Contact Phone Number. Email Address. 4. Have you started an application for
your prospective graduate business program at UNC Charlotte? ☐ Yes. ☐ No. 5.
GMAT PREPARATION COURSE SCHOLARSHIP APPLICATION
1. _______________________________________________________________________________ Last Name
First Name
MI
Preferred Name
2. _______________________________________________________________________________ Mailing Address, including Apt. Number
_____________________________________________________________ City
State
3. _______________________________
Zip
_____________________________________________
Contact Phone Number
Email Address
4. Have you started an application for your prospective graduate business program at UNC Charlotte? Yes
No
5. Do you plan to be a full-time student (9 hours or more) or a part-time student (less than 9 hours)? Full-time
Part-time
6. At what college did you earn your undergraduate degree? ________________________________
7. What was your major? _______________________________________ Overall GPA:__________
8. Are you a U.S. citizen or permanent resident?
Yes
No
9. Please indicate your ethnic background: Asian or Pacific Islander
Native American/Alaskan Native
International
Black (non-Hispanic)
White (non-Hispanic)
Other: _______________
Hispanic
I prefer not to disclose
10. Are you classified as a ‘Resident’ or ‘Non-resident’ of North Carolina for tuition purposes? Resident Non-resident
By signing, I attest that all information provided on this application is true, accurate and complete. Signature______________________________________________________
Date______________________
Please fax this application to 704-687-5309. Applicants must also submit a copy of their GMAT practice test results. Please return to our website to learn more about the practice test requirement.
