Executive Master of Entrepreneurial Real Estate

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THE BLOCH SCHOOL Executive Master of Entrepreneurial Real Estate Application for Admission Thank you for your interest in the Executive Master of Entrepreneurial Real Estate. We look forward to working with you through the application, acceptance, and enrollment process. The Executive MERE Admissions Committee has a rolling admissions policy, and will only act on completed applications (see below). A completed application includes the following: Application Form Return completed application form by mail or in person to: Attention: Executive MERE Admissions 5110 Cherry Street, Suite 321 Kansas City, Missouri 64110-2499 Transcripts Official transcripts from each college or university attended must be sent directly from the college or university registrar to the Executive MERE Program Office at the above address. If you have attended a college or university under a different name, ask the registrar to note the name change on your transcript or in a letter. Application Fee The application form must be accompanied by $50 in the form of a check or money order that is payable to the Lewis White Real Estate Center. The application fee is nonrefundable. Resume Please include a current resume with your application. Candidate's Admission Statement One essay (min. 500 words) will help the Admissions Committee understand your motivation for applying to the Executive MERE program. Please address: Your previous and current position in the real estate profession. Future career goals and your interest in the Executive MERE program Any entrepreneurial endeavors you have undertaken How your participation in the program will add value to the learning of your cohorts. Letters of Recommendation (two) Arrange to have two letters of recommendation sent directly to the Executive MERE Program Office. Please request one recommendation letter from a business associate such as your manager, supervisor, or a member of your company's Board of Directors. You will also need an additional letter from another business associate, such as a previous supervisor, CEO, or Board member from outside your company. Avoid requesting letters from friends or former professors. Letters of recommendation should include the following: The length of time the respondent has known you and under what circumstances. A detailed description of the effectiveness of your job performance. The skills you have demonstrated on the job in projects and assignments. Qualities that you can bring to the program. Any additional comments about your potential for graduate study in a rigorous and demanding program of study. Please ask your contacts to submit the recommendations on company letterhead directed to Whom It May Concern. The letters should include the signature and the phone, fax, or email address of the recommender. The letters may be sent to the mailing address above, emailed to whitecenter@umkc.edu or faxed to 816-235-6569. Documentation of Lawful Presence You must provide a photocopy of one of the following acceptable documents: Any domestic state issued Driver s License U.S. Birth Certificate U.S. Passport (valid or expired) Certificate of Birth Abroad I-155 card (Resident Alien Card) Certificate of Naturalization * Note: Not all of the acceptable documents are listed above, to obtain a full list, call (816) 235-5188.

Executive MERE Application for Admission Personal Information Mr. Ms. Mrs. Dr. Anticipated Enrollment Year: First Name: Middle Name: Last Name: Preferred First Name: Name of Spouse/Partner (optional): Street Address: City: State: Zip: County: Home Phone Number: ( ) Mobile Phone Number: ( ) Personal Email Address: Social Security Number: Send any mail to: Home Address Work Address Send any emails to: Home Address Work Address Date of Birth: Place of Birth (City, State, Country): Residency Information Resident of: Missouri Kansas County: Length of Residency: Are you a U.S. citizen? Yes No If resident alien, must provide proof of permanent residency. Education Information Please list all colleges and universities attended, beginning with the most recent. Attach an extra sheet of paper if more space is needed. Note that an official transcript must be submitted for each institution. List all colleges attended Location Dates (Mo/Yr) Major Degree Received What is your undergraduate cumulative GPA (based on a 4.0 scale)? Distinctions, Honors, and Awards Please indicate basis of selection if award is not well known. Professional Licenses and Memberships List the professional licenses, organizations, any offices held, and the dates of involvement.

