There are 2 parts to this application:

• Personal, academic and professional history. Please type or print clearly all information on this form.
• 2 essay questions. This is a very important part of the application process. Please provide your responses on separate pages and submit them along with your application. The essay topics are attached to the application.

Instructions for completing the application process are included in the application packet. Please make sure you have included all of the required documents. Once we have received all parts of the application and they have been reviewed by the Admissions Committee, you will promptly be informed of your status by letter and/or phone.

Note: This application is for admission to CSIMT. Completion of this form does NOT register you for courses. In order to register for individual courses, you must contact CSIMT (304-914-4772).

Please note: Official transcripts must be sent directly by the institution/person making the recommendations to the Admission’s Office. Your file will not be complete until all items have been received.