Marquette University Graduate School of Management Application for Marquette-UWM Exchange Program

THIS APPLICATION IS FOR UW MILWAUKEE STUDENTS APPLYING TO TAKE MARQUETTE UNIVERSITY GSM COURSES.

Please mail your application to: Marquette University Graduate School of Management David Straz Hall, Executive Center, Suite 275 P.O. Box 1881 Milwaukee, WI 53208 Or email to: [email protected] Personal Information

Last (Family Name): First: Middle Initial: Gender: Female Male Title: Mr. Mrs. Ms. Dr. Rev. Fr.

Date of Birth: ______Social Security Number: ______(mm/dd/yyyy) Place of Birth: ______(City, State, Country) Citizenship Status (Check one) U.S. Citizen Permanent Resident Visa (Type Visa: ) Note: If permanent resident or Visa student, you must submit copy of your green card or Visa prior to registration. Address: ______

______(City, State, Zip Code)

(Day Phone) (Evening Phone) E-mail Address:

Term Information

Entry Date: Fall Spring Summer Year: ______Anticipated course 1) (first 2 choices): 2)

Have you ever taken classes at Marquette University: Yes No When:

Note: 1. Transcripts (official or unofficial) must accompany this application. 2. Admission is valid for one semester as a Temporary, Non-Degree student. 3. Eligibility to register is based on space availability for the course and confirmation that all prerequisites have been satisfied. Permission numbers are needed and can be obtained via the Director of Student Services at the close of early registration for GSM students. 4. Upon completion of the class, students are responsible for reporting their grade back to the University of Wisconsin - Milwaukee. Upon written request from the student, the Graduate School of Management may share grading information directly with the University of Wisconsin-Milwaukee. The documentation may not be shared directly with the student.

GSM: Received on: