Application for Admission

Last Name:

First Name:

Middle Initial:

Mr. Ms.

Email Address (that I check at least daily) :

Cell Phone:

Home Address (where I live in Metro Washington area when not at school):

City:

State:
-- Select State -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

ZIP code:

4-year college I am now attending or from which I graduated after April 2009:

College City:

State:
-- Select State -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Degree I expect or have received:

Month/Year Degree Expected/Received:

Academics

Major:

Minor:

GPA in Major:

Honors:

My College tuition was financed by (check all that apply):
Scholarship
Work/Study Program
Outside Job at College
Summer Job
Parents or Other Relative

I am the first in my immediate family to attend 4-year college:

Yes No

I completed college in less than 4 years by (check all that apply):

Taking summer school
Taking extra units during the year
Other (maximum 5 words)

Extracurricular Activities in College (maximum 5 words per line)

Arts:

Athletics:

Clubs:

Student Government:

Extracurricular Activities in Community: College City or Home City (maximum 5 words):

Hobbies/Personal Interests (maximum 5 words):

My Connections to the World

Websites visited frequently:

Newspapers/Magazines read frequently:

Radio programs listened to frequently:

TV programs watched frequently:

Social networks logged on frequently:

My Business Profile (check all that apply)

Operated lemonade stand
Mowed lawns
Shoveled snow
Sold subscriptions
Worked on a construction site
Filed my own tax return
Salesperson
Marketing/Promotional Work
Computer Hardware/Software Support
Walked dogs
Other (maximum 5 words)

My Business Awareness

Which does NOT have a drugstore in Washington DC’s municipal boundaries?
Walgreens
CVS
Duane Reade

Which of these companies is headed by a woman of color?
General Motors
Xerox
Merrill Lynch

Which does NOT have a supermarket in Washington DC’s municipal boundaries?
Wegman’s
Harris Teeter
Whole Foods

What national retailer recently announced plans for stores in Washington DC?
The Gap
Wal-Mart
JC Penney

Which Washington DC area bank was recently bought by Capital One?
Bank of America
Sun Trust
Chevy Chase

When Washington DC’s new Convention Center was built, the old one was torn down and replaced by a:
Hotel
Parking Lot
Hospital

Which electronics retailer recently closed all its stores?
Best Buy
Circuit City
Radio Shack

The Tysons Corner extension of Metro to Dulles will be:
Underground
At grade
Monorail

Which Mall do I visit least?
Pentagon Fashion Centre
Wheaton Plaza
Montgomery Mall

People of color at management levels in commercial real estate, construction, and banking constitute about what percentage of all professionals in those fields?
10%
5%
1%

Career Choices

Career(s) I was thinking about as a college freshman (maximum 5 words):

Career(s) I am thinking about now (maximum 5 words):

I heard about TMR Business Scholars Program through:
Posse Foundation
United Negro College Fund
Hispanic College Fund
INROADS
CRAIGSLIST
Other (name):

Name (your typed name is your electronic signature) :
Your name is required.

Date (No applications accepted after May 31, 2011)
A value is required.mm/dd/yy.