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Online Admission Application
Personal Information
Social Security Number
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If your name on your college transcript is different from the name above, enter that name here
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Program Applying For
Evening MBA
Professional MBA
MAcc
Concentration (possible other areas of interest):
Accounting
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Admission test you have taken or plan to take: G.M.A.T.
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Educational Information
College
(list ALL attended including Lipscomb)
COLLEGE 1: Name
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Year
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1970
1971
1972
1973
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2006
2007
2008
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2010
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To Month
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January
February
March
April
May
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July
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September
October
November
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Year
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1960
1961
1962
1963
1964
1965
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1967
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1972
1973
1974
1975
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1977
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1979
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Did you graduate?
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If 'Yes', degree earned
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June
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Year
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1963
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1967
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1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
COLLEGE 2: Name
City
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Dates of Attendance: From Month
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January
February
March
April
May
June
July
August
September
October
November
December
Year
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1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
To Month
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January
February
March
April
May
June
July
August
September
October
November
December
Year
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1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Did you graduate?
Yes
No
If 'Yes', degree earned
Date: Month
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January
February
March
April
May
June
July
August
September
October
November
December
Year
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1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
COLLEGE 3: Name
City
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Dates of Attendance: From Month
Select One
January
February
March
April
May
June
July
August
September
October
November
December
Year
Select One
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
To Month
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January
February
March
April
May
June
July
August
September
October
November
December
Year
Select One
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Did you graduate?
Yes
No
If 'Yes', degree earned
Date: Month
Select One
January
February
March
April
May
June
July
August
September
October
November
December
Year
Select One
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
If 'No', projected date of graduation? Month
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January
February
March
April
May
June
July
August
September
October
November
December
Year
Select One
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Has a secondary school, college or university dismissed you?
Yes
No
Have you been convicted of any crime(s) other than minor traffic violations?
Yes
No
If you answered 'yes' to either of the last two questions, please attach a brief explanation.
Have you previously applied for admission to graduate studies at Lipscomb?
Yes
No
If 'Yes', what term?
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Fall (Mini-term)
Fall
Winter
Spring
Summer
Year
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1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
What program?
Select One
M.A. (Bible)
M.Div. (Bible)
M.B.A.(business)
M.Ed (education)
M.A.L.T. (education)
M.A.S.E. (education)
M.A.A.S. (education)
Do you plan to earn a degree at Lipscomb?
Yes
No
Are you seeking admission as a transfer student?
Yes
No
For which admission category (classification) are you applying?
Select One
Graduate
Conditional Adm.
Non-Degree
Unclassifed
Transient
Additional Information
Emergency contact person:
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Parent
Guardian
Spouse
Other
Last Name
First Name
Street
City
State
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Alaska
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California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone (include area code)
Are you a veteran?
Yes
No
If 'Yes', do you plan to attend Lipscomb with veterans's assistance?
Yes
No
Will you be employed full-time while attending graduate school?
Yes
No
If 'Yes', enter employer information: Name
Position with company
Street
City
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone (include area code)
Fax (include area code)
Do you wish to apply for a scholarship or assistantship?
Yes
No
If 'Yes', have you submitted a scholarship or assistantship application?
Yes
No
References
: It is the applicant's responsibility to see that reference letters have been submitted from (1) a university/college administrator or professor, and (2) a professional/employer.
REFERENCE 1: Name
Title/Position
Street
City
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone (include area code)
REFERENCE 2: Name
Title/Position
Street
City
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone (include area code)
For International Students Only
Are you a permanent resident of the United States?
Yes
No
If 'No', what is your country of citizenship?
Visa Type and Number
Visa Status
What is your TOEFL score?
To whom should billing information be sent?
Select One
Parent
Guardian
Student
Employer
Other
If billing is to someone other than student, give name and address: Name
Address
City
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone (include area code)
Application Fee
Pay by Credit Card:
Choose One
U.S. Citizen [add $50.00]
International [add $75.00]
Pay by Check:
Choose One
U.S. Citizen
International
Please mail checks to the following address:
Jackie Cash
Graduate Business Programs
Lipscomb University
One University Park Drive
Nashville, TN 37204
Important - Please Read Before Submitting
The information provided in this application is true and accurate. I agree that if enrolled, I will abide by the policies, rules and regulations and the financial terms in the catalog, student handbook and/or other official publications authorized by the university.
Lipscomb University reserves the right to revoke admission on the basis of misrepresentations or omissions, whether intentional or accidental, on this application.
During my entire tenure as a Lipscomb University student, I will be responsible for prompt payment of any outstanding balance. I also agree to pay reasonable collection fees posted against delinquent outstanding balances. I understand that in the event my account balance becomes delinquent, I may be suspended from attending Lipscomb University classes. I understand that I will not be allowed to register for subsequent semesters if my account is delinquent. I also understand that my grades and/or requested transcripts will be withheld until my account is paid in full.
Lipscomb University is a private Christian university open to any qualified student without regard to race, religion, sex, age, color, national or ethnic origin, or disability. Lipscomb University complies with all applicable federal and state nondiscrimination laws, and does not engage in prohibited discrimination on the basis of race, religion, sex, age, color, national or ethnic origin, or disability in the administration of its educational policies, programs and activities. This policy includes admissions policies, scholarships and loan programs, employment practices, and athletic and other school administered programs. Lipscomb University is affiliated with the fellowship of the Church of Christ. The university is controlled by a Board of Directors, all of whom are members of the Church of Christ, and is operated within the Christian-oriented aims and ideals and religious tenets of the Church of Christ as taught in Holy Scripture. As a religiously controlled institution of higher education, Lipscomb University is exempt from compliance with some provisions of certain civil rights laws, including some provisions of Title IX of the Education Amendments of 1972.
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