Application for Information Systems Security Management Graduate Certificate Pro

COB - Application for Information Systems Security Management Graduate Certificate Program

To Apply:

1. Complete this application.

2. Click here to complete the online graduate school application, selecting 'Certificate - INFO SYSTM SECURITY MGT'. You will be able to pay your application fee online directly after your application is submitted.

3. Send an official copy of all transcripts to the Graduate School.

Graduate School
Ball State University
Muncie, IN 47306

4. Once you receive your admission letter from the Graduate School, click here to register with Distance Education. (You will need your BSU user name and password, which will be sent to you after your official acceptance.) You may pay your fees online during the registration process, or at a later date here.

If you would like information on the provision of disability-related accomodations, contact:

The Office of Disabled Student Development
Student Center, Room 307
Ball State University
Muncie, IN 47306
(765) 285-5293
TDD (765) 285-2206

Items with an * indicate a required field.

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 2.5 GPA on a 4.0 system required to enter certificate program)

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



IT Experience:
Please describe your IT-related work experience, education, and/or training: *


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

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) *