| MASTERS in INTERNATIONAL MANAGEMENT |
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| 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. |
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| Deadline for submission: |
| - 10 June 2012 : US & Mexican tracks |
| - 10 August 2012 : French tracks ONLY |
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| 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 |
| account holder: IPBS-MIM - account n°: 01690 00150242175 90 |
| BIC/SWIFT: SOGEFRPP - IBAN: FR76 30003 01690 00150242175 90 |
| to : registration@ipbs-master.com |
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| MASTERS in INTERNATIONAL MANAGEMENT |
| 1. NAME |
SURNAME (as you wish it to appear on all official University records) *  as you wish it to appear on all official University records | |
FIRST NAME(S) (as you wish it to appear on all official University records) * as you wish it to appear on all official University records | |
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| 2. SELECTION OF STUDY TRACK FIRST SCHOOL |
| Prioritize TWO choices in the following box. Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) |
RMS (France) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
UDLAP (Mexico) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
NU (USA) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
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| SELECTION OF STUDY TRACK SECOND SCHOOL |
| Prioritize TWO choices in the following box. Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) |
DCU (Ireland) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
ESB (Germany) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
UCSC (Italy) Please enter 1 or 2 (1 = First Choice ; 2 = Second Choice) | |
| The two choices indicated above are final and do not give the candidate access to any other track of the MIM programme |
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| 3. WHERE DID YOU HEAR ABOUT THE MASTERS in INTERNATIONAL MANAGEMENT ? |
If by Internet, which sites? | |
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4. HAVE YOU PREVIOUSLY APPLIED OR STUDIED IN ONE OR MORE OF THE IPBS SCHOOLS ? | |
| If yes, please indicate your identification/university number from any previous application or school attendance, if available : |
DCU, Dublin (Ireland) ID number ? | |
ESB, Reutlingen (Germany) ID number ? | |
NU, Boston (USA) ID NUMBER ? | |
RMS, Reims (France) ID number ? | |
UCSC, Piacenza (Italy) ID number ? | |
UDLAP, Puebla (Mexico) ID number ? | |
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5. APPLICATIONS TO OTHER PROGRAMS : | |
| 6. OUTLINE OF INTEREST / MOTIVATIONS FOR APPLICATION |
Please attach a CV here... * Allowed extension : doc, docx, pdf, jpg (maximum size : 9750000 octets) | |
and a 500 word letter of motivation here... * Allowed extension : doc, docx, pdf, jpg (maximum size : 9750000 octets) | |
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| BIOGRAPHICAL INFORMATION |
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| 7. NAME AS ON BIRTH CERTIFICATE |
SURNAME * | |
FIRST NAME(S) * | |
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8. DATE OF BIRTH (DD/MM/YYYY) * DD/MM/YYYY | |
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9. GENDER | |
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10. CITIZENSHIP * | |
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11. PLACE OF BIRTH (CITY) * | |
COUNTRY * | |
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12. ADDRESS FOR CORRESPONDENCE * | |
13. HOME ADDRESS (if different) * | |
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| 14. OTHER CONTACT DETAILS |
Home Telephone | |
Mobile Telephone | |
E-mail address (Please be sure to enter a permanent email address) * Please be sure to enter a permanent email address | |
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| EDUCATION |
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| 15. HIGHER EDUCATION (details) |
| Please attach a copy of the higher education transcripts all years available to date, in ENGLISH |
FILE 1 * Allowed extension (doc, docx, pdf, jpg) Maximum size : 9750000 octets | |
FILE 2 Allowed extension (doc, docx, pdf, jpg) Maximum size : 9750000 octets | |
FILE 3 Allowed extension (doc, docx, pdf, jpg) Maximum size : 9750000 octets | |
FILE 4 Allowed extension (doc, docx, pdf, jpg) Maximum size : 9750000 octets | |
Primary Degree Title (as it appears on official records) * as it appears on official records | |
Primary Degree Title (English translation, if different from above) English translation, if different from above | |
Institution attended | |
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Total length of UG programme: * in months / semesters / trimesters | |
FULL TIME or PART-TIME ? | |
| Period of attendance (month/year) |
FROM : (MM/YYYY) month / year | |
TO : (MM/YYYY) month / year | |
Name of Awarding Body | |
Has programme been completed? | |
