veteran's Administration (VA) benefits: Yes  No
If yes, list chapter


Are you a Western Interstate Commission for Higher Education (WICHE) Western Regional Graduate Program (WRGP) Applicant? Yes  No 


Foreign Residency


Country of Birth: City of Birth:
Country of Citizenship:
Visa Type (anticipated):


3. Optional Information


The following do not relate to the admission decision, but they are asked so that SDSM&T can fulfill the reporting requirements of the Office of Civil Rights.


Gender: Male   Female
Religious Preference:  
Ethnicity: Caucasian   African American
  American Indian   Hispanic
  Asian Other
Marital Status: Unmarried   Married


4. Education and Employment Data


Brief Summary of Employment Experience:


List any honorary societies, scholarships, prizes, or publications:


Have you previously attended SDSM&T?  Yes  No   If yes, dates attended: 


Are you currently enrolled at another college or university?  Yes  No  


If yes, which institution are you attending now? 


Do you intend to transfer graduate credits from another college or university?  Yes  No  


List in chronological order with most recent first all educational institutions you have attended since graduation from high school:


Name of Institution When Attended Degree(s) When Awarded
  From To Awarded or Anticipated Month Year
  (mm/yyyy) (mm/yyyy)


Cumulative Grade Point Average:   And/Or Rank in Class: out of


Indicate your knowledge of languages:


LANGUAGE READ   SPEAK
  Excellent Good Fair Poor   Excellent Good Fair Poor
English  
 
 


International applicants are required to complete the Test of English as a Foreign Language (TOEFL). Go to www.ets.org/toefl or write to TOEFL, c/o Educational Testing Service (ETS), Princeton, NJ 08540 USA for application forms. Request that ETS send official scores to the Graduate Office at the address on this application. Distance Learning students will not be required to submit TOEFL scores if they will not attend classes on SDSM&T’s campus. If you have taken the TOEFL, please complete the following:


Date of Test: Your registration number: Your total score:
Month Year


5. Academic Intentions


Do you wish to be considered for a graduate teaching or research assistantship? Yes  No


Note: Unless you have indicated otherwise above, you will automatically be considered for financial support based on information provided on this application. No further application materials are required.


I WISH TO ENROLL AT SDSM&T:  Fall  Spring  Summer  Year


Indicate which program of study you intend to pursue at SDSM&T (Choose only one major and one emphasis area, if appropriate, below):


Master of Science Degree
Atmospheric Sciences
Biomedical Engineering
 Biomaterials emphasis
 Computational Biomedical Engineering emphasis
 Assistive Technology/Rehabilitation Engineering emphasis
Chemical Engineering
Civil Engineering
 Enviromental emphasis
 Geotechnical emphasis
 Structural emphasis
 Water Resource emphasis
Computer Science
Electrical Engineering
Geology/Geological Engineering
 Geology emphasis
 Geological Engineering emphasis
Materials Engineering and Science (MES)
 Chemistry emphasis
 Chemical Engineering emphasis
 Metallurgical Engineering emphasis
 Physics emphasis
 Other
Mechanical Engineering
Paleontology
Technology Management (MSTM)
 Distance Learning Mode
 On-site Mode
Doctor of Philosophy Degree
Atmospheric and Environmental Sciences
 Atmospheric emphasis
 Environmental emphasis
Biomedical Engineering
 Biomaterials emphasis
 Computational Biomedical Engineering emphasis
 Assistive Technology/Rehabilitation Engineering emphasis
Chemical and Biological Engineering
Geology/Geological Engineering
 Geology emphasis
 Geological Engineering emphasis
Materials Engineering and Science (MES)
 Chemistry emphasis
 Chemical Engineering emphasis
 Civil Engineering emphasis
 Electrical Engineering emphasis
 Mechanical Engineering emphasis
 Metallurgical Engineering emphasis
 Physics emphasis
 Other
Nanoscience and Nanoengineering
 
Special Student, Graduate Level (non-degree seeking)
Evidence of Bachelor’s degree required. (No financial aid available for students under special student status.)
 


Essential Elements


$35.00 (U.S.) Non-refundable Application Fee. All charges are non-refundable and cannot be waived. The application fee must be received before any action can be taken on admission. International students should send the $35.00 by U.S. money order or a check that has the bank routing number on it. All applicants (including students that have attended a South Dakota state university) are required to pay the $35.00 application fee. Checks should be made out to: South Dakota School of Mines & Technology.


Transcripts. You must provide official and complete college transcripts or other records of previous training or experience. All transcripts and credentials become property of this college and will not be returned to the applicant. For a transcript to be official, it must be sent directly from the institution to the Graduate Office at SDSM&T with an official seal or stamp affixed. Distance Learning: Applicants enrolled in distance learning mode will not be required to complete immunization forms/records or send TOEFL scores.


Recommendations. We will contact three references for you via email and ask each one to fill out an on-line recommendation form. Please choose three references who can describe your abilities, knowledge, and strengths. Provide their information as indicated below.


Name Title Email Address
1.
2.
3.


The Family Educational Rights and Privacy Act of 1974, as amended, allows a candidate for admission to waive his or her right of access to confidential letters or statements written in his or her behalf if the recommendation is used solely for the purpose of admission and if the candidate, upon request, is notified of the names of all persons making such recommendations in his or her behalf. The University does not require that you make such a waiver as a condition for admission. However, under the legislation, you have the option of signing such a waiver as follows:


I hereby voluntarily waive do not waive my right to examine this confidential evaluation.


Statement of Purpose. A one-page statement of purpose is required of all applicants and may be submitted by email or post. Please include such things as your areas of special interest, your experiences to date which helped prepare you and guided you to consider graduate school, your hopes for your future career, etc.


Upload your Statement of Purpose


The Graduate Record Examination (GRE) is required of all applicants except SDSM&T graduates.


Have you taken or do you plan to take the GRE: Yes  No Date taken
(Request ETS to send official scores to Graduate Education Office, SDSM&T)     Month Year


You will be notified by email and paper document if you have been accepted for admission. At the time of notification, you will be sent a Student Health form to be filled out by your personal physician and returned to Student Health Services. This is required for participation in the student health service. Financial certification is required of international applicants before a visa application will be issued.


Note: You will automatically be considered for financial support based on information provided on this application. No further application materials are required.


Graduate students wishing to be considered for financial assistance must submit their application by February 1. Target dates for International applicants are April 1 for fall and September 1 for spring.