APPLICATION FORM International Programmes

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1 January 2016 Intake APPLICATION FORM International Programmes Please attach or scan your passport photo here. APPLICANT FAMILY NAME :... (passport name) FIRST NAME :... (passport first name) NATIONALITY :... DATE OF BIRTH :... PLACE OF BIRTH (city):... POSTGRADUATE PROGRAMMES MSc in International Management Specialisations : Specialisation Marketing Specialisation Digital Marketing Specialisation Finance Specialisation Human Resource Specialisation Innovation Management Specialisation Supply Chain MSc in Global Business Management MSc in International Luxury & Brand Management FOR OFFICIAL USE ONLY : Reception date :... ESC Rennes N :... Contact :... page 1 ESC Rennes School of Business - 2 rue Robert d Arbrissel - CS Rennes Cedex - FRANCE Tél. : +33 (0) Fax : +33 (0) esc@esc-rennes.fr SIRET Code APE 8542 Z - Code TVA FR Organisme de formation

2 INTERNATIONAL PROGRAMMES January 2016 Intake Only fully completed application forms will be considered. Please complete in block capital letters. PERSONAL INFORMATION TITLE: Mr Mrs Miss Ms Family name or Surname :... First name(s) or Given name(s) :... Address for correspondence or Permanent address :.... Zip Code :... City :... Country :... Telephone :... Mobile phone :... (Country Code/Area Code/Telephone) ... Handicap : Yes - Type (enclose medical certificate*):... No *This information is considered as confidential, but for your benefit, it will be given to your professors or the person in charge of the exams. For any other purpose, your written permission will be requested. LANGUAGE PROFICIENCY Please complete the below tables : English score, if any : TOEFL TOEIC IELTS GMAT (compulsory for nonfrancophone PGE applicant) Any test planned : At ESC Rennes School of Business (for applicants living in France only) Name of the official test and planned date :... French score, if any : DELF DALF TCF TEF GMAT (compulsory for francophone PGE) Any test planned : Name of the test and the date :... page 2

3 EDUCATIONAL BACKGROUND BACCALAUREAT / High School Final Diploma / Higher Secondary Diploma Name of High School :... