TAMU-SA GMAT Test Preparation Class Registration Form ...



Fall 2012GMAT Test Preparation ClassGMAT Prep Class$300 **+ book for TAMU-SA students (includes current and alumni) $350 + book for Non-TAMU-SA students **A $100 DISCOUNT AVAILABLE for TAMU-SA students (current and alumni) – see back of flyerRequired Text:The Official Guide for GMAT Review (13th ed. Paperback) Graduate Management Council ISBN: 978-111-810-9793 Book Price: $35 (approx price) may be found at a reduced price at various book vendors’ websites.For More Information:Please Call the School of Business at 210-784-2301Sponsored by: Business Organization for Student Success (BOSS). Proceeds will benefit all official School of Business Student organizationsPayment: Check or Money Order only. Please make payable to B.O.S.S. TAMU-SAFall 2012 GMAT Test Prep ClassDo you still need to take the GMAT for the MBA program at Texas A&M University-San Antonio? The School of Business is sponsoring a GMAT test preparation class!*Friday, Sept 14th Friday, Oct 12th Friday, Nov 9th Friday, Sept 21st Friday, Oct 19th *Friday, Nov 16th Friday, Sept 28th Friday, Oct 26th Friday, Oct 5th Friday, Nov 2nd When: Friday evenings for 10 weeks from 6:00 p.m. - 9:00 p.m. *Practice Tests/Location: Friday September 14th Texas A&M University-San Antonio Brook City Base Campus Room 170 2601 Louis Bauer Drive San Antonio TX 78235 Preparation Class/Workshop Location: Texas A&M University -San Antonio Brooks City Base Campus Room 171 2601 Louis Bauer Drive San Antonio TX 78235Why: To help develop strategies, skills and increase comfort level for taking the GMAT exam, which is a computer adaptive aptitude test, required for admission into the MBA programCapacity: Limited to 25 students; first come-first servedCost: $300** for TAMU-SA students; $350 non-TAMU-SA students (cost does not include required textbook). Payable by Check or Money Order Only.**ADDITIONAL $100 DISCOUNT AVAILABLE FOR TAMU-SA STUDENTS – SEE BACK OF FLYER**Instruction: Provided by Lonestar TutoringRegistration: Payment-in-full is required at the time of registration and is nonrefundable. TAMU-SA students have first priority. A registration form is attached to the flyer. If you would like additional information, please contact The School of BusinessCynthia Kinney-LeeEmail: ckinney@tamusa.tamus.eduPhone: 210-784-2301**ADDITIONAL $100 DISCOUNT AVAILABLE FOR TAMU-SA STUDENTS!**Are you interested in participating in a research study? We are looking for volunteers to participate in a research study examining the effectiveness of our GMAT preparation course and its usefulness in our MBA admission process at TAMU-SA. Participants will receive a $100 discount. Requirements: Must register for GMAT prep class (less $100 discount)Must complete an informed consent form for research participation (located on the back of the course registration form)Must print/save and submit to Dr. Hurley a copy of the results of your first GMAT practice test from the September 14th practice test date.Must authorize the release of OFFICIAL GMAT test score submitted to TAMU-SA for admission (GMAT school code 7B7-9D-05)Must complete an attitude survey and a post-class evaluation form Must authorize a release of undergraduate courses, major, and GPA informationMust authorize a release of grades from MBA coursework. All information is confidential and procedures will follow the privacy guidelines established by university policy. UNDER NO CIRCUMSTANCES WILL YOUR NAME BE ASSOCIATED WITH INDIVIDUAL INFORMATION, GRADES, GMAT SCORE, OR UNIVERSITY RECORDS. ALL INDIVIDUAL INFORMATION WILL BE CODED TO INSURE PRIVACY AND WILL BE USED ONLY IN AGGREGATE FORM FOR RESEARCH PURPOSES. If you are interested in taking advantage of this discount, please check the appropriate box on your course registration form, complete and sign the informed consent form, and agree to the research requirements. Then you will be eligible to pay the discounted rate of $200. TAMU-SA GMAT Test Preparation Class Registration Form (Fall 2012)Personal InformationFull Name: Last FirstM.I.Address: Street AddressApartment # CityStateZIP CodeHome Phone: Alternate Phone: E-mail Address: TAMU-SA Student K#: 315595147955Yes, please register me in the GMAT Research Study(Please complete