Form C
Source of support
Indicate the support you expect from your employer if you are accepted into the Executive MBA
program.
Total tuition Partial tuition % Time off only Uncertain
The total program cost is $38,000. This is an all-inclusive amount and includes an international experience. Your inability to take the
international trip will NOT reduce the program cost. A $500 non-refundable deposit is payable two weeks after notification of your
acceptance. The remainder of your first tuition payment, $7,100, is due by August 19, 2017. The remaining tuition may be paid in
installments of $7,600 due no later than 1/20/18, 5/26/18, 9/15/18 and 1/19/19.
If you notify us of your inability to continue in the program prior to March 31, 2018, your financial responsibility will be $19,000,
half the total cost of the program. After March 31, 2018, full tuition payment is required.
Organizational sponsorship
If the applicant is accepted into the Wichita State University Executive MBA Program, our organization will give full support to his or
her participation. The applicant’s work and travel schedule will be adjusted to accommodate attendance at all regularly scheduled
Saturday classes and the required international trip. We will pay the applicant’s full tuition at the prevailing rate or to the extent
provided under our tuition support policy. Participation in the Executive MBA program will not adversely affect the applicant’s normal
salary and/or employment status.
Company
Sponsor’s name
Signature Title Date
Applicant' statement of responsibility
I understand that I am expected to attend all regularly scheduled sessions of the Executive MBA Program and that failure to do so
may negatively impact my course grades, and/or affect my eligibility to continue in the program. I know that I must maintain a 3.0
grade point average to remain in good standing in the WSU Graduate School.
Applicant’s name
Applicant’s signature Date
ACKNOWLEDGEMENT OF RESPONSIBILITY
Wichita State University
W. Frank Barton School of Business
