UNIVERSITY OF MAINE



APPLICATION FOR ADMISSION

FOUR PLUS ONE PROGRAM

MASTER OF SCIENCE INFORMATION SYSTEMS*

or

MASTER OF SCIENCE SPATIAL INFORMATION SCIENCE AND ENGINEERING*

or

MASTER OF SCIENCE SPATIAL INFORMATICS**

UNIVERSITY OF MAINE

Contact: Professor Harlan Onsrud, MSIS/SIE Graduate Coordinator, 5711 Boardman Hall, University of Maine,

Orono, ME 04469-5711 Phone: +1-207-581-2175

Return the completed digital application to: harlan.onsrud@maine.edu with a copy to kkidder@maine.edu

* - all courses are available simultaneously on campus and online

** - this degree is available only through online courses

NOTICE: This form is submitted to the program and NOT to the graduate school in order that accepted undergraduate students into the Four Plus One program may be allowed to take graduate courses at undergraduate tuition rates. Please note that the information requested below is identical to or very similar to information requested on the formal application for graduate school. The information supplied below will need to be transferred by the Four Plus One student to a formal graduate school application near the end of their senior year. The letters of recommendation already gathered will be transferred by the Department to the graduate school at that time along with the Graduate Coordinator’s recommendation concerning the student’s success in the Four Plus One program.

1. Name____________________________________________________________

(Family Name) (First) (Middle)

Maiden name or other names under which records may be filed_______________________________

Mailing Address__________________________________________________________________________

(Street) (City, State) (Zip Code) (Country)

Permanent Address________________________________________________________________________

(Street) (City, State) (Zip Code) (Country)

Phone Number ________________________________Work Phone______________________________

E-mail_______________________________________________________________________________

2. Place of Birth_______________________________________________________________________

(City, State, Country, if not USA)

3. Date of Birth________________________________ Gender _______________

Citizen of _____________________________________ If U.S. Citizen, legal resident of____________________

(Country) (State)

4. U.S. Social Security No. (if applicable) _____________________________________

5. Present Occupation (if applicable) _____________________________________________________

(include job title )

6. Semester you expect to take first course in the Four Plus One Program _________________________

7. Degree you are seeking: (check one) ___ MS Information Systems or

___ MS Spatial Information Science and Engineering or

___ MS Spatial Informatics

8. Proposed department of study: Spatial Informatics and Information Systems Faculty, School of Computing and Information Science, Rm 340 Boardman Hall

9. List in chronological order all institutions of collegiate standing, and location, that you have attended. Include dates of entering and leaving degrees received or for which you are a candidate. The department will access transcripts directly for the UMaine Orono campus. Transcripts from other colleges and universities must be sent directly from these institutions to: Karen Kidder, Administrative Assistant, MSIS/SIE, 5711 Boardman Hall, Rm 340, University of Maine, Orono, Maine, 04469-5711, USA. (kkidder@maine.edu)

|Name of Institution |Location |Dates Attended |Major |Name of Degree or |Date Degree Received or |

| | | | |Diploma |Expected |

| | | | | | |

| | | | | | |

| | | | | | |

Indicate your cumulative undergraduate average on a 4.0 scale (A=4):_______

10. List any honors, prizes or scholarships previously awarded to you on the basis of academic achievement, or any honor societies to which you have been elected.

11. List any employment or other activities related to your current undergraduate program or the proposed graduate program of study in Information Systems. If you have taught, name subjects.

12. Have you ever been found responsible for a disciplinary violation at a college or university you have attended (or the international equivalent) whether related to academic misconduct or behavioral misconduct, that resulted in your suspension, removal, dismissal or expulsion from the institution? Yes _____ No _____

Have you ever been convicted of a misdemeanor, felony or other crime, or adjudicated of committing a juvenile crime?

Yes _____ No _____

If you answered yes to either or both questions, please attach a section titled Appendix 1 at the end of this application that gives the approximate date of each incident and explain the circumstances.

