MARQUETTE UNIVERSITY GRADUATE SCHOOL
APPLICATION FOR MARQUETTE-MCW EXCHANGE PROGRAM
STUDENT INFORMATION
Last (Family) Name:
Street Address:
First Name:
City: State: Zip Code:
Email:Daytime Phone:
Signature: Date:
PLEASE FORWARD COMPLETED FORM TO THE GRADUATE SCHOOL
Please mail your application to:
Marquette University Graduate School
P.O. Box 1881
Milwaukee, WI 53201-1881
or fax to: (414) 288-1902
Middle Name:
Gender:
Female Male
Date of Birth:
City, State and Country Birthplace:
GRADUATE SCHOOL PLANS
Entry Date:
Fall Spring Summer
Year:
Department in which you plan to take courses:
Degree Sought: NonDegree
This form is to be used by students at Medical College of Wisconsin to apply for admission to Marquette University under the exchange program agreement. If
you need any assistance completing this form, please contact the Graduate School at 414-288-7137.
Social Security Number:
Are you currently a Marquette University student?
Yes No
Visa status (if applicable):
Citizen Permanent Resident Visa
Note: If permanent resident or Visa student, you must submit a copy of your green card of Visa prior to registration.
Graduate School of Management applicants:
Marquette University Graduate School of Management
P.O. Box 1881
Milwaukee, WI 53201-1881
or fax to: (414) 288-1902
Have you ever applied to Marquette (in any capacity)?
Yes No
Revised 10/15
