<p> GMAT Waiver Request Form</p><p>KSU ID Number: ______</p><p>NAME: ______Last First Middle </p><p>The Master of Healthcare Management and Informatics (MSHMI) Admissions Committee will consider GMAT Waiver requests on a case-by-case basis. Waivers are by no means automatic, and the instructions below must be followed in order for GMAT waiver requests to be considered.</p><p>Minimum requirements for GMAT Waiver consideration: 1. An advanced degree (e.g., masters, doctorate, MD), OR 2. Post-baccalaureate professional experience of at least 8 years in related fields such as: healthcare, informatics, information systems, computing, data analytics, OR 3. Post-baccalaureate professional certifications such as: SAS/R, Nursing, Pharmacy, Medicine, Programming, Database</p><p>Qualification for GMAT waiver consideration (please check one): I have an advanced degree Degree Obtained: Masters Doctorate (e.g., Ph.D., DBA) Professional (e.g., MD)</p><p> Other: Graduate G PA: Year graduated: University attended: </p><p>OR -baccalaureate professional experience I have post Year graduated: University attended: Undergraduate GPA: : Years of Experience ______</p><p>Professional Informatics Information Systems Experience in: Healthcare</p><p> Data Analytics Computing Other: ______</p><p>Please a t ta c h a current r esume to p r ovide i n for m ation regar d ing profe s s i onal expe r i e nce.</p><p>OR -baccalaureate professional certification. P lease subm i t ver i fic a tion I have post .</p><p>University attended: ______Undergraduate GPA: ______Year graduated: ______: Database Administrator (DBA) Professional (e.g., Nursing, Certification SAS/R</p><p>Pharmacy, Programming) Other: ______</p><p>OR I do not meet the requirements above but would still like to request a waiver. I am attaching a statement providing information regarding the qualifications for which I am requesting a waiver.</p><p>------For Administrative Use Only February 2016</p><p>GMAT Waiver Approved </p><p>GMAT Waiver Denied </p><p>Signature: ______Date:______</p>
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