Please indicate your ethnic identity by selecting one of the following. Note: In compliance with federal reporting requirements, Kepler Space Institute must seek to identify the ethnic background of applicants for admission. You are encouraged to supply this information, but may decline without prejudicing your application in any way.
Academic Information
List below every college and/or university you have attended or are currently attending, whether or not credits were earned and award/s received. An official transcript from each educational institution must be submitted along with scores for the Graduate Record Exam and/or Miller’s Analogy Test.
School Name, City/State, Enrolled From/To (MMYY), Major & Degree Awarded
Your information will only be used by Kepler Space Institute representatives to better serve you and your needs. By submitting this form, I agree to be contacted via phone call, email and/or text message, which may use automated technology, about information on KSI's programs. I understand this consent is not a condition of purchase, application or enrollment. See our Privacy Policy for full information. Your information will only be used by Kepler Space Institute representatives to better serve you and your needs.
By signature above, I pledge to abide by the terms and policies of KSI and to work effectively with faculty and fellow students. I have read and received a copy of the policy summaries and the Kepler Space Institute catalog. I confirm that I have read and received the enrollment agreement.
Hidden
DO NOT WRITE BELOW THIS LINE - FOR OFFICE USE ONLY
Application received date: _________________________
Application reviewed by: ________________________________ Date: ___________________ (Print Name and initial)
Application Approved: ______________________ Application Denied: __________________ Date notification sent to applicant: ___________________
