Wesley Center for Adult Studies - Online Application

What course of study are you applying for?

Associate of Science with a Concentration in Business (ASB)

Bachelor pf Business Administration (BBA)

Master of Business Administration (MBA)

PERSONAL INFORMATION

Date (mm/dd/yyyy) :

Social Security Number:

Marital Status : S M D W

Military: YES NO
If Yes:
Branch: Army Navy Air Force Marines Coast Guard Reserves
PLEASE SUBMIT DD214 or DD295

Your Name
Salutation: Mr. Ms. Mrs. I Sex: M F
First Name:
Last Name:
Middle:
Preferred First Name:
Other Name (former, maiden):

Mailing Address
Number & Street
City:
State:
Zip/ Postal Code:
E-Mail Address:

Telephone Numbers (Ex. 302-555-5555)
Home Telephone:
Work Telephone:
Fax Number:

Birth Information
Birth Date (mm/dd/yyyy) :
Place of Birth City:
County
State:
Country:
Zip/Postal Code:

PREVIOUS STUDY
High School Name:
City:
State:
Date of Graduation:
We MUST receive official transcripts from ALL post-secondary institutions attended.

Name of College or University:
Dates of Attendance:
City, State:	,
Degree or Certificate Awarded:

Name of College or University:
Dates of Attendance:
City, State:	,
Degree or Certificate Awarded:

Name of College or University:
Dates of Attendance:
City, State:	,
Degree or Certificate Awarded:

Estimated Number of Credits Earned: Quarter Hours Semester Hours

If applying for the MBA program, have you taken the GMAT? YES NO
If YES, what year?
(if NO, official scores must be submitted to Wesley by the completion of BA505.)

Does your company offer tuition reimbursement/assistance? YES NO

Are you interested in applying for:
Financial Assistance/Loans YES NO
Veterans Benefits YES NO

Have you previously applied to Wesley College? YES NO
If YES, for what year?

When would you like to start your degree program?
Preferred start month: Preferred start year:

FEDERAL REPORTING
Race (optional, used for statistical purposes only)
American Indian or Alaskan Native	Hispanic	White, Non-Hispanic
Asian or Pacific Islander	Black, Non-Hispanic
Are you a citizen of the United States of America? YES NO Do you need form I-20 for immigration purposes? YES NO

Religious Affiliation
A.M.E.	Islam	Roman Catholic
Baptist	Jewish	United Methodist
Buddhist	Lutheran	Wesleyan
Church of God	Mormon	No Preference
Episcopalian	Pentecostal	Other
Greek Orthodox	Presbyterian	Other

EMPLOYMENT HISTORY
Current Employer
Company Name:
Address:
City:
State:
Zip Code:
Current Position Held:
Length of Employment:	Years Months
Previous Employer
Company Name:
Last Position Held:
Length of Employment:	Years Months
Company Name:
Last Position Held:
Length of Employment:	Years Months
Company Name:
Last Position Held:
Length of Employment:	Years Months
Company Name:
Last Position Held:
Length of Employment:	Years Months

Wesley on Discrimination
Wesley College does not discriminate on the grounds of race, color, national origin, religion, sex, age or disability in any of the education programs or activities, or with respect to employment therein.

Reserved Rights
I understand that the information provided by Wesley College New Castle, to the extent possible, current concerning calendars, estimated program/course start dates, admission and degree requirements, fees, regulations and program/course offerings. Supplied information does not constitute a contract between the College and/or Center and an accepted applicant. The College reserves the right to modify some or all rates, policies, programs or courses when and as deemed necessary, without prior notice.

I certify that the information given in this application is correct to the best of my knowledge and belief.

13 Read's Way, Suite 100
New Castle, Delaware 19720
877-333-4723

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