13. Provide the date you have taken or intend to take the Graduate Record Examination (Note: Four Plus One students applying to the graduate programs covered by this application typically meet the qualifications for a GRE Waiver)

Date of Exam__________

GRE scores: Verbal ___________ Quantitative ___________ Analytical Writing ___________ Subject __________

Please have the official scores from the GRE and TOEFL exams sent directly to the University of Maine Graduate School from the testing institution. The institution code for UMaine (ORONO) is 3916

Note: You may examine test review materials and register for the GRE Computer-based General Test at You are not required to take a Subject Test for the MSIS or SIE Programs.

14. Knowledge of other than your primary language and proficiency in each: (Rate yourself Good, Fair, or Poor)

|Language |Writing |Reading |Speaking |

| | | | |

| | | | |

| | | | |

If English is not your primary language, please indicate the number of years you have studied English (give dates):

In secondary or middle school: ___________________________________________________________

In university: _________________________________________________________________________

Under private lessons: _________________________________________________________________

15. List names and addresses of three people whom you are asking to send letters of recommendation. Letters of recommendation must be recent and must be written by people qualified, through personal experience with your academic work, to judge your capacity for advanced study. Current university instructors would be highly appropriate. Applicants should request the named people to send their recommendations directly to the Four Plus One Coordinator listed at the top of this application. Hard copy and/or electronic letters are acceptable.

|Name |Address (include physical address, email and phone) |

|1. | |

|2. | |

|3. | |

16. In the space below, compose a brief essay (300-500 words) to be read by the MS Information Systems advisory committee that describes your academic and personal intentions and objectives. Identify any special interest you would like to pursue now or in the future.

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Note: If you are a US citizen, skip to the final signature line of this application (line 24).

Questions 17 through 23 must be completed by ONLY applicants who are NOT citizens of the United States.

17. Please provide the date you took or plan to take the TOEFL examination.

Date of exam: _______________________

TOEFL score: _______________________

Remember: Foreign students must submit TOEFL scores.

18. Indicate below the career you plan to pursue if you plan to remain in the United States after completion of graduate studies (e.g., teaching, government, business, industry).

19. If you plan to continue studies for another graduate degree after the one you are applying for at the University of Maine, describe briefly the subject, location, estimated beginning date, and approximate duration.

20. If you plan to return to your own country immediately after completing study or research, state the details (e.g., employer, location, type of work, estimated beginning date) that may be known to you.

21. How do you expect to finance your graduate study? You must complete the Financial Statement form upon admission. The form is available on the Graduate School website (www2.umaine.edu/graduate)

22. List names and addresses of any close relatives or friends in the United States:

_____________________________________________________________________

(Name) (Address/phone number) (Relationship)

_____________________________________________________________________

(Name) (Address/phone number) (Relationship)

23. List persons to be notified in case of an emergency:

(a) In the United States __________________________________________________________________________________

(Name) (Address/phone number) (Relationship)

(b) In home country __________________________________________________________________________________

(Name) (Address/phone number) (Relationship)

This university is authorized under federal law to enroll non-immigrant alien students. Anyone submitting falsified documents will be denied admission and receive no refund of any fees paid. The University will notify appropriate authorities of this action and information will be shared with government agencies.

REQUIRED SIGNATURE OF ALL APPLICANTS

24. Signature_________________________________________________ Date_____________

IMPORTANT NOTIFICATIONS:

Admission decisions for the Four Plus One Program cannot be made until the complete application is received. All application materials become part of the permanent records of the University of Maine and are not returned. It is your responsibility to keep copies and be sure your application materials are complete and have all been received by the MSIS/SIE Graduate Program Coordinator.

In complying with the letter and spirit of applicable laws and in pursuing its own goals of pluralism, the University of Maine shall not discriminate on the grounds of race, color, religion, sex, sexual orientation, national origin or citizenship status, age, disability, or veterans status in employment, education, and other areas if the University. The University provides reasonable accommodations to qualified individuals with disabilities upon request. Questions and complaints about discrimination in any area of the University should be directed to the Director of equal Opportunity, 101 N. Stevens, 207-581-1226. Inquiries about discrimination may also be referred to the Maine Human Rights Commission, U.S. Equal Employment Opportunity Commission, Office for Civil Rights for U.S. Department of Education or other appropriate federal or state agencies.

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