Niagara University MBA Application

Name

First Name

Last Name

Middle or Maiden

Address

Address 2

City

Zip Code

County

Country

Phone

Cell Phone

Other Phone

Personal

Social Security Number

What is your race? (Check all that apply)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Have you ever been convicted of a felony or misdemeanor (with the exception of a traffic violation)?

Please explain why

Citizenship

I am a United States citizen or permanent resident
I am a Canadian Citizen
I have or will need a student visa

Country of Birth

Country of Citizenship

Current Visa Status

Application Info

Current Students & Alumni Only

Student ID

Year of Graduation

Educational Record - List chronologically the universities you've attended

University 1

Institution

Location

Dates Attended

Degree

University 2

Institution

Location

Dates Attended

Degree

University 3

Institution

Location

Dates Attended

Degree

Employment Record - List chronologically your most recent employment

Employer 1

Employer

Address

Employer 2

Employer

Address

Employer 3

Employer

Address

Does your current employer offer an employee reimbursement program?

Are you a veteran of the United States Armed Forces?

Test Results

GMAT Results

GMAT Date

Spam Question (Sorry we had to ask)

Image Verification Code (Please type in the characters below to help prevent spam)

Niagara University encourages all men and women whose aptitude and demonstrated achievement in high school or college give evidence of their ability to successfully complete the various university programs to apply for admission. Consistent with our Catholic mission, Niagara welcomes all students, regardless of race, gender, age, national origin, religious preference, sexual orientation, status as a veteran, or disability.

By clicking submit, I certify that the information I have given is complete and true to the best of my knowledge. If accepted as a student at Niagara University, I will comply with all rules and regulations in effect at the time of my attendence.

* Fields marked with an asterisk (*) are required, they must be completed or the form will not be submitted.