PACIFIC UNIVERSITY
ADMISSION APPLICATION - MASTER OF BUSINESS ADMINISTRATION
PERSONAL INFORMATION
Gender
¨ Male ¨ Female ¨ Other
LastFirstM.I.
PLEASE PRINT YOUR LEGEL NAME AS NOTED ON YOUR GOVERNMENT ISSUED ID
Preferred NameMaiden or Other name(s)
PLEASE PRINT OTHER NAME THAT MAY APPEAR ON TRANSCRIPTS
Current Address
CityStateZip
Address Valid UntilEmail Address
Phone
¨ Home ¨ Mobile ¨ Business 2nd Phone
¨ Home ¨ Mobile ¨ Business
Permanent Address (if different from above)
CityStateZip
Date of Birth
Citizenship
Place of Birth
What is your US visa status at this time?
¨
I have no visa
¨
I have an F-1 visa
¨
¨
US Citizen
¨
I have a J-1 visa
US Permanent Resident
¨
Other
Students holding a US Permanent Resident card should include a photocopy of the card with the application.
Non-U.S. residents, please note:
International students will be required to show proof of funding equal to the cost of applicable tuition, fees, room, board, textbooks and health insurance before
they can be issued any immigration sponsorship documents.
COLLEGE OF BUSINESS
MBA
SUBMIT TO | David McLean | business@pacificu.edu | 711 SE Baseline Ste. 100 Hillsboro, OR 97123 | pacificu.edu/mba
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PACIFIC UNIVERSITY
ADMISSION APPLICATION - MASTER OF BUSINESS ADMINISTRATION
PROFILE
How did you learn about Pacific’s MBA Program?
Who influenced you to apply?
To what other schools are you applying?
For U.S. citizens only. The U.S. government requires Pacific University to report on the multicultural composition of its student
enrollment and applicant pool. Your participation in identifying your ethnicity and race is voluntary.
Ethnicity
Are you Hispanic/Latino? ¨ Yes ¨ No
Check all that characterize your race.
¨ Asian ¨ American Indian or Alaskan Native
¨ White (non-Hispanic) ¨ Native Hawaiian or Other Pacific Islander
¨ Black or African American ¨ Other
EDUCATION
List all the colleges or universities you’ve attended. See page 4 if additional space is needed.
NOTE: A cumulative GPA of 3.0 or higher or satisfactory GMAT/GRE score is required for admission. Official transcripts from each institution will be required.
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
IF NO DEGREE WAS EARNED PLEASE PRINT N/A
For International Applicants. TOEFL score
IELTS score
David McLean | business@pacificu.edu | 711 SE Baseline Ste. 100 Hillsboro, OR 97123 | pacificu.edu/mba
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PACIFIC UNIVERSITY
ADMISSION APPLICATION - MASTER OF BUSINESS ADMINISTRATION
STATEMENT OF PURPOSE ESSAY
On a separate document, please describe your goals and aspirations, and how an MBA will further your career.
Your essay should be double spaced at 12pt standard font and approximately 500 to 1,000 words in length.
ADMISSION TEST (NOT REQUIRED)
GRE/GMAT scores may be included for consideration but are only a requirement for admission if you do not meet
the 3.0 GPA requirement.
Test Score (optional)TestDate of Test
SIGNATURE
I certify that the information on this application is complete and correct, and I understand that the submission of false
information is grounds for denial of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or
any appropriate disciplinary action. I authorize the university to verify the information I have provided with all the schools
I have attended. I agree to notify the proper officials of Pacific University of any changes in the information provided.
I waive my right to review or access letters and statements of recommendation on my behalf. ¨ Yes ¨ No
I, certify all the above information is true and accurate.
PRINT NAME
SignatureDate
David McLean | business@pacificu.edu | 711 SE Baseline Ste. 100 Hillsboro, OR 97123 | pacificu.edu/mba
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PACIFIC UNIVERSITY
ADMISSION APPLICATION - MASTER OF BUSINESS ADMINISTRATION
EDUCATION (IF NEEDED)
Please use this space to list additional institutions continued from page 2.
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
Name of Institution
Dates AttendedGPA
Degree EarnedMajor
David McLean | business@pacificu.edu | 711 SE Baseline Ste. 100 Hillsboro, OR 97123 | pacificu.edu/mba
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