Application+form+FTMBA36

Application Form 2014

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FULL TIME MBA - MASTER OF BUSINESS ADMINISTRATION

APPLICATION FORM 2014

GENERAL INFORMATION

The ideal MBA candidate should show a good balance across the following criteria: academic records, workingexperience, soft skills, interpersonal skills, international outlook and commitment to achieve full potential.

Admission Requirements:

• Application form and application fee (a non-refundable application fee of 100€ is required in the form of a paypal payment or a bank transfer)

• Curriculum vitae or Resume

• University Degree and Transcripts*

• Certificate of English Proficiency for non-native English speakers. MIP accepts TOEFL, IELTS TOEIC, CAE. We may consider exemptions from these if the student has lived, studied or worked in an English speakingenvironment for a significant amount of time.

• GMAT/GRE/MIP Test**

• 2 reference letters (format provided inside the application form, standard formats are also accepted)

• Copy of a valid passport

• 1 digital passport-sized picture

www.mip.polimi.it/imba

*Transcripts are required from all Universities attended and must include the list of courses attended and grades obtained along withthe Grade Point Average (GPA). MIP accepts copies of the originals for admission purposes. In case of admission, candidates will haveto provide the original copies for legal authorities such as Embassies or notaries. If transcripts are not in Italian, French, Spanish orEnglish, applicants must supply a certified translation.

**MIP TestMIP administers this internal test which is valid for MIP Politecnico di Milano admission purposes only and is not recognized by anyother institution. Please note that applicants for financial aid will be required to submit a GMAT or GRE score as MIP test is notconsidered an acceptable substitute in this case. If you intend to take the MIP test, please notify our admissions or recruitment staffand they will provide further details. The MIP test costs €100, payable in the form of a paypal payment or a bank transfer.

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Selection Steps

In order to activate your application to MIP MBA program, you must:Send a carefully completed application form (downloadable from: http://www.mip.polimi.it/imba)and up-to-date Curriculum Vitae/RésuméPay application fee of €100 (see below)

Final pages must be signed. Please use an electronic signature or print out, sign, scan and sendback to us via email with the rest of the application.

Motivational interview held in person or via Skype.

Put together and send remaining scanned documents by email

Communication of Admissions will be formally given by email

Confirmation of Participation by Student

The student will only be considered enrolled after signing a copy of the MIP contract and after paying the first installment of the tuition fee.The participant will also be required to provide “Dichiarazione di Valore” (Declaration of Value) and will be notified by the school when theyneed to obtain this document. More detailed info can be provided by the Italian Embassy or Consulate in your city.

The Tuition Fee of MIP MBA program is € 26,000 + € 1700 administrative fees + €1000 for didactic material. Travel and livingexpenses are not included in the fee. The deposit must be paid upon acceptance of admission in order to secure a seat in the program.Payment should be made by bank transfer to: Beneficiary: Consorzio MIPAccount number: 000010025X55IBAN : IT02 L056 9601 6200 0001 0025 X55BIC/SWIFT : POSOIT22Bank: Banca Popolare di Sondrio - Filiale di Milano Ag.21 - Via E. Bonardi 4 c/o Politecnico di Milano


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STEP 2

STEP 3

STEP 4

STEP 5

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Last Name

First Name

Preferred Name

Social Security or Tax Number (or similar code, according to nationality)

VAT number Marital Status

Place and Date of Birth

Country(ies) of Citizenship

Gender Female Male

Home Address

City Country

Zip code Telephone

E-mail SKYPE

Correspondence Address

City Country

Zip code Telephone

Yes No

Have you presented your MBA application at MIP before?

In which year? ___________________ Were you accepted? _________________________________________________________________

I am applying for the full-time MBA program beginning in ____________________________________________(specify month and year)

ADMISSION APPLICATION


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EDUCATION

Please list colleges and/or universities attended. Also indicate whether you attended as full-time (FT) or part-time(PT) and the type of program (Bachelor, Master of Science, Master Degree).

Title of Bachelor Degree

Concentration or Major

Name of University

Starting date (MM/YY) Graduation date(MM/YY)

Official Program Duration (Years) Attendance FT PT

Final GPA

Thesis Title (if any)

Scholarships or other Awards

Postgraduate Course Master of Science Master Degree

Title of the Master

Concentration or Major

Name of University

Starting date (MM/YY) Graduation date(MM/YY)

Official Program Duration (Years) Attendance FT PT

Final GPA

Thesis Title (if any)

Scholarships or other Awards

Professional courses or seminars

Publications


GMAT/GRE

If you have taken the GMAT or GRE more than once please write down the highest score you received

Taken_________________ Score:____________________

To be taken______________________________________ (date booked or indication of when you plan to take the test)

I would like to take MIP’s internal test (The test has a fee of €100 - see page 2 for details)

LANGUAGES

English language proficiency

If English is not your first language, you must provide documentary evidence of your English language proficiency.

