Millikin University
 
MBA Application


Millikin University does not discriminate on the basis of race, color, national or ethnic origin, or gender in the education program or activities which it operates.

Personal Information
First Name
 M.I.
 Last Name
 Preferred Name

Street Address
City
 State
 Zip

Social Security Number
- - 		Date of Birth (mm/dd/yyyy)
/ / 		Sex:
M   F

Country of Citizenship

Are you a Permanent U.S. Resident (international citizens only)
Yes   No

If you wish, please indicate your ethnic background.
Black/Non-Hispanic American Indian / Alaskan native
White/Non-Hispanic Asian or Pacific Islander
Hispanic/Latino Other

E-Mail Address
 Primary Telephone (Area Code + Number)
( )  -
Confirm E-Mail Address
 Secondary Telephone (Area Code + Number)
( )  -

Business Information
Employer Name
Street Address
City
 State
 Zip

E-Mail Address
 Primary Telephone (Area Code + Number)
( )  -
Confirm E-Mail Address
 Fax Number(Area Code + Number)
( )  -

Recommendations

List below three people you have requested to send confidential recommendations to the Graduate Education Committee who will comment on the quality of your communication skills and ability to succeed in a graduate program. Preferably at least one recommendation should be from your present employer or immediate supervisor. Our mailing address is located at the bottom of this application.

Name Title Organization

Tests

Official GMAT scores must be submitted by all applicants. Please indicate the date on which the GMAT was (or will be) taken. Students whose first language is not English must also score on the tests of English as a foreign language (TOEFL). Please indicate if you are submitting scores on the TOEFL and the date on which it was (or will be) taken. (The Millikin GMAT number is 1470).

GMAT Score
 Month / Year
/
   
TOEFL Score
 Month / Year
/

Academic Record

List in order (most recent first) the name and location of all undergraduate and graduate institutions attended. Please enclose or have sent an official transcript from each institution listed.

Institution

 Location
Degree

 Major
Dates Attended
/ to / 		Awarded    Expected
Institution

 Location
Degree

 Major
Dates Attended
/ to / 		Awarded    Expected
Institution

 Location
Degree

 Major
Dates Attended
/ to / 		Awarded    Expected

Résumé

Please include a résumé specifically detailing your current and past work experience and responsibilities as well as leadership roles you have undertaken. If you prefer, you may mail a copy of your resume to the admissions office at the address below.

You may copy and paste from your current resume into the textbox provided.

Statement of Purpose

Please submit a 1,000 word Statement of Purpose describing your personal and professional goals which will be met by the completion of this graduate program.

You may copy and paste from another word editing program into the textbox provided.

Community Activities and Personal Interests

List activities you have undertaken outside of the context of your regular, full-time employment or your academic work. Indicate dates of participation and any offices or leadership positions held. Also, please indicate personal interests to which you devote a notable amount of time.

You may copy and paste from another word editing program into the textbox provided.

Distinctions

List significant honors, awards, recognitions (academic, community, military, etc.) you have received and not discussed elsewhere in this application.

You may copy and paste from another word editing program into the textbox provided.

This completes the Millikin University Tabor School of Business MBA Application for Admission. Please read over the form to ensure that all information has been completed to the best of your knowledge. When you are satisfied with the application, please click the "Submit" button below.

Mailing Address for Application Materials:
Graduation Education Committee
Master of Business Administration Program
Millikin University
Tabor School of Business
1184 West Main Street
D e c a t u r, IL 6 2 5 2 2

Phone: (217) 424-3503 • Fax: (217) 424-6286
Email: MBA@millikin.edu
Web: www.millikin.edu

 

 
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