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Montana State University Billings 2016 Certificate in Nonprofit Administration and Leadership Application

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Montana State University Billings 2016 Certificate in Nonprofit Administration and Leadership Application
Montana State University Billings
2016 Certificate in Nonprofit Administration and Leadership
Application
Complete this application in its entirety. Preference will be given to individuals seeking to complete
the full program.
First Name: ______________Middle Initial:____Last Name:_________________
Do you have a previous last name? __ yes ____ no
If you answered yes, what is it? ____________________________________
Gender: ____Male ____Female
What is your birthdate? (dd/mm/yyyy) ____/____/______
Have you ever been a student at MSUB? ____ yes ____ no
MSUB GID number or Social Security Number: ______________
Education Level:
Do you currently have a Bachelor’s Degree? ____ yes ____ no
If yes, what major? ___________________________
Citizenship: _____USA _____Other
Ethnicity:
____Caucasian/White Non-Hispanic
____Black/Non-Hispanic
____Spanish Surnamed Hispanic
____Oriental-Asian or Pacific Islands
____Native American/Alaskan Native
____Other
____Chose not to respond
Before mailing/emailing your application:
1. Did you include transcripts with this application? ____ yes ____ no
2. Did you include your written statement with this application? ____ yes ____ no
Written Statement: Please state your goals related to your work with nonprofits and
explain why you are interested in completing the Certificate in Nonprofit
Administration and Leadership (you may attach a separate sheet if needed).
Final Application Deadline: August 31, 2016.
Tuition for full program: $2954 excluding books.
Tuition for single course: $790 excluding books.
Send all application materials to:
Dr. Paul Pope, Assistant Professor
Dept. of Social Sciences and Cultural Studies
Montana State University Billings
1500 University Drive
LA 812
Billings, MT 59101
Or email to:
[email protected]
Questions? Contact Paul Pope at [email protected] or 406-657-2934
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