The College of St. Rose Teach Out MBA

The College of St. Rose Teach Out MBA APPLICATION FOR ADMISSION

You must be currently (Spring 2024 Semester) enrolled at the College of St. Rose in their MBA program to apply.

If you have any questions or need help with the application process, please contact Lori Lasch, Associate Director of Graduate Programs 518-783-6865.

In order for your application to be considered complete, you must submit:

Completed application form
Official transcript from The College of St. Rose.
Application fee is waived for The College of St. Rose students

Please note: This application cannot be saved and revisited. It must be completed in one session.

* = required field

Applicant Information

Name *

First

Last

Middle Name

Maiden Name (if applicable)

Student Id # (The College of St. Rose Student ID#) *

Legal Sex - Common App defines legal sex as the current marker on your government identification documents. This includes things like your birth certificate, passport, state ID, or driver's license. *

Gender *

Male

Female

Nonbinary

Other

If Other, please state

Primary Phone Number *

###

####

Email Address *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

###

####

Permanent Address

Permanent Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Current Address (if different than permanent address)

Current Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

_________________________________________

Birthdate *

YYYY

Country of Birth *

Country of Citizenship *

If not U.S. citizen, are you a permanent resident?

Yes

Please state your visa status

Are you of Hispanic or Latino descent?

Yes

Ethnicity (Check all that apply)

American Indian or Alaskan Native

Asian

Black or African American

Native Hawiian or other Pacific Islander

White

______________________________________________________________________________

Have you ever been convicted of a felony? *

Yes

Please explain your felony conviction.

An affirmative response to the above questions will not automatically prevent enrollment, but you may be asked to provide additional information. This information will be reviewed to ensure safety. Any falsification or omission of data may result in a denial of enrollment and/or dismissal.

______________________________________________________________________________

Upload an Unofficial Transcript or Degree Works Printout *

Entry Term *

Housing preference *

On-campus resident

Off-campus

By clicking below, I certify that the information I have submitted in this application is complete and true to the best of my knowledge. I agree that I will comply with all the rules and regulations of the College that may be in effect or that will be put into effect while I am a student.

I agree *

Yes