Application for Admission
Master of Arts in Community Counseling or Clinical Mental Health Counseling

We welcome your application for admission to the Graduate School of Valparaiso University. The mission of the Graduate School is to serve the advanced learning, professional development, and personal enrichment needs of individuals regionally and nationally. The Graduate School admits students that demonstrate the ability and motivation to succeed in an academically challenging environment.

This form is meant to be completed ONLINE ONLY. If you would like a hard copy, please choose the Requesting Information link and one will be sent to you.

You may mail any required materials to:
Office of the Graduate School
Kretzmann Hall 116
1700 Chapel Drive
Valparaiso, IN 46383-6493 USA

You may contact us via:
Telephone: (219) 464-5313
Toll Free: (800) 821-7685
Fax: (219) 464-5381

Application Procedure
Please us the Tab key to move through the application to enter data

In order for your application to be considered for admission, all required information must be received by the Graduate Office including:

  • Certified transcripts of a bachelor's degree
  • Two recommendation forms
  • A reflective essay (unless you completed it on the online application)
  • Application Fee: $30 for US Citizens
I. Program of Concentration
Please indicate area of concentration:

II. Personal Information
Last Name
First Name
Middle Name
Former Name
Date of Birth
Social Security Number

(For U.S. citizens and permanent residents who plan to file the Free Application for Federal Student Aid (FAFSA), we strongly recommend that you provide your Social Security Number.)
Home Address
Postal Code
Contact Information
Home Phone
Cell Phone
If you do not have an email address, please type "None".
Optional Information
Are you Hispanic or Latino?  
Are you from one or more of the following (please check all that apply):
American Indian or Alaskan Native          Asian         Black or African American
Native Hawaiian/Other Pacific Island       White

III. Educational Background
NOTE: Certified transcripts of all college work must be submitted before you will be allowed to register for any graduate class at Valparaiso University.
A. College/University
  Dates of Attendance
  Degrees/Credits Earned
  Approximate GPA
B. College/University
  Dates of Attendance
  Degrees/Credits Earned
  Approximate GPA
C. College/University
  Dates of Attendance
  Degrees/Credits Earned
  Approximate GPA
D. College/University
  Dates of Attendance
  Degrees/Credits Earned
  Approximate GPA
Please list any recognition, awards, or scholarships that you have received, or co-curricular or community/civic activities in which you have been involved.
Have you ever been dismissed or placed on academic probation?
If yes, please explain fully:

IV. Enrollment
A. Anticipated year/term to begin:
B. Full or part-time plans:
C. Expected course schedule:
D. In how many years do you plan to complete the degree or certificate program?
Most programs require completion within 5 years of admission.

V. Employment & Professional Background
Job Title:
Work Phone #:
Will you receive employer assistance?
May we contact you at work?
Have you ever been convicted of a felony?
If yes, please explain fully. NOTE: Some states have restrictions on licensing or professionally credentialing an individual with a criminal record.

VI. Selection of Valparaiso University
A. How did you learn about Valparaiso University?
If "Other", please specify:
B. Please list other graduate schools your are considering or to which you are applying:
C. Rank the factors (1=most important) that affected your choice of graduate school (rank all that apply).
Financial Programs Accreditation Reputation
Location Other Specify

VII. Reflective Essay
Applicants to our graduate Counseling programs are required to submit a detailed 4-6 page typed, double-spaced essay describing your (1) academic background; (2) potential success in forming effective interpersonal relationships in individual and small-group contexts; (3) aptitude for graduate-level study; (4) career goals and objectives and their relevance to the program; and (5) openness to self-examination and personal and professional self-development. Students should also provide a resume or provide a list of your work experiences since high school in chronological order, giving a brief summary of the duties performed.
You may complete your reflective essay and resume as part of this electronic application or you may email it separately to You may also mail your essay and resume under separate cover to: Office of the Graduate School, Kretzmann Hall 116, 1700 Chapel Drive, Valparaiso University, Valparaiso, IN 46383. If you are going to send it separately, please indicate your intentions in the essay box below.

I. Academic Background
A. What is your academic background in psychology?
Undergraduate psychology major
Undergraduate psychology minor
Graduate coursework in psychology: list degree or number of credits
Fewer than 15 credits (minor) in psychology
B. If you have had fewer than 15 credits in graduate and/or undergraduate psychology, list all coursework, grades, and credit hours in both psychology and in related fields such as sociology, social work, criminal justice, human development, etc. If you have 15 or more credits, proceed directly to the next question.
Title Credits Grade
Title Credits Grade
Title Credits Grade
Title Credits Grade
Title Credits Grade
Title Credits Grade
Title Credits Grade
Title Credits Grade
C. What is your academic background in statistics? Check appropriate box(es) and indicate course and grade.
Undergraduate statistics in psychology: Course Grade
Undergraduate statistics in another social science dept.: Course Grade
Undergraduate statistics from a math or statistics dept.: Course Grade
Graduate level statistics course: Course Grade
No course in statistics    
D. If you do not meet the qualifications necessary for admission, what other reasons and/or work experience should be considered? Attach additional sheets if necessary.
E. If you are not admitted, would you consider admission as a non-degree student until you have taken the necessary prerequisites in order to qualify?

Please select method of payment and the amount for your application fee. If you have selected CASH, CHECK, or MONEY ORDER, please mail your payment to: The Office of the Graduate School, Kretzmann Hall 116, 1700 Chapel Drive, Valparaiso University, Valparaiso, IN 46383.  If you have selected CREDIT CARD, you can submit your credit card information through this SECURE form.
Method of Payment
Name on Credit Card
Credit Card Number
Credit Card Expiration (MM/YY)
Billing Address
Billing Zip Code
The decision for admission to the Graduate School is not final until all required application materials have been received. Applicants granted conditional permission to register for classes due to delayed receipt of transcripts may not be allowed to continue their coursework if they do not satisfy the admission requirements.
Valparaiso University admits students of any race, color, national and ethnic origin, age, gender, disability, sexual orientation or (as qualified herein) religion, to all the rights, privileges, programs, and activities, generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin, age, gender, disability, sexual orientation or (as qualified herein) religion in administration of its educational policies, admissions policies, scholarship and loan programs, career services and placement, and athletic and other school-administered programs. Valparaiso University is an institution committed to its Lutheran traditions. The University reserves the right to promote the teachings of the church and to exercise preferences in admissions in favor of Lutherans.
By entering your full name below you are signing this electronic application form.
"I submit this application as a true and complete statement of facts for your consideration."
Applicant's Signature:
Application Date: