International Partnership of Business Schools
www.ipbs-master.com
 
 

MASTERS in INTERNATIONAL MANAGEMENT

ELECTRONIC APPLICATION FORM

 
 

IMPORTANT : Please read carefully the following instructions, before filling out this application form.

1. Be sure to have all the necessary documentation scanned (preferably in .pdf format) readily available. Each scanned document MUST NOT EXCEED 5 MegaOctets.

2. Do not forget to attach the documents to your application form.

3. Do not forget to press the "SUBMIT" button once your application form is filled out and the documents are attached.

4. All questions MUST be answered. Where appropriate, write ‘none' or ‘not applicable'. DO NOT leave blanks. All supporting documentation, including school transcripts, must be provided in English .

Deadline for submission: June 10th, 2009

Return the completed application form, together with the necessary supporting documentation and the appropriate application fee (€60.00) by bank transfer:      (SOCIETE GENERALE,    2 place Royale,  51100 Reims,  France 

BIC/SWIFT: SOGEFRPP  -  IBAN: FR76 30003 01690 00050242175 42  -  account n°: 00050242175 42)

   
to: registration@ipbs-master.com

                       

 
     
 

MASTERS in INTERNATIONAL MANAGEMENT

 
 

1. SELECTION OF STUDY LINK
Preferred choice (tick one)

F -> D F-> Ita Mex -> D Mex -> Ita USA -> D USA -> Ita
F -> Irl   Mex -> Irl   USA -> Irl  
 
     
 

Second choice (tick one)

F -> D F-> Ita Mex -> D Mex -> Ita USA -> D USA -> Ita
F -> Irl   Mex -> Irl   USA -> Irl  

The two choices indicated above are final and do not give the candidate access to any other track of the MIM program

  
     
 

2. WHERE DID YOU HEAR ABOUT THE MASTERS in INTERNATIONAL MANAGEMENT ?

If by Internet, which sites?

 
     
 

3. HAVE YOU PREVIOUSLY APPLIED OR STUDIED IN ONE OR MORE OF THE IPBS SCHOOLS / UNIVERSITIES ?

Yes No  

If yes, please tick accordingly and indicate your identification/university number from any previous application or school attendance, if available :

DCU, Dublin (Ireland) ID number RMS, Reims (France) ID number
ESB, Reutlingen (Germany) ID number UCSC, Piacenza (Italy) ID number
NU, Boston (USA) ID number UDLA, Puebla (Mexico) ID number
 
     
 

4. OUTLINE OF INTEREST / MOTIVATIONS FOR APPLICATION

Please attach a letter of motivation and a CV

CV :

Letter of motivation :

 
     
 

BIOGRAPHICAL INFORMATION

 
 

5. NAME (as you wish it to appear on all official University records) :

Surname : First Name(s) :
 
     
 

6. NAME AS ON BIRTH CERTIFICATE (if different from above ):

Surname : First Name(s) :
 
     
 
7. DATE OF BIRTH : 8. GENDER :
Male Female  
 
 
 
9. CITIZENSHIP: 10. PLACE OF BIRTH :

 
     
  11. COUNTRIES OF RESIDENCE

(Please indicate below the countries in which your were ordinarily resident for the 5 years preceeding the date of this application)

Country From : To :

 

  
 

12. ADDRESS FOR CORRESPONDENCE:

 

  
 

13. HOME ADDRESS:

 

  
 

14. OTHER CONTACT DETAILS:

Home Telephone : Work Telephone :
Mobile Telephone : E-Mail address :
 
     
 
EDUCATION
 
 

15. SECONDARY SCHOOL EDUCATION

(Please give the name(s) and full postal address(es) of secondary (post-primary) school(s) attended, beginning with the most recent)

Name & Address Dates of Attendance
from to
from to
 
 

16. HIGHER EDUCATION (details)

Please attach a copy of the school transcripts

         (Please attach a copy of the higher education transcripts, all years available to date, in ENGLISH)

Primary Degree Title: (as it appears on official records)

Primary Degree Title: (English translation, if different from above)

Level / Class of award :

Institution attended :

Period of attendance :

Name of Programme : (as it appears on official Institution documents)

Length of programme : (in months / semesters / trimesters)

Full-Time Part-Time

Name of Awarding Body :

Has programme been completed? Yes No

If ‘No', please indicate:

•  Period completed to date:

•  Date on which final results will be available:

Main subjects studied:

 

  
 

17. OTHER HIGHER EDUCATION QUALIFICATIONS

Please attach a copy of the school transcripts

 
Award 1
Award 2
Level/Class of Award
Name of Awarding Body
Institution Attended
Period of Attendance
Date of Award
Main subjects studied

 

 
 

18. PERIODS OF STUDY ABROAD

Country From : To :
 
 

19. OTHER ACADEMIC DISTINCTIONS AND CONTINUING EDUCATION

 
     
 

LANGUAGE and OTHER COMPETENCY

 
  20. ENGLISH LANGUAGE and OTHER COMPETENCY : for non-native English speakers only. Applicants are reminded that all classes are taught in English and therefore require a good knowledge of the language.