TOEFL _______________ TOEIC _______________ IELTS _______________ Other _____________________________

Taken_________________ Score:____________________

To be taken______________________________________ (date booked or indication of when you plan to take the test)

Languages skills LEVEL

Mother tongue Fluent Good Fair

English

Italian

French

Spanish

German

Other ___________________

Other ___________________

Study periods abroad (Place, length of time, reason):

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PROFESSIONAL ACTIVITY

Name of current/most recent employer

Field of activity

Position

Job Responsibilities

Start date (MM/YY) Annual Gross and Net Salary

Benefits and/or bonus

Languages used at work

Is the company a family-owned business? Yes No

Work Address

Name of company

Address

City Country

Zip code Telephone

E-mail

Previous Full Time Professional Work Experience (starting from the most recent)

Company Location Title Period of employment

From to

From to

From to

From to

AREAS OF EXPERTISEStrong Moderate None

General Management

Strategic Planning

Accounting and Control

Finance and Financial Analysis

Project Management

Marketing

Sales

Production and Operations

HR and Organization

IT

Development potential


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SHORT ESSAY

List the main reasons for applying to an MBA program and why you are interested in MIP. Highlight your expectations from the program and the school.

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How do you propose to finance your studies?

Self-sponsored

Company-sponsored (specify ____________________________________________)

Government-sponsored (specify _________________________________________)

MIP Financial Aid*

(specify ________________________________________________________________)

* If you are interested in applying for financial aid, please request the form from your recruitment representative or [email protected]

Where did you hear about our MBA program the real first time?

Work environment (specify ______________________________________________)

MIP Alumni (specify ___________________________________________________)

Website/Internet (specify ________________________________________________)

Google Search

Your University/ Professor (specify ________________________________________)

MIP Advertisement/Press (Publication name _______________________________)

Online Presentation (specify _____________________________________________)

Exhibitions/Fairs (specify the city _________________________________________)

Direct contact from MIP (specify _________________________________________)

Other (specify ________________________________________________________)

Have you applied to other Business schools in Italy and/or Abroad?

Yes No

If yes, please specify which ones and the reasons for your choice:

Agreement to share information for MIP selections process.

In accordance with Art. 13 D.Igs n. 196/2003 the undersigned______________________________ expressly authorizes that the information

contained in the application for admission submitted to MIP Politecnico di Milano can be used as the basis for the admissions process into the

Master of Business Administration Program. The undersigned _______________________________________ is aware of the MIP Privacy Act

http://www.mip.polimi.it/mip/en/globals/mip/privacy-eng.html) and gives his/her authorization to process his/her personal data.

Date_________________ Signature ________________________________________________

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APPLICATION CHECKLIST - Please fill out in full.

Name of applicant:

Have you attached to your application(please tick):

1st level requirements 2nd level requirements

Carefully completed Application Form University Degree – copy of diploma

Professional curriculum vitae/resume Official transcripts

Proof of payment (application fee, MIP test) Copy of passport/EU identity card

(4 passport-sized photographs)

English Language Test Result (if required)

GMAT/GRE/MIP test score

Two reference letters (template attached)

Please list items not attached Reason and expected date of submission

I hereby certify that the information above is true and accurate.

Date_____________________________________ Signature______________________________________

Please return your completed application by email to [email protected] or by post to:

MIP Politecnico di MilanoInternational Full Time MBAVia Lambruschini 4C - Building 26 A – 20156 Milan, ItalyTel +39 02 23992820 www.mip.polimi.it/imba Fax +39 02 23992844 [email protected]

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REFERENCE LETTER

Name of Candidate

For how long have you known the candidate? How did you meet the Candidate? (Work, school?)

Which are the most relevant personality and behavioral traits (both positive and negative) of the candidate?

Do you recommend the candidate for admission in a demanding MBA program in general management?

Please state clearly your reasons.

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Please rate the candidate on the following characteristics

Below Average Average Very good Excellent

Ability to work in groups

Ability to debate

Ability to take advantage of opportunities

Communication skills

Leadership skills

Ability to take risks

Professional abilities

Creativity

Determination in completing projects

Intellectual ability

Development potential

Please comment on any other important information relevant to all above stated

Please state your:

First and Last Name

Position

Company

Address

E-Mail

In accordance with Art. 13 D.Igs n. 196/2003 the undersigned______________________________ expressly authorizes that the information

contained in the application for admission submitted to MIP Politecnico di Milano can be used as the basis for the admissions process into the

Master of Business Administration Program. The undersigned _______________________________________ is aware of the MIP Privacy Act

http://www.mip.polimi.it/mip/en/globals/mip/privacy-eng.html) and gives his/her authorization to process his/her personal data.

Date_________________ Signature ________________________________________________

Documents

Application+form+FTMBA36