Supplemental Application Form
Penn State Behrend MBA Program

Once submitted, this will be placed with your MBA application.  If you have not yet submitted the online Graduate School application, it will be placed in a pending file and added to your application once received.

First Name: 

Mid Name:                

Last/Family Name:                 

Former/Maiden Names:                   This allows us to match up your transcripts with your application.

Date of Birth: mm/dd/yr:


1.  Citizenship:

US Citizen

Permanent resident (immigrant visa)

Non-immigrant visa, please indicate:
Visa type
Country of Citizenship


2. Do you plan to enroll part-time or full-time?

 Part-time

Full-time

 Students who wish to obtain financial aid must be enrolled for a minimum of 5 graduate credits per semester.


3.  Are you proficient in using the Microsoft Office Suite software?

     Yes No


4.  Please provide information on your current employer:

 I am not currently employed.

I am currently employed.

Current Employer
Job title
Work phone number 
Length of time with employer
Work e-mail


5.  How do you plan to finance your Penn State Behrend MBA program?

Tuition Reimbursement from employer

 Student Loans (Complete FAFSA, if enrolled in 5 or more graduate credits per semester- www.fafsa.ed.gov) Graduate credits are those courses offered at the 400 level and higher.

Applying for Penn State Behrend MBA Scholarship

Personal or Other Funds


6.                        I understand that I am required to attend the Graduate Orientation for new MBA students and if I cannot attend this event, my enrollment will be deferred to a future semester.  Orientation programs are typically held two weeknight evenings from 6 to 9:00 p.m.; both sessions are required.

Students admitted in the spring and summer semesters will attend Orientation in August, prior to the semester start date.

Students admitted in the Fall semester will attend Orientation in August.

Specific dates will be provided to applicants as details are confirmed.


7.   I am applying for admission to the:

Fall semester Spring semester Summer semester

Year: 

  This is emailed directly to the Graduate Admissions Office.


Web site contact: ame136@psu.edu
Updated March 2008
© 2005 The Pennsylvania State University