| If ‘Yes’, please indicate : |
• Final GPA (or classification of award) average | |
Total number of semesters completed (including internships & thesis) | |
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| If ‘No’, please indicate |
• Period completed to date | |
• Date on which final results will be available | |
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| 16. PERIODS OF STUDY ABROAD |
COUNTRY 1 | |
FROM... (DD/MM/YYYY) | |
TO... (DD/MM/YYYY) | |
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COUNTRY 2 | |
FROM... (DD/MM/YYYY) | |
TO... (DD/MM/YYYY) | |
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COUNTRY 3 | |
FROM... (DD/MM/YYYY) | |
TO... (DD/MM/YYYY) | |
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17. OTHER ACADEMIC DISTINCTIONS AND CONTINUING EDUCATION (If there is insufficient space, please use a separate sheet and enclose with application) | |
| (If there is insufficient space, please use a separate sheet and enclose with application) |
FILE Allowed extension (doc, docx, pdf, jpg) Maximum size : 9750000 octets | |
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| LANGUAGE and OTHER COMPETENCY |
| 18. 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 a 6.5 overall band score,
with a minimum of 6.0 in each of the components. |
| Native English speakers and non-native speakers who have graduated from an English
language University are exempt from this requirement. The TOEIC is not accepted. |
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TOEFL (including TWE) (DD/MM/YYYY) | |
TOEFL Score | |
Please attach a copy of the test results (TOEFL) Please attach a copy of the test results | |
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IELTS (DD/MM/YYYY) | |
IELTS Score | |
Please attach a copy of the test results (IELTS) Please attach a copy of the test results | |
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Cambridge Proficiency (DD/MM/YYYY) | |
Cambridge Proficiency Score | |
Please attach a copy of the test results (Cambridge Proficiency) Please attach a copy of the test results | |
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Other (please specify) (DD/MM/YYYY) | |
Other (please specify) Score | |
Please attach a copy of the test results (Other (please specify)) Please attach a copy of the test results | |
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| PROFESSIONAL EXPERIENCE |
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| 19. PROFESSIONAL / INDUSTRIAL EXPERIENCE |
| Give full details, in chronological order, of all relevant professional and/or industrial/business experience obtained. |
| If there is insufficient room, attach details on an additional sheet and enclose with application. |
| The work experience must be of a minimum of 6 months and a maximum of 3 years. |
Professional / industrial experience 1 (DD/MM/YYYY) From... To... | |
Name & Address of employer 1 | |
Post / Occupation 1 | |
Reason for leaving 1 | |
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Professional / industrial experience 2 (DD/MM/YYYY) From... To... | |
Name & Address of employer 2 | |
Post / Occupation 2 | |
Reason for leaving 2 | |
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Professional / industrial experience 3 (DD/MM/YYYY) From... To... | |
Name & Address of employer 3 | |
Post / Occupation 3 | |
Reason for leaving 3 | |
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20. OTHER INFORMATION DEEMED RELEVANT TO THE APPLICATION: | |
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| REFEREES |
| 21. REFEREE CONTACT DETAILS |
| The registry will assume permission to contact referees unless an applicant has stated otherwise. |
| Please note that the recommendations must be sent by the referees themselves preferably by e-mail |
| (scanned form to recommend@ipbs-master.com) or by post to: |
| IPBS, BP 69, 94220 Charenton PDC1, France |
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| Recommendation forms are available on-line: www.ipbs-master.com |
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| Professional Referee |
Name: | |
Position in organisation: | |
Address: | |
Tel. N°: | |
Permission to contact referee: (Professional) | |
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| Academic Referee |
Name: | |
Position in organisation: | |
Address: | |
Tel. N°: | |
Permission to contact referee (Academic) : | |
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| 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. |
Date of application (DD/MM/YYYY) * | |
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Please attach proof of transfer of the application fee... | |
Please attach current photo... jpg, doc, docx, pdf | |
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Please enter the number you see in this field : *
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| Once submited, please wait for a confirmation that application has been sent. |
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