Certificate Programs Application

Miller College of Business - Certificate Program Application

Thank you for your interest in the Miller College of Business, graduate-level Certificate programs.

The application to the Graduate School can be found here.

Items with an * indicate a required field.

Certificate Program (Choose One) *
BSU Student ID #
If you have attended Ball State in the past year, please enter your student ID #. If you are new to Ball State, or have not attended Ball State in the past two years, your student ID # will be assigned to you after your enrollment. You may leave this field blank if you do not yet have a number assigned to you.
First Name *
Middle Name
Maiden Name
Last Name *
Address Line 1 *
Address Line 2
City *
State
Zip *
Country *
Phone *
E-mail address *

Undergraduate Degree Information:
Name of College or University *
Major *
Degree *
Year Graduated *
Undergraduate GPA *
(Minimum 2.75 GPA on a 4.0 system required to enter the certificate program.)

Graduate Degree Information (If Applicable):
Name of College or University
Major
Degree
Year Graduated
Graduate GPA


Indicate which courses you have taken as an undergraduate or graduate student: *	Financial Accounting Corporation Finance Microeconomics Macroeconomics Managing Organizational Behavior Operations Management Marketing None
Indicate which term you plan to begin the program: *
Indicate how many courses you plan to take per semester: *
Are you available to take classes from 4:00 to 6:00 p.m.? *
Indicate the location at which you plan to attend classes: *

Employer Information:
Employer *
Address 1 *
Address 2
City *
State/Province *
Zip Code *
Country *
Work Telephone *
Alt. Work Telephone
Fax
Work E-mail
Job Title *
Job Type *
If other please specify


How did you learn of Ball State's Graduate Certificate Program? *	Friend/Colleague Employer Internet E-Mail Advertisement Other
If other please specify
Do you plan to pursue a Master's of Business Administration (MBA) degree? *	Yes No
Would you be interested in an internship option?	Yes No

By typing my name below, I hereby certify that the above information is complete and correct to the best of my knowledge:
Signature (name) of applicant: *
Date (mm/dd/yyyy) *