Note: Please be sure to fill out this entire form.

RBA Application Form
  • Current Address
  • Personal Data (This information is not required-used only for reporting)
  •   Single
      Married
  •   Male
      Female
  •   High School Diploma
      Vocational / Trade School
      1-2 Years of College (31-60 hours)
      2-3 Years of College (61-90 hours)
      More than 3 Years of College (91+ hours)
  • Please provide all previous Colleges attended and dates of attendance:
  •   Full-Time
      Part-Time
      Neither
  • REASONS FOR PURSUING DEGREE (Check ALL that apply)
  • REASONS FOR CHOOSING RBA PROGRAM (Check ALL that apply)
  • GOALS STATEMENT
  •   Yes
      No