MBA Student Survey

Welcome to the incoming Georgetown McDonough MBA Class!

If you have any questions about this form, please contact the MBA Program Office at mbaprogramoffice@georgetown.edu or 202-687-7638.

Please enter your name exactly as you would like it to appear in program records.

Student Name

First Name

Please provide your full first name, and capitalize the first letter.

Preferred First Name

The Preferred First Name is the name you would like to use on a day-to-day basis. All name badges, name plates, and mailbox labels will feature your Preferred First Name. Your Preferred First Name could be the same as your legal name, or a different name or nickname that you would prefer to use instead (for example "Jim" instead of "James").

Middle Name

Last Name (Legal Family Name)

If you know you are changing your name (such as for marriage) and would like a different name to be printed on your MBA Program name plate and name badge, please email mbaprogramoffice@georgetown.edu.

LinkedIn URL

Please select the pronoun you prefer others to use when referring to you. A pronoun is a word that is used to substitute an individual’s name when they are being referred to in the third-person. We use the pronouns individuals specify to create a more inclusive and respectful environment. For more information on the importance of pronouns, please visit https://ideaa.georgetown.edu/pronouns/

Other (Please specify):

Would you like to add your preferred pronouns to your name tag and name plates that you will use during all your MBA journey?

Yes, add my preferred pronounsNo, do not add my preferred pronouns

Student Headshot

2" x 2" Photo Required Please submit a recent PNG or JPEG photo with your face clearly visible. Reference the instructions https://gocard.georgetown.edu/get-gocard/gocard-photo-submission-requirements/ Please attach the file using the browse button below.

Additional Student Information

Home City

Home State / Province

Home Country

Tell us a unique hobby, experience, or personality trait about yourself. Examples: I won a baking competition for the best chocolate chip cookies. I have a collection of over 500 rubber ducks. I once hiked to the base camp of Mount Everest. I'm a certified salsa dance instructor.

The Program Office would like to welcome your partners and families into the MBA community. If you would like to be included in relevant events and opportunities, please complete the questions below.

Partner's Name

Partner's Email Address

Do you have children?

YesNo

Children's Names and DOB

Please input as "Name:DOB"

Other (add here):

255 Character limit

Other (add here):

255 Character limit

Please use the below dropdown options to select a primary and secondary religious affiliation.
Note: This data is required university-wide by the Data Governance Advisory Committee in order to respond to a growing need of on-campus religious and spiritual leaders. Collecting religious identity/affiliation data ensures the university understands the graduate student population and provides adequate and targeted resources.

Primary Religious Affiliation

Secondary Religious Affiliation

Religious Affiliation

If for any reason you need to change or update this information, please submit the survey again. We will use your most recent submission.

Authorization and Disclosure- TO BE READ IN ITS ENTIRETY

The information provided in this form and your MBA Program application materials may be shared by the MBA Program Office for the use of students, faculty, administration, and staff of the MBA Program and the McDonough School of Business of Georgetown University. Information to be shared may include:

Student's photograph
Hometown (city, state, country)
All previous post-secondary educational institutions attended, including major and degree from such institutions.
Previous work experience, including company name, industry, and function.

If you have any questions about the usage of this information, or if you would like to opt out of sharing your information, please email the Program Office at mbaprogramoffice@georgetown.edu.

Authorize and Disclosure

I authorize the MBA Program Office to share my information.

Class Recordings

By attending classes, you consent to the making and use of classroom recordings that may include your images or voices in accordance with the McDonough Classroom Recording Policy. These recordings will not be made available to the public. Contact the Program Office at mbaprogramoffice@georgetown.edu if you have concerns regarding appearing in a class recording, so you can discuss appropriate accommodations. Instructors are permitted, but not required, to record their classes. If approved, recordings may be made of every class session or for certain sessions only. Contact the Program Office if you would like full details of the recording policy prior to arrival.

Photography Release

I hereby authorize Georgetown University to publish photographs taken of me, my name, graduation year, degree program, and likeness, or persons under my legal guardianship, for use in Georgetown University marketing and advertisements (both paid and unpaid), including, but not limited to: print, web, digital, out-of-home, and social media, as well as by any outside third party interests. In consideration for my voluntary participation in marketing products produced by Georgetown University, or any outside third party interests, I agree that I will receive no financial compensation. Furthermore, I agree that participation in any marketing or advertising products produced by Georgetown University, or any outside third party interests, confers no ownership or special rights whatsoever. I release Georgetown University, its employees, and any outside third party interests from any claims of liability by me in connection with my participation in the production of these photographs. If you have any questions about the usage of your photographs, or if you do not authorize this release, please email the MBA Admissions office at georgetownmba@georgetown.edu.

Photography Release

Yes