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Online Application Form - Graduate

Bolded fields must be completed.
 

ENTRANCE SEMESTER
Entrance date:   Fall  Spring  Summer Year:  
Session:   I   II I   II I   II  
 
PROGRAM OF STUDY
Master of Business Administration, Comprehensive Program
Master of Business Administration, Concentration in Financial Management
Master of Business Administration, Concentration in Human Resource Management
Master of Business Administration, Concentration in Information Technology
Master of Business Administration, Concentration in Marketing
Master of Management
 
PERSONAL INFORMATION
Last name:    First:   MI:   Maiden:
 

Mailing address:

Street:   
City:          State:    Zip/Postal Code: 
Country: 
 

Home address:
Street:    
City:          State:  Zip/Postal Code: 
Country:  
 
Home Phone:      Work Phone:   ext. 
E-mail:  Fax:
 
Sex:   Male  Female
Social Security No.:  (000-00-0000)     Date of Birth:  (mm-dd-yyyy)
 
Are you a citizen of the United States?  Yes  No
If no, specify country of citizenship:
What is your nonimmigrant status?
 
 
Referral Source - We are interested in knowing how you learned about Goldey-Beacom College: (Please select all that apply)
Goldey-Beacom College Student - Name:
Admissions Representative
Advertising - Campus Sign  Radio  Newspaper  Other:
Open House
Alumnus - Name:   Address:
Faculty Member - Name:   School:
Relative
Co-worker
I am a Current GBC Student
Other:
 
EDUCATIONAL BACKGROUND
Collegiate Institution(s)      Dates Attended         Major                          Degree*                     Overall GPA
         
         
         
         
* Submit official transcripts from any/all institutions you have attended.
 
FINANCIAL AID
Are you applying for Financial Aid? (Student Loans)            Yes  No
Will you be covered by Employer Tuition Reimbursement?   Yes  No
 
OCCUPATIONAL BACKGROUND (Last Two Positions)
Current Employer name:
Location:
Title:
Dates:
Major responsibilities:
 
Employer name:
Location:
Title:
Dates:
Major responsibilities:
(You may also send us a resume or further information separately.)
 
OTHER BACKGROUND INFORMATION
List other information, such as awards, volunteer activities, special experiences or skills, which may be relevant to evaluating your application:
 
Have you taken the Graduate Management Admission Test (GMAT)?   Yes  No
(Please note: An official GMAT score must be received from ETS by the Office of Admissions.)
If you have not taken the GMAT, please indicate the date you plan to take it:
 
STATEMENT OF INTENTION
Separately, please provide a brief description of your reasons for pursuing graduate study, your expectations of the program, and any special background factors, which you think will help your studies. In addition, two letters of reference are required.
 
INTERNATIONAL STUDENTS ONLY
Students who are not citizens of the United States, in addition to submitting other materials called for in this application, must submit the following:
 
  1. Official TOEFL score
  2. Notarized and completed financial certificate
  3. Completed medical form
  4. Official transcripts in English translation
  5. If applicable, copies of passport, visa, I-94 and I-20
Please Note: International students are required to have medical insurance. Those who do not submit proof of medical insurance to the College will be automatically enrolled in a medical insurance program through Goldey-Beacom College and the cost will be added to tuition and fees.
 
Your address in your country of citizenship:

 
Home telephone number:
Your country of birth:     
 
Sources of support: Personal funds: $ 
  Support from family: $ 
  Other (name sources and amounts):  
  $ 
  $ 
  If you have been awarded financial support through any organization, please indicate source and amount.
 
VOLUNTARY INFORMATION FOR ALL APPLICANTS
Black/Non-Hispanic White/Non-Hispanic
Hispanic Asian or Pacific Islander
American Indian Multi-Racial
 
REQUIRED INFORMATION FOR ALL APPLICANTS
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from high school (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
  Yes  No
 
Have you ever been convicted of a misdemeanor (other than routine traffic offenses), felony, or other crime?
  Yes  No
 
If you answered yes to either or both questions, please explain in the box below the approximate date of each incident and explain the circumstances.
 
I certify that the information submitted is complete and accurate. I understand that falsification of information on this application may result in admission revocation or expulsion from the College and forfeiture of all fees paid to date. Goldey-Beacom College is an equal opportunity educational institution. This application is a confidential document.
 
I understand that is it my responsibility to arrange for the forwarding of official transcripts of records from all secondary and postsecondary schools that I have attended, and that such transcripts and other application materials will become the property of Goldey-Beacom College. I will contact the Admissions Office immediately, if I foresee difficulty in obtaining the required documentation.
 


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