Current Employment Information Title/Position: Company/Organization Name: Size of Organization: 1-10 employees 11-50 employees 51-100 employees 101+ employees Street Address: City: State: Zip: Work Phone Number: ( ) Work Email Address: No. of People Under Your Supervision: Time in Current Position: Please describe your major responsibilities: Please select the category that best describes your professional function: Consulting (strategic planning, management, etc.) General Management (general services) Marketing/Sales (public relations, product management. Finance/Accounting (auditing, corporate finance, etc.) Investments, treasury, public finance, real estate, etc.) Operations/Logistics (purchasing, engineering, etc.) Other: Please select the category that best describes the industry in which you work: Consulting Architecture/Design Financial Services Government Appraisal Broker Salesperson Construction Property Management Other: Decision Making Responsibility Please check the extent of your decision-making responsibility, as it relates to your current position, within each of the categories listed below. Not Involved Make Suggestions Directly Involved Fully Accountable Policy development Budget development Control of budget expenditures Capital expenditures above $10,000 Interface with regulatory agencies

Previous Employment Information tal number of years of full-time work experience: tal number of years of managerial experience (people, projects, or budgets): Please list previous employment for the last ten years. Attach an extra sheet if more space is needed. Company Name Title/Position Dates of Employment How did you learn about our program? Website / Bloch School Website Internet Search Advertisement (specify source): Previous Participant (name): Friend / Colleague (name): Human Resource Director (name): Supervisor (name): Other (specify): Directory Information Public Information UMKC designates as Directory Information Public Information the following categories of information: student name, address, telephone number, date and place of birth, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, and the most recent previous educational agency or institution attended by the student. A student wishing to restrict the release of Directory Information pertaining to him or her is to advise the Registrar s Office in writing. Any student wishing to obtain a copy of the complete guidelines governing the protection of the privacy of student records under the Public Law may do so by going to the Registrar s Office (Administrative Center, 5115 Oak Street). Optional Information Gender: Male Female Veteran: Yes No In an effort to better serve our student population and design programming that is more inclusive and remain compliant with federal, state, local and several granting organizations, please indicate your ethnic background: I. Are you Hispanic/Latino? Yes No II. Which of the following do you consider to be your racial background? Place an X next to all races that apply and a P on the line next to your primary race. American Indian or Alaska Native White Black/African American Asian (underrepresented) Native Hawaiian or other Pacific Islander Asian (includes Chinese, Filipino, Japanese, Korean, Asian Indian or Thai) Are you or your parents/spouse or legal guardian employed full-time and benefit-eligible at the University of Missouri? Yes No Did one or both of your parents graduate from college? Yes No

THE BLOCH SCHOOL Executive Master of Entrepreneurial Real Estate Sponsorship Form Sponsorship Form Executive MSERE/ 14 Month Program Henry W. Bloch School of Management 5110 Cherry Street, Suite 321 Kansas City, MO 64110 Employer support is an important component to a participant s successful completion of the Henry W. Bloch School of Management MSERE Program. This support includes the recognition of the level of commitment and dedication required for the participant to be successful in the program, as well as the granting of the necessary time away from work to attend class. Sponsorship may also include full or partial financial support. If is accepted in the Executive Master of Science in Entrepreneurial Real Estate Program, s/he will not be required by the organization to miss regularly scheduled meetings of the Program. Please indicate the extent of financial support from the sponsoring organization. Date Signature of Endorsing Official Name Title Company Business Address City State Zip Employer Billing: If your application is accepted, indicate to whom the invoice for participation should be directed. Company Invoice should be mailed to student Attn: Address

THE BLOCH SCHOOL Executive Master of Entrepreneurial Real Estate Candidate s Agreement Candidate s Agreement Executive MSERE/ 14 Month Program Henry W. Bloch School of Management 5110 Cherry Street, Suite 321 Kansas City, MO 64110 I certify the information on this application is accurate and complete, and I understand that all required credentials must be submitted before an admission decision may be made. I authorize the University of Missouri Kansas City to maintain all my records under my signed name, and I understand these records and credentials in support of my application are the property of UMKC and may not be returned or reproduced. I also understand that the letters of recommendation will be received in confidence and I waive access rights to this information. Additionally, I understand that participation in the program involves off-campus learning residencies. Further, in exchange for the right to participate, I agree to hold the Curators of the University of Missouri harmless. I acknowledge that the University does not provide medical insurance and agree to provide my own. Further, I agree to follow all applicable laws as well as applicable regulations of the residence facilities. I acknowledge that it is my duty to decide whether I am physically capable of participating, and I am aware that the residencies may be a requirement for graduation. I authorize the University to use my name, title, and company name for the purpose of promoting the Executive MSERE program, unless I state in writing otherwise. Signature Date Handwritten or Typed Name