MBA New Student Information Form

Legal Name Legal Name First Middle Last
Other Names Used (indicate what you like to be called, maiden names, etc.)
UIN
Must be 8 characters. Currently Entered: 0 characters.
Phone Phone - ### - ### ####
Please indicate which social media sites you use:

Please indicate which social media sites you use: Facebook Instagram LinkedIn X (formerly Twitter) YouTube Other Other
How do you plan to take your classes?

How do you plan to take your classes? Online On-campus A blend of both
If online, how do you prefer your courses? (you may select both)

If online, how do you prefer your courses? (you may select both) Asynchronous (recorded/your own pace) Synchronous (live/Zoom-like)
Do you plan to pursue a concentration or certificate?

Do you plan to pursue a concentration or certificate? Yes No Still considering
If yes or maybe, which one(s)?
Do you plan to attend full time? (9 credit hours or more)

Do you plan to attend full time? (9 credit hours or more) Yes No
Target Graduation Date

Target Graduation Date Spring Summer Fall
Year
Do you work Fulltime?

Do you work Fulltime? Yes Yes, but my employer gives me lots of time for school No
Do you plan to receive tuition assistance or reimbursement?

Do you plan to receive tuition assistance or reimbursement? Yes No
If yes, from where? (Please indicate name of source, i.e. employer, government agency, scholarship program, third party, etc.)
Comments or questions: