Miller College of Business - Certificate Program Application

Thank you for your interest in the Miller College of Business, graduate-level certificate programs.
As part of the application process an application to the Graduate School must also be submitted.

The application to the Graduate School can be found here.

Certificate Program (Choose One)*

Name*

First Name

Last Name

Middle Name*

Maiden Name

Address

City

State

ZIP Code

Phone

Email*

Undergraduate Degree Information:

Institution*

Major*

Degree*

Year Graduated*

Graduate Degree Information (If Applicable)

Institution

Major

Degree

Year Graduated

Doctorate Degree Information (If Applicable)

Institution

Major

Degree

Year Graduated

Courses

Indicate which courses you have taken as an undergraduate or graduate student:*

Financial Accounting Corporation Finance Microeconomics Macroeconomics Managing Organizational Behavior Operations Management Marketing Business Statistics/Statistics None

Indicate which term you plan to begin the program:*

Where do you plan to take courses?*

Employer Information

Employer

Address

City

State/Province

ZIP / Postal

Fax

Job Title

Job Type

If Other, please speficy

General Information

How did you learn of Ball State's Graduate Certificate Program?*

Other (please specify below)

Do you plan to pursue a Master's of Business Administration (MBA) degree?*

Yes No

Certification

By signing below, I hereby certify that the information I have provided is complete and correct to the best of my knowledge:

Signature

[clear]

Use your mouse or finger to draw your signature above

Today's Date