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Full name (First, Middle and Last)*

Will documents arrive under a different name?

How did you hear about us?

Friend/Colleague (Please provide name and email address.)
IU Southeast Website
Contact with IU Southeast Personnel
Other (Please specify.)

Preferred Graduate Business Program*

Master of Business Administration (M.B.A.)
Master of Science in Strategic Finance (M.S.S.F.)
Master of Science in Strategic Finance (M.S.S.F.) Online program
Master of Science in Management (M.S.M.)
Master of Science in Managment (M.S.M.) Online program
Dual Degree: M.B.A/M.S.S.F
Non-degree graduate student (course work only)

Preferred concentration within the Master of Science in Management program

General Management
Human Resources

Preferred start semester and year for your graduate program*

Summer
Fall
Spring

Date of birth (mm/dd/yyyy)

Current address (street address, city, state, zip code)*

Preferred phone number*

Alternate phone number

E-mail address*

What is your citizenship status?*

U.S. citizen
Permanent U.S. resident
Temporary U.S. resident
Nonresident
Country of citizenship

What is your state of residency?*

How many years have you lived in your state of residency?*

If you live in Kentucky, provide a response below.

I live in Bullitt, Henry, Jefferson, Meade, Oldham, Shelby, Trimble, or Spencer County.
I live in Kentucky but not in one of the counties listed above.

List all colleges and universities you have attended. Indicate GPA and degrees earned, as applicable.*

We are committed to maintaining a safe learning environment. As part of that commitment, Indiana University requires applicants to disclose if any of the below scenarios apply.

- Applicant has been subject to formal disciplinary action (including for example, but not limited to, suspension or expulsion for academic or non-academic reasons at any post-secondary institution, college or university).

- Applicant has been charged with or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court.

- Applicant has engaged in behavior that caused injury to person(s) or personal property (including for example, but not limited to, vandalism or behavior that led to a restraining order against you) which resulted in some form of discipline or intervention.

-Applicant has a previous disciplinary action, charge, conviction, or conduct of the sort identified here does not automatically disqualify applicants from admission to IU, but they do require review by the campus admissions committee. Furthermore, the review of any behavior disclosure information provided will be conducted independently of the evaluation of your academic eligibility for admissions and will only be shared with the admissions committee and/or with other officials at IU who have a need to know as part of the behavior review process.

Please note: By submitting your application to Indiana University, you acknowledge and agree that you have a continuing obligation to inform the University of:

• any formal disciplinary action for academic or non-academic reasons at any educational institution;

• any legal charges and/or convictions (or foreign legal equivalents) that have not been expunged by a court;

• and/or any behavior that causes injury to person(s) or property which results in some form of discipline or intervention.

You must provide updated information to the campus admissions committee prior to class attendance. At that time, the campus admissions committee will review the information provided and may consider whether to delay or rescind your admission to IU.

As part of your application, you must provide a statement regarding the conduct you are disclosing when you complete your Graduate application. We ask that you e-mail this statement to the Graduate Business Office at iusmba@iu.edu.

Have you been subject to formal disciplinary action (including for example, but not limited to, suspension or expulsion) for academic or non-academic reasons at any post-secondary institution, college, or university?*

Yes
No

Have you ever been charged with or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court?*

Yes
No

If you selected yes to any of the Behavior Disclosure questions above, you must e-mail your complete explanation to the Graduate Business Office at iusmba@iu.edu.

Include these items in your written statement:

Details of incident: provide details, including a complete description of the facts and circumstances that led to the charges. Include:

1. Who participated.

2. Who the victim was.

3. What losses were suffered.

4. When, where and how the event(s) occurred.

Explanation of criminal/disciplinary history: explain the reason(s) for your behavior.

What positive changes have you made in your life since the event(s)?

This statement must also include a grant of permission to IUS for complete access to criminal records, if any, and/or permission for complete access to disciplinary records, if any, at your previous postsecondary institution, college, or university.

Please attach your resume.

Personal Statement: Please submit a one page essay stating your career objectives and reasons for pursuing a graduate business degree.

Reference List: Please attach the name and contact information for 3 professional references.

Please have your university send your official transcripts to ius.admissions@iu.edu.

Thank you for choosing IU Southeast and completing this graduate application. For more information, please contact the Graduate Business Office at (812) 941-2362 or email us at iusmba@iu.edu.