Pre-Assessment

Thank you for your interest in the Executive MBA Program.

The following form is used to gather information in order to arrange a consultative interview with Dr. Charles Jacobina, Executive Director of the Virginia Tech EMBA Program or with Ms. Karime Shamloo, the Assistant Director. This pre-assessment will enable us to examine your credentials, experience, education and management responsibilities and better determine your likelihood for acceptance into our program. Upon receipt of the form, we will contact you to arrange a time to meet with you.
Privacy Statement
The Virginia Tech EMBA Program is committed to respecting your privacy. Information submitted will only be used for the purpose of contacting you. This information will not be disclosed to any third party.
Contact Information

Other Information
Undergraduate GPA and Major
Graduate degree or credit hours completed

Please describe your current job function:

Survey Information
Please check the functions you are interested in attending:

Visit our ADMISSIONS and EVENTS pages after submitting this form. Your next step is to schedule an interview. Please call 703-538-3757. Interviews are also done through SKYPE or iChat.