Graduate Student Application

This is the graduate student application for the Master of Science in Midwifery (MSM) degree program with the Midwives College of Utah.

Introduction

Thank you for your interest in the Master of Science in Midwifery (MSM) degree at the Midwives College of Utah (MCU). Please use this form to apply for consideration of admission into the graduate program. Questions about the admissions process can be directed to Graduate Dean, Dr. Courtney L. Everson, via the MCU messaging system, via email at graduatedean@midwifery.edu, or via phone at 1-866-680-2756, ext. 806

APPLICATION PROCESS: Please complete this initial application by the posted deadline(s). Incomplete applications will not be reviewed. Following review of your initial application, candidates will be selected for a phone interview as the second stage of the application process.

 

Eligibility Determination

Do you currently hold a Bachelor's degree?*

Are you a current CPM (Certified Professional Midwife) or CNM (Certified Nurse-Midwife)?*

 

Registration

Do you already have an MCU User account?*

 

Demographics

First Name*

Last Name*

Maiden Name or Any Other Previous Legal Last Names

Preferred Pronoun*

Primary Email Address*

Secondary Email Address

Primary Phone*

Secondary Phone

Street Address*

City*

State*

Zip Code*

Country*

Birth Date*

Birth State*

What is your citizenship status? *

Midwives College of Utah values and welcomes students from all social identities and locations, and places a strong emphasis on anti-racism, anti-oppression, and equity in the classroom, the curriculum, student support services, and among our faculty, student, and staff bodies. The following demographic questions are optional and are intended to help us understand the students we serve, and to ensure that tailored resources you may find helpful are available. Your responses will not be shared outside of the College and are not used in the admissions decision making process. The Midwives College of Utah admits students of any race, color, national or ethnic origin, gender, marital status, creed, age or sexual orientation with all the rights, privileges, programs, and activities generally accorded or made available to students at this school. MCU does not discriminate in acceptance procedures, administration of educational policies, scholarship and loan programs, or other school-administered programs. If you have any questions, please contact the Graduate Dean or President.

What is your race or ethnicity? (Optional)

What is your gender identity/expression? (Optional)

What is your sexual/affectional orientation? (Optional)

Do you have a documented disability or learning accommodation? (Optional)

What is your primary native language?*

Do you speak any additional languages?

All instruction in the MCU graduate program is in English. Are you fluent (written and verbal) in the English language?*

Do you have any pending criminal charges against you or have you ever been convicted of a felony or misdemeanor other than traffic violations in federal, state, local, military, tribal court or another country?*

Are you planning to apply for federal financial aid (Title IV funding)?*

What semester are you applying for (i.e., first semester of enrollment/taking classes)? *

The graduate program is 32 credits, and is intended to be a 2 year program; you have up to 4 years to complete. How long do you anticipate taking to complete you graduate degree? *

By checking this box, I consent to do business electronically with Midwives College of Utah. I understand that student business will be conducted electronically such as (but not limited to) admissions, registration, Form 1098-T, collection notices, invoices, financial aid correspondence, general correspondence, assignment submission, feedback and grading.*

 

Educational Background

Please list all degrees, licenses, and certifications you have earned/currently hold, using the following format: name of degree/license/certification; Date Conferred; Institution/Agency received from. (Example: BSM, 06/2015, Midwives College of Utah)*

Please upload a copy of your transcripts from all higher education institutions attended. Unofficial transcript copies are fine at this stage; if selected for admission, official transcripts will be requested. Transcript 1 (showing receipt of a Bachelor's degree or the Bachelor's degree in progress, required) *

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Please upload a copy of your transcripts from all higher education institutions attended. Unofficial transcript copies are fine at this stage; if selected for admission, official transcripts will be requested. Transcript 2

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Please upload a copy of your transcripts from all higher education institutions attended. Unofficial transcript copies are fine at this stage; if selected for admission, official transcripts will be requested. Transcript 3

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Please upload a copy of your transcripts from all higher education institutions attended. Unofficial transcript copies are fine at this stage; if selected for admission, official transcripts will be requested. Transcript 4

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Please upload proof of your current status as a Certified Professional Midwife (CPM) or Certified Nurse-Midwife (CNM). If you are not yet certified, please upload a letter explaining where you are at in the process of obtaining certification, including your anticipated exam date and certification conferral date. *

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Please upload proof of any additional licenses or certifications you hold.

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Please upload proof of any additional licenses or certifications you hold.

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Please upload proof of any additional licenses or certifications you hold.

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Application Questions

Why are you interested in a Master of Science in Midwifery (MSM) degree from MCU? (please limit your response to 500 words maximum)*

What are your post-graduation plans/career goals? (please limit your response to 500 words maximum)*

How will a MSM degree assist you with your post-graduation plans/career goals? (please limit your response to 500 words maximum)*

Graduate studies are demanding, involved, and the next level of academic engagement. Why do you feel you would be successful in the MSM graduate program? (please limit your response to 500 words maximum)*

How do you plan to balance the demands of graduate studies with other life obligations? (please limit your response to 500 words maximum)*

The MCU Graduate Program is strongly committed to advancing inclusivity, access, equity, and social justice in maternal-child health, in midwifery, and in communities at-large. Please describe your perspectives on these topics, your experiences in contributing to these areas, and your plans for integrating these principles into your graduate studies and future work as a midwifery practitioner and leader in the field. (please limit your response to 500 words maximum)*

The MCU Graduate Program is a research-based program and we are dedicated to evidence-informed practice. Please describe your experiences and training in research to-date and why you feel a research-based graduate program is right for you. (please limit your response to 500 words maximum)*

As a distance education program, we rely heavily on the use of technology and technological abilities. Please describe your computer skills, ability to learn and adopt new technological skills, and your access to requisite technology like a computer, basic software (e.g., Microsoft Word, PowerPoint, Excel, Adobe pdf, etc.), webcam, computer headphones, and consistent internet access. (please limit your response to 500 words maximum)*

Is there anything else you would like to share as we consider your application for admission into the MSM program at MCU? (please limit your response to 500 words maximum)*

 

CV/Resume

Please upload your current CV or Resume. *

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Professional References

Please include contact information for three professional references, including: Name, Position & Institution/Agency affiliation, Email, Phone, Address, and Relationship to the reference. Reference 1: *

Please include contact information for three professional references, including: Name, Position & Institution/Agency affiliation, Email, Phone, Address, and Relationship to the reference. Reference 2:*

Please include contact information for three professional references, including: Name, Position & Institution/Agency affiliation, Email, Phone, Address, and Relationship to the reference. Reference 3:*

 

Authorization

By checking this box, I do hereby attest that everything included in this application is true and accurate to the best of my knowledge. I understand that falsifying any information is grounds for immediate dismissal from the Midwives College of Utah (MCU). I consent to allow references to be contacted, both those listed herein as well as others not listed whom may speak to my qualifications and potential for success in the MCU graduate program. *