informed consent agreement on back)00Yes, please register me in the GMAT Research Study(Please complete informed consent agreement on back)Course Registration TAMU-SA Students ?398780134620No, do not register me in the GMAT Research Study00No, do not register me in the GMAT Research Study?Registration FeeAmount Due394970417830$30000$3005207055118000401320111125$20000$20052070236855002743201069340$35000$3501191895103949500119189581470500734695700405Yes00Yes731520925195No00NoDo you want TAMU-SA to purchase the required textbook for you? ? ?Book Fee275590550545$3500$35275590779145$000$0Amount Due318770194310 I am not a TAMU-SA student00 I am not a TAMU-SA student217170030099000Course Registration Non-TAMU-SA Student?Please Initial the appropriate box ? Yes, I agree to have my practice test scores released to Lonestar Tutoring. ? No, I do not agree to have my practice test scores released to Lonestar Tutoring.For Office Use Only:Total Amount Due:Amount Received: ________ Received by:____________Check #Date:Please read and sign:I understand that the class registration and book fees are nonrefundable. In addition, I understand that unless I requested and paid for the required textbook during the registration process (above), I must purchase it at my own expense by the first day of class. The first day of class is Friday, September 21, 2012 at 6:00 pm. Student’s signature ______________________________ Date ______________Return this form to Mrs. Cynthia Kinney-Lee or to Dr. Tracy Hurley, in the School of Business Suite Room 181-A at the TAMU-SA Brooks City Base Campus 2601 Louis Bauer Drive San Antonio, TX 78235 Please make checks payable to ‘BOSS TAMU-SA’. If you are participating in the Research Study, you must also sign an Informed Consent agreement.GMAT Effectiveness StudyAGREEMENT TO PARTICIPATEI, , agree to participate in a study involving the effectiveness of a GMAT preparation class and test at TAMU-San Antonio. I understand that I will be expected to complete a number of forms, checklists, and questionnaires relating to my knowledge, attitudes, and behavior. These instruments may include behavioral or attitudinal surveys, demographic and work experience information, GMAT practice and GMAT official tests. In addition, I understand that I am required to participate in and attend a 10-session GMAT preparation course (schedule attached), authorize the release of GMAT practice and official test results, undergraduate major and GPA records, as well as graduate GPA and grades from my MBA program. I have been informed that any information obtained in this study will be coded so as to protect my privacy and confidentiality and upon collection of all data, all personal identifying information will be destroyed. I further understand that my name will not appear in publication or print nor in anyway will my name be publicly associated with my GMAT test results, GPA or any other study-related information. Under this condition, I agree that any information obtained from this research may be used in any way thought best for publication or education.I understand that there is no personal risk or discomfort directly involved with this research and that I am free to withdraw my consent and discontinue participation in this study at any time. If I have any questions or problems that arise in connection with my participation in this study, I should contact the project director (Dr. Tracy Hurley) at the following phone number or email address: (210) 784-2300 or thurley@tamusa.tamus.edu. If I have any questions about the rights of research subjects, these questions may be directed to any member of the IRB or to Dr. Nestor Sherman, a member of the Institutional Review Board for the Protection of Human Subjects at the following phone number: (361) 593-2490/2301. _________________________________________________ Date (Signature of GMAT effectiveness study participant) ________________________________________ Date (Signature of Investigator) ________________________________________Date (Signature of Witness)THIS PROJECT HAS BEEN REVIEWED BY THE TEXAS A&M UNIVERSITY-KINGSVILLE INSTITUTIONAL REVIEW BOARD FOR THE PROTECTION OF HUMAN SUBJECTS. Phone: (361) 593-2808 ................
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