The TOEFL and TWE tests are mandatory to be eligible for application. Minimum TOEFL score: 220 (cbt) or 83 (ibt)..            The IELTS test is also accepted. Minimum requirement is : 6.5 . Native English speakers and non-native speakers who have graduated from an English language University are exempt from these requirements.

Please attach a copy of the test results

Examination
Date
Score
TOEFL (including TWE)
IELTS
Cambridge Proficiency
Cambridge Advanced
GMAT
Other (please specify)

 

  
 

21. OTHER FOREIGN LANGUAGES

Language
Proficiency
Basic Knowledge Good command Native tongue

 

  
 

22. COMPUTER LANGUAGES

 

Computer Language
Proficiency
Basic Knowledge Average Knowledge Good knowledge

 

  
 

 

  
 
PROFESSIONAL EXPERIENCE
 
 

23. Professional / industrial experience

(Give full details, in chronological order, of all relevant professional and/or industrial/business experience obtained.)

Dates: (From-To)
Name & Address of employer
Post/Occupation
Reason for leaving

 

  
 

24. Other information deemed relevant to the application:

 
     
 

REFEREES

 
 

25. REFEREE CONTACT DETAILS

The registry will assume permission to contact referees unless an applicant has stated otherwise. Please attach the referees' letter or recommendation forms to the application. Recommendation forms are available on-line: www.ipbs-master.com

Name of professional/internship referee: Name of academic referee:
Position in organisation: Position in organisation:
Address: Address:
Tel. N°: Tel. N°:
Permission to contact referee: Yes No Permission to contact referee: Yes No
Please attach your referee letter : Please attach your referee letter :
       

 

 
 

Please attach your photo in .doc, .jpg, or .gif format :

 

Please attach a proof of your application fee transfer (€UR 60) :

 

  
 

 

ADDITIONAL INFORMATION FOR APPLICANTS WISHING TO STUDY AT DUBLIN CITY UNIVERSITY

Mandatory for any candidate wishing to study at DCU.  If irrelevant, please note: “NA” and submit the document at the end of this page.

26. INFORMATION ON DISABILITY

(In order to assist us with your application, if you have a disability, please complete the following)

                 24.1 In the case of applicants with a disability, please indicate any additional measures necessitated by your disability, the absence of which would have prevented you from achieving your academic potential in your studies to date?

(e.g. interpreters, special equipment, extra tuition)

 24.2 The nature of your disability :

Visual Impairement

Physical

Physical

Other Functional Limitation

Partial sight

Amputation

Post-polio

Psychological

Blind

Arthritis

Respiratory

Acquired brain injury

 

 

Cardiovascular

Spinal cord injury

Epilepsy

Communication

Cerebral Palsy

Hemophilia

Diabetes

Deafness

Orthopaedic

Gastrointestinal

Disorders

Attention deficit

Hyperactivity disorder

Hard of hearing

Multiple Sclerosis

Immune system

Disorder

Other (please specify)

Speech limitation

Muscular Dystrophy

Specific learning

Disability

 

 

 24.3 Support services you may require (to be discussed with Disability Officer) :

Admission assistance

Speech limitation

Note taker referral

Immune system

Disorders

Academic advising

Career advising

Reader referral

Specific learning Disability

Large print/braille books

Financial aid

Writing/math assistance

Extra tutorials

Adaptive computers

Accommodation

Examination requirements

Photocopying

Books on tape

Interpreter

Special equipment

Library access

Hard of hearing

Special parking

Special orientation counselling

Other (please specify)

 

         Applicants should note that while best efforts will be given to provide appropriate support services, provision of all support      services is dependent on the availability of funding. 

I certify that all the information provided above is correct.

 

Applicants with Disabilities

Medical Evidence Form

 

Instructions for completion

Applicants wishing to study at Dublin City University who believe that they cannot demonstrate their full avademic ability, based on exam performance, are afforded the opportunity to do this as part of the application process.  Such applicants will not compete directly with other applicants but will be considered separately on the basis of medical evidence supporting their application. 

For the purpose of assessing such applications, this form must be completed by a person who has the training and expertise with the particular condition specified by the intending applicant. 

Please complete ALL sections below 

Name, Title and Professional Credentials of Evaluator

Name of Applicant

Address of Applicant

 

Diagnosis / Assessment – Current Diagnosis including medical reports, relevant medical history and a clinical summary.  The assessment should validate the need for services based on the impact of the student’s disability and the level of functioning in an educational setting.

 

 

Valuation of Impact – evaluation should indicate any limitations as a result of the disability.

 

Recommendations – Documentation should indicate reasonable accommodations specific to the disability with an explanation as to why each accommodations is recommended.

 

 

 

  
 
DECLARATION

 

I certify that the information given above is correct and I hereby undertake, if admitted as a student member of the International Partnership of Business Schools (IPBS) observe and comply with all the regulations of the Universities in which I will study.

 

(Once you have clicked on the "SUBMIT" button, DO NOT CLOSE THIS WINDOW.
Please wait for the message that your information has been successfully sent to IPBS Registration Desk.
Please note that it could take several minutes to upload your files.)