INTERNATIONAL... · Please submit a copy of graduation certificate, degree certificate and official...
Transcript of INTERNATIONAL... · Please submit a copy of graduation certificate, degree certificate and official...
APPLICANT NAME
EXECUTIVE STREAMAPPLICATION FORM 2 0 1 0
I N T E R N A T I O N A LP R O G R A M M E
( )
The University of Hong Kong-Fudan University
Application RequirementsIMBA (Executive Stream)
Application DocumentationsApplication Form
1
To Applicant
Shall hold a bachelor degree from a recognized university or college of advanced education;
Shall be a manager who has more than 7 years of exceptional business experience at senior management level;
Preview is required.
(for Executive Stream only)
Please print boldly and legibly. All sections must be completed.
“ ”All the blanks must be completed in English except special marks. It will facilitate assessment by all members of the Selection Committee.
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http://www.fdsm.fudan.edu.cn/hgmbaThe Application Form can be downloaded from our website: http://www.fdsm.fudan.edu.cn/hgmba
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Application Fee
320 ( )Application Fee RMB320 (Irrefundable)
Payment Post Office Remittance or Cash:
Two Reference Letters
( )The two references should have adequate knowledge of the applicant’s basic information working achievements and management ability. The letters should be written in the blank recommendation form and enclosed in special envelopes with seal. (It’s suggested that one of the references should be the immediate supervisor of the applicant.)
Educational Certificate and University Transcript
(
)Please submit a copy of graduation certificate, degree certificate and official university transcript.
(GMAT/TOEFL/IELTS)English Test Certification(GMAT/TOEFL/IELTS)
580 GMAT TOEFL 550 ( 213 80 ) IELTS
6GMAT 580+/TOEFL 550+/IELTS 6+ or full-English bachelor courses approved by two universities are eligible for exempting the admission English test.
Interview
Interview Arrangement will be informed by Programme Office.
670
702
- IMBA
200433
Ms. Beiwen Zhang
HKU-FUDAN IMBA Programme
School of Management, Fudan University
Room702, Starr Building, #670 GuoShun Road.
Shanghai, China 200433
3
Please stick your business card here
1
-The University of Hong Kong-Fudan University2009 ( )2009 MBA (International) Application Form
PART A
( )Name
( )Name in Chinese Characters Date of Birth Age
D M Y
Registered Permanent Residence
( )Address For Correspondence ( )
Telephone Fax
Mobile E-mail
Urgent Contact Person
Contact
Have you previously applied for the HKU MBA?
If so, for which year(s)?
2
Mr. Ms. Mrs.
Surname Given name
( Business)
( Home) ( Home)
( Business)
No Yes
Post Code
2
Graduate degree
Date graduate degree granted
Graduate major
Undergraduate degree granting institution
Undergraduate area of study
Date undergraduate degree granted
Undergraduate degree earned
Bachelor of Arts Bachelor of Science
Bachelor of Engineering
Business Administration Humanities
Economics Mathematics
Education Science
Other (please specify)
Other (please specify)
None Doctoral degree
Master’s degree
M Y
/
M Y
/ /
( 9)
(See page 9 for code number that bestdescribes your current industry status)
Current employer
Department( )
Number of years of full-time work at enrollment
Job title( )
Industry
Engineering Social Science
Other(please specify)
/Company Character: Government/Organization State-Owned Enterprise Private Enterprise Foreign-Invested Enterprise
Others
Job Function: Top Management Human Resource Marketing Supply Chain
Finance/Accounting Production Operation Information Technology Purchasing/Sales
Others
3
Education
Please list all colleges or universities at which you have taken course. (Attach officially certified transcripts, with a complete record of the courses attended and examination results, for ALL tertiary level studies.)
, ,If you have attended more than one undergraduate institution, other than as an exchange student, briefly indicate the reasons for your transfer.
Test InformationGMAT/TOEFL/IELTS
GMAT/TOEFL/IELTS Score
// - / ( )
Degree/diplomaearned
(or expected)
Dates attendedm/y - m/y (no. of yrs)
Full orPart-time
Major Awarding Institution(state country)
Date of Awardm/y
- ( )
- ( )
- ( )
- ( )
Total ScoreTest Name( / )
Test Date(Month/Year)
Total ScoreTest Name( / )
Test Date(Month/Year)
Professional Qualifications
( )(Attach officially certified documentary evidence)
Activities
List your current and/or post-collegiate community activities in order of their importance to you.
Type of Membership Abbreviation Awarding Institution/
Date of Awardm/y
Activity/ - /Dates
m/y-m/yPosition held, if any Time required per week
4
Please list honors, awards, or other recognitions (academic, community etc.) you have received
MBAReasons for interest in this programme
? , MBA
?Please provide below a statement explaining why you are interested in doing this programme, why you are suitable for it and the value of the MBA programme to your future career. (You may use additional sheets if needed.)
5
6
Full-time Employment
Describe each full-time position you have held, beginning with your current or most recent position. Use the same format on additional sheets if needed.
Employer
Job Title No. of Subordinates
Location
How long have you worked in the present position
Annual salary (included subsidies & allowances)
Your responsibilities
Employer
Job Title No. of Subordinates
Location
How long have you worked in that position
Annual salary (included subsidies & allowances)
Your responsibilities
Reason for leaving
1. 7. 8.
2. Google.com
3. MBAHome.com Baidu.com
4. ChaseDream.com Yahoo.com
5. Hi-mba.com
6. /
9.
10.
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Official Referees
Please list below the two individuals you have asked for recommendations.
1. 2.
Name Name
Position Position
Organization Organization
Full mailing address( ) Full mailing address( )
Signature Date
IMBASources of Information on the HKU-FUDAN IMBA
Declaration
I hereby apply to register as a candidate for the degree of Master of Business Administration(International). The information provided by me in support of this application is accurate and complete.
Check List
(Please check the following as your prepare to submit your application:
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Transcripts(
(
GMAT (
320Application Fee
Please Note: All the submitted Application Documents will not be returned to applicant.
Please leave blank of the page below
Received Date
Receipts of Application Documents
_________________________ 2010 Executive Stream。
Transcripts(
(
GMAT (
320Application Fee
01 Commercial banking02 Diversified financial services03
Insurance04 / Investment banking/ Brokerage05
Investment management06
Venture capital
12Consulting
13 Education14 Entertainment15 Restaurant and hotel management16 Government17 Healthcare services18 Import/Export/Trading companies19 Law20 Charitable organizations21 Real estate22 Retail23 Transportation services24 Utilities25 Other non-manufacturing
26 Auto and other transportation equipment27 Chemicals28 Electronic Equipment29 / / Food/Beverage/Tobacco30 / Forest products/ Packaging31 / Household/ Personal Products32 Machinery33 / / Pharmaceutical/ Biotechnology/ Healthcare products34 / Printing/Publishing35 / Textiles/Clothing36 Other Manufacturing
07 Accounting 08 /
Advertisement/ Marketing services09 Communications services10
Computer services11
Construction
Manufacturing
2Industry Codes (for use on page 2)
Please select the industry code that best describes your current professional activity.
Financial Services
Non-Manufacturing
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1
MBA ( )Confidential Statement of Qualifications
To the applicant
Name
Current Address
*
Address the envelope provided to yourself. It may help you to meet deadlines if you indicate to your referee the date by which you must receive this form (see below*). Be sure to give both the form and the envelope to your referee. The sealed envelope is to be sent to the Room 702, Starr Building, No.670 Guo Shun Rd. School of Management, Fudan University with your other application materials. The comments will be used for admissions purposes only and will not become part of your permanent file.
To the referee:
- MBA
IMBA
The person named above is an applicant to Fudan University - The University of Hong Kong School of Business joint IMBA program. The admissions committee attaches considerable weight to the statements made by the referees the applicant has selected. You will greatly assist the members of the committee and the applicant by completing this form. It is recommended that you keep a copy for your files in case the original should be lost in the mail. The committee is aware of the time necessary to prepare such an assessment and gratefully acknowledges your help. The comments will be used for admissions purposes only and will not become part of a student's permanent file. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have the rights to request access to their personal data. We would be pleased to provide you with additional information about our program if it will assist in any way.
