Background Information Sheet - Mihaylo College of Business and

							                                               Background Information and Statement of Purpose
                                                                                          MBA and Graduate Programs
                                                                                  business.fullerton.edu | (657) 278-2003

      PLEASE COMPLETE THIS FORM AND RETURN IT WITH YOUR ADMISSION CHECKLIST AS A COMPLETE PACKET.
                   AN ADMISSION APPLICATION THROUGH WWW.CSUMENTOR.EDU MUST BE SUBMITTED ONLINE FIRST.
           PLEASE TYPE OR PRINT CLEARLY – FORM CAN BE FOUND ONLINE AT: HTTP://BUSINESS.FULLERTON.EDU/ADMISSIONS



TERM (PLEASE CHOOSE ONLY ONE)                         Spring 2013                  Fall 2013


PROGRAM OF INTEREST (PLEASE CHOOSE ONLY ONE)
 Full-time Daytime MBA                                                 MS Accountancy
 Flexible MBA (Full-time or part-time)                                 MA Economics
 FEMBA (Irvine Campus, MBA for the Fully                               MS Information Systems
  Employed)                                                             MS Information Technology
                                                                        MS Taxation
                                                                        MS Taxation (Irvine Campus)

GENERAL INFORMATION
Name:
                   Last                       First                                 Middle

Social Security Number:                        Date of Birth:                       Place of Birth:

Country of Citizenship:                                                             Will you be an F1-Visa Holder?____

Mailing Address:

Do you plan on enrolling:    Full-Time (7 units or more)        Part-Time (6 units or less)

Home Phone Number: (         )                                    Work Phone Number: (           )

Email Address:




EDUCATION RECORD
                                               Dates of                                                     Month/Year
     Name of Institution & Location                                           Major/Degree
                                              Attendance                                                     Received




  Overall undergraduate grade-point average (Based on 4.0 = A):

  GMAT/GRE Score:                                                Date Taken or To Be Taken:

  TOEFL or IELTS score (International applicants only):
WORK EXPERIENCE
PLEASE INCLUDE AN UPDATED PROFESSIONAL RESUME

CURRENT EMPLOYMENT
Title of position:                                                                              Years in Position:

Employer:                                                                                       City:

Description of job duties and responsibilities:




PREVIOUS WORK EXPERIENCE (Companies, years, brief description):




LEADERSHIP AND CREATIVITY
The Mihaylo College of Business & Economics is seeking applicants who show initiative, creativity, and resourcefulness in
professional, extracurricular, and community activities, as well as those who demonstrate a strong potential to lead
organizations. Please list your accomplishments from above. If more room is needed please attach a separate sheet.




STATEMENT OF PURPOSE
Please attach a separate sheet discussing the following:

     1.     Your most important accomplishments to date and why you were able to accomplish these goals.

     2.     Why you decided to enter a graduate program, and why you decided to apply to the CSUF graduate program in
            particular.

     3.     Your career goals and how you see a Master’s degree from CSUF contributing to the advancement of those goals.


I hereby certify that to the best of my knowledge the information supplied on this application is true and correct. I also certify that I received no
assistance or coaching in completing these materials


Signature                                                                                               Date
                                                                                                                                                        3|2012