Niagara University

Please complete the following application and electronically submit it to the MBA Program at Niagara University. In addition to the application please see to it that the following documents are sent to:

College of Business Administration
MBA Director, Perboyre Hall
Niagara University New York 14109 USA

$35 application fee, payable to Niagara University

Official transcripts of all previous college and university work, to be sent directly by the registrar of each institution

Two letters of recommendtation, sent directly by persons who know your academic qualifications

Scores on the GMAT, sent directly by testing center

For students whose native language is not English, scores on the TOEFL, sent directly by the testing center

Name
	Last		First	Middle/Maiden

Address
	Number		Street

	City	State	Zip/Postal Code	County/Providence	Country

Telephone
	Day		Evening	Cell

Email
Date of Birth		19
Gender
Social Security
Citizenship		I am a United States citizen or permanent resident I am a Canadian Citizen (social insurance # ) I have, or will need a student visa
			Country of Birth
			Country of citizenship
			Current visa status
Entry Term
Applicant Status
Current Students and Alumni Only
	Student ID		Year of Graduation
Optional: If you wish to identify yourself as a memeber of a racial/ethnic group, please indicate:

Choose concentration desired

Educational Record (Please list in chronological order all colleges and universities attended.)
	Institution		Location	Dates attended	Degree



Do you have any interest in a noncredit internship? Yes No
Employment Record (Please list the last 3 employers and dates of employment beginging with the most recent
	Employer		Address		Dates



Does your current employer offer an employee reimbursement program? Yes No
GMAT test results			Date taken
TOEFL test results			Date taken
Have you ever been convicted of a felony or misdemeanor (with the exception of a traffic violation)? Yes No
If yes, explain:

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.