Home

Master of Business Administration


First Name:
Middle Name:
Last Name:
Preferred Name:
Former Name[s]:
 
Street Address:

 
City:
State:
Zip:
Phone Number:
Cell Number:

Social Security Number:
E-mail Address:  
Citizenship status:
Yes No
Country of Citizenship:
ENROLLMENT DATA

This application is for:
Fall
Spring
Summer

Year:

Will you be applying for federal financial assistance?
Yes No

Indicate type[s] of aid payment you will accept:
Loans
Grants
Scholarships
PERSONAL DATA
(Note: This information is not used in the admissions decision.)

Do you regularly speak a language other than English at home?
Yes No

Gender:
Male Female
   
Date of Birth:
Race:
Marital Status:
Religious Preference
If Catholic, Please Complete

Home Parish:


Name of Priest:
  Parish Address:
Are you in need of any disability services while attending Mount Marty College?
Yes No

If yes, please explain:

List the colleges you are considering, including Mount Marty:
First Choice:
Second Choice:
Third Choice:
Do you have computer literacy in Microsoft Word, e-mail, and the Internet?
Yes No
EDUCATIONAL DATA

Have you received your high school diploma or GED?
Yes No

Please list post-secondary institution(s) attended, whether or not credit was received, beginning with the most recent.

Institution:
City:
State:
Institution:
City:
State:
Institution:
City:
State:
Institution:
City:
State:
Institution:
City:
State:

Have you taken the GMAT?
Yes No

OCCUPATIONAL DATA
Position or Title:
Place of Employment:
Dates of Employment:
Position or Title:
Place of Employment:
Dates of Employment:
INTERNATIONAL DATA
If applicant is not a U.S. citizen, please complete the following.
Country of Residence:
Country of Birth:
 
Choose one:
Immigrant Permanent Resident in the U.S. (Green Card Holder)
Type of VISA:
If already in the U.S., date of entry:
 
TOEFL Score:
Date TOEFL taken:
 
CONFIRM AND SUBMIT

I realize this application becomes a part of my permanent record at Mount Marty College. Having completed this application to the best of my ability, I hereby request admission to Mount Marty College. By submitting this application, you are confirming that the information contained on this application is correct, complete, and honestly represented.

Mount Marty College specifically prohibits discrimination in its policies and practices
against any individual for reason of race, color, creed, age, national or ethnic origin,
handicap, disability or gender.


Send Required Materials To:

Mount Marty College
Admissions Office
1105 W 8th Street
Yankton, South Dakota 57078