THE UNIVERSITY OF LOUISIANA AT MONROE – HONG KONG …

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THE UNIVERSITY OF LOUISIANA AT MONROE – HONG KONG SHUE YAN UNIVERSITY

MBA PROGRAM REGISTRATION AND COURSE ENROLLMENT FORM

FOR THE 2019-20 WINTER SESSION SEMESTER

1. Applicant’s

Name ___________________________________________________(__________________)

Surname/Family Name Given Names Other Name

2. Email Address__ ________________________________________________________________

3. Permanent Mailing/ Home Address _______________________________________________________________

_______________________________________________________________

4. Telephone Numbers: Home _______________________ Mobile ________________________

5. Date of Birth ______________________________________ Country of Birth_______________________

Day Month Year

6. Race

(Check one): ____ Asian/Pacific Islander ____ African American ____ American-Indian

____ Caucasian ____ Spanish American ____ Other _________

7. Gender: ____ Male ____ Female

8. List below all colleges and universities you have attended (Please note—In some situations, you may be required to submit transcripts from universities other than HKSYU to an approved evaluation service):

Institution Location Dates Attended Date Graduated

________________________________________ ______________________________________

_____________________________________________________ _________________________

___________________________________ ___________________________________________

9. If applicable, list date/semester of last attendance in ULM-HKSYU MBA Program:

________________________________________ ______________________________________

10. Have you taken the GMAT or GRE? ____ Yes ____ No

A requirement for conditional/regular admission status into the ULM-HKSYU MBA program is an acceptable score on the GMAT or GRE. You must have score results sent to ULM – ULM Institutional Code: 6482

11. During the _________________ semester, I plan to take the following courses (please note that you will not be enrolled in courses until payment is received by Shue Yan University):

Course Code Title Dates

| |MGMT 5019 |Operations and Quality Management |5 Dec 2018 – 23 Dec 2018 |

*Please put a tick in the appropriate box(es) indicating the course(s) you would

like to apply for in this semester.

________________________________________________ ___________________________

Signature Date

-----------------------

Office Use Only:

SYU Stud. No. __________

ULM CWID ____________

HKSYU Use Only:

Indicate if Payment Received

MGMT 5019 ______

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