Please return the form in the envelope addressed to the applicant after sealing and signing your name across the flap.
*
* The applicant requests that you return the form to him/her by
date to be filled in by applicant
PART B
2
Name of referee
/Position/Title
/ /College/Firm/Institute
Address
1. ? How long have you known the applicant and in what context? Please comment on the frequency of your interaction?
2. ? What are the applicant's principal strengths?
3. ? In what areas can the applicant improve?
4. , / MBA ? In your opinion, has the applicant given careful consideration to his or her plans for entry into the MBA programme?
( )please print or type
5. Please evaluate the following aspects of the applicant.(choose the most impressive ones)
/Interpersonal Skills/Team Work
Communication Skills
Analytical and Problem Solving Ability
Innovation Ability
Leadership Ability
Professionalism
Others
Please give your overall evaluation
Strongly Recommend Recommend Recommend with reservation
May we call you if the admissions committee feels that it would be helpful to speak with you by phone regarding the applicant?
If yes, please provide us with your daytime telephone number:
Strength Average Weakness
Signature
Date Please attach business card
3
1
MBA ( )Confidential Statement of Qualifications
To the applicant
Name
Current Address
*
Address the envelope provided to yourself. It may help you to meet deadlines if you indicate to your referee the date by which you must receive this form (see below*). Be sure to give both the form and the envelope to your referee. The sealed envelope is to be sent to the Room 702, Starr Building, School of Management, No.670 Guo Shun Rd. Fudan University with your other application materials. The comments will be used for admissions purposes only and will not become part of your permanent file.
To the referee:
- MBA
IMBA
The person named above is an applicant to Fudan University - The University of Hong Kong School of Business joint IMBA program. The admissions committee attaches considerable weight to the statements made by the referees the applicant has selected. You will greatly assist the members of the committee and the applicant by completing this form. It is recommended that you keep a copy for your files in case the original should be lost in the mail. The committee is aware of the time necessary to prepare such an assessment and gratefully acknowledges your help. The comments will be used for admissions purposes only and will not become part of a student's permanent file. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have the rights to request access to their personal data. We would be pleased to provide you with additional information about our program if it will assist in any way.
Please return the form in the envelope addressed to the applicant after sealing and signing your name across the flap.
*
* The applicant requests that you return the form to him/her by
date to be filled in by applicant
2
Name of referee
/Position/Title
/ /College/Firm/Institute
Address
1. ? How long have you known the applicant and in what context? Please comment on the frequency of your interaction?
2. ? What are the applicant's principal strengths?
3. ? In what areas can the applicant improve?
4. , / MBA ? In your opinion, has the applicant given careful consideration to his or her plans for entry into the MBA programme?
( )please print or type
5. Please evaluate the following aspects of the applicant.(choose the most impressive ones)
/Interpersonal Skills/Team Work
Communication Skills
Analytical and Problem Solving Ability
Innovation Ability
Leadership Ability
Professionalism
Others
Please give your overall evaluation
Strongly Recommend Recommend Recommend with reservation
May we call you if the admissions committee feels that it would be helpful to speak with you by phone regarding the applicant?
If yes, please provide us with your daytime telephone number:
Strength Average Weakness
Signature
Date Please attach business card
3
1
Transcript Request
To the applicant:
(
, )Please complete the first part of this form and send it to the Institute from which the transcript is requested.
Name
University/College attended:
Dates of attendance: From to
Title of degree/diploma:
Date of award:
MBAProgramme applying for admission at The University of Hong Kong: MBA
To the officer responsible for issuing transcripts:
MBAThe applicant named above has applied for admission to the MBA programme at The University of Hong Kong.
)
Please send one copy of the official transcript with this form directly to:
200433
670
702 IMBA
BeTogether BeBetter
- ( )The University of Hong Kong-Fudan UniversityMBA(International) Programme
670 702200433
Room 702, Starr Building, School of Management,Fudan University, No. 670, Guoshun Road,Shanghai, 200433, P. R. China
Tel: 021-65119023Fax: 021-65646975Email: [email protected]: http://www.fdsm.fudan.edu.cn/hgmba