MZUMBE UNIVERSITY APPLICATION FORM FOR POSTGRADUATE DEGREE PROGRAMMES 2015/2016 (USE BLOCK LETTERS OR TYPESCRIPT)

Transcription

1 Affix Photo MZUMBE UNIVERSITY APPLICATION FORM FOR POSTGRADUATE DEGREE PROGRAMMES 2015/2016 (USE BLOCK LETTERS OR TYPESCRIPT) Enclosed, please, find an application form that must be duly filled before your application is processed. Please, pay special attention to the following points: Applicant to complete Parts A-F All information given must be correct (e.g. titles of awards, names of schools, etc.). All applicable items of this form must be fully completed. Any omission may delay the processing of the application. In Part G, the employer is expected to give a brief recommendation of the applicant (for applicants who are employed and are to be sponsored by their employers). In Part H, the sponsor's signature for those being sponsored by their employers. Two reference forms are enclosed and should be filled by academic referees as instructed in Part E. Your application will be processed only after your file is complete with all requisite documents and information. 1

2 PART A PERSONAL PARTICULARS OF THE APPLICANT 1. Surname as it appears in certificate 2. Other names: 3. Sex: [ ] Female [ ] Male 4. Postal Address: Mobile Fax Office Tel: Residence Tel.: 5. Marital status: 6. Place of birth: 7. Date of birth: 8. Nationality (by birth or by naturalization ) (Tick the appropriate) PART B THE PROGRAMMME YOU WANT TO APPLY FOR Programmes offered at the three campuses and two training centres are shown below. Please, check the programme of your interest and the campus of your choice. For further explanations regarding the entry qualifications/requirements for specific programs, please visit our Website: and Directorate of Research, Publications and Postgraduate Studies (DRPS) website: (i) MAIN CAMPUS Ph.D. Part-time [ ] Full-time [ ] MBA - Corporate Management.... [ ] MBA - Corporate Management (Evening).. [ ] MSc. - Accounting & Finance (A&F) [ ] MSc. - Accounting & Finance (A&F) (Evening).... [ ] MSc. - Entrepreneurship [ ] MSc. - Procurement and Supply Chain Management [ ] MPA - Master of Public Administration.... [ ] MHSM- Master of Health Systems Management.. [ ] MSc. -Health Monitoring and Evaluation.... [ ] MSc. - Human Resource Management.... [ ] MSc. - Local Government Management.... [ ] MLM - Master of Leadership and Management [ ] MSc - Development Policy [ ] MSc. - Environmental Management [ ] MSc - Economics [ ] 2

3 MSc. - Project Planning and Management..... [ ] MSc. -Economics Policy and Planning [ ] LL.M - Constitutional & Administrative Law.. [ ] LL.M - Commercial Law.... [ ] LL.M - International Law [ ] MA - Education [ ] MRPP Master of Research and Public Policy.. [ ] MSc. - Information Technology and Systems [ ] MSc. - Applied Statistics [ ] Preferred mode of delivery you want (except for Ph.D): Morning class (only available on campus) Evening class (for MBA-CM, MSc. PPM, MSc. PSCM and MSc. A&F) at Morogoro Municipality: Please note that choosing a morning class means the course will be pursued at the main campus while choosing an evening class implies the course will be pursued at Down Town Morogoro (Ujenzi). Courses offered under evening mode at the Morogoro Municipality are MBA and MSc. A&F only. Please, note that the same courses are also offered as morning (or ordinary) classes on campus. (ii) DAR ES SALAAM CAMPUS COLLEGE: MBA - Corporate Management [ ] MBA - Corporate Management (Executive Mode).... [ ] MSc. - Accounting & Finance (A&F) [ ] MSc. - Marketing Management [ ] MSc. - Procurement and Supply Chain Management.. [ ] MPA - Master of Public Administration [ ] MPA - Master of Public Administration (Executive Mode) [ ] MSc. - Human Resource Management [ ] MSc. - Human Resource Management: Executive Mode.. [ ] MLM - Master of Leadership and Management [ ] MSc. - Applied Economics and Business [ ] Mode: Morning class: Evening: Executive Please note: Executive mode at the Dar es Salaam Campus College is offered for MBA and MPA programmes only. (iii) MBEYA CAMPUS COLLEGE (Evening Mode) MBA - Corporate Management [ ] 3

4 (iv) MWANZA TRAINING CENTRE (Evening Mode) MSc. - Accounting & Finance (A&F) [ ] MBA - Corporate Management [ ] MSc. Project Planning and Management [ ] MSc. - Procurement and Supply Chain Management [ ] (v) TANGA TRAINING CENTRE (Evening Mode) MSc. - Accounting & Finance (A&F) [ ] MBA - Corporate Management [ ] MSc. Project Planning and Management [ ] MSc. - Procurement and Supply Chain Management [ ] 9. Name of present employer (if applicable) 10. Your present title or position: PART C ACADEMIC TRAINING 11. Please, list all high schools, colleges, universities or other educational institutions you attended. School/College/ University Country Years Major Field of Study From To Certificate/Diplomas/ Degrees awarded PART D PROFESSIONAL EXPERIENCE 12. List all jobs held for the past three years (if applicable) Position: Company/organization: _ Duration: Brief job description: Position: 4

5 Company/organization: _ Duration: Brief job description: Position: Company/organization: _ Duration: Brief job description: PART E ACADEMIC REFEREES 13. Please provide names of two academic referees and ensure that they each complete the attached reference form. The form should be sealed (signed on the closing envelope flaps) by the referee and returned by the applicant together with the application form. Name of Referee Address Affiliation (i) (ii) PART F CERTIFICATION 14. I certify that the information given in this application form is complete and accurate to the best of my knowledge. Signature of applicant Date 5

6 PART G EMPLOYER'S OR SPONSOR S APPRAISAL (WHERE APPLICABLE) 15. Rating of applicant: Please, tick Knowledge of job performed Ability to learn Personal initiative Co-operation and personal interaction Judgement and common sense Excellent Very good Good Poor Very poor General conduct: PART H SPONSORSHIP COMMITMENT, WHERE APPLICABLE 16. This is to certify that is sponsored by us for the programme of study he/she has applied for and we undertake to meet total/part of the programme costs as given by the University. DATE SIGNATURE OF THE SPONSOR [OFFICIAL STAMP IF APPLICABLE] Duly filled application forms should be sent to the respective campuses as follows:- For the Main Campus: DIRECTOR DIRECTORATE OF RESEARCH, PUBLICATIONS & POSTGRADUATE STUDIES P. O. BOX 63 MZUMBE, TANZANIA Tel /1/3/4 Fax:

7 For Dar es Salaam Campus College: PRINCIPAL DAR ES SALAAM CAMPUS COLLEGE P. O. BOX 20266, DAR ES SALAAM, TANZANIA Tel / Fax: For Mbeya Campus College: PRINCIPAL MBEYA CAMPUS COLLEGE P. O. BOX 6559, MBEYA, TANZANIA TEL FAX For Mwanza Training Centre: Mr. Jones Mnzava (Coordinator) Tel OR DEAN School of Business P.O.Box 6 MZUMBE For Tanga Training Centre Mr. Emmanuel Akili (Coordinator) Tel OR DEAN School of Business P.O.Box 6 MZUMBE Please note: This application should be accompanied by an application fee of Tshs 30,000 whose pay in slip should be attached with these forms. The fee is payable to Mzumbe University, CRDB Account No. 01J for those applying at the Main Campus, Mwanza and Tanga Training Centres; Mzumbe University, CRDB Account No. 01J for those applying at the Dar es Salaam Campus College; and Mzumbe University, CRDB Account No. 01J for those applying at the Mbeya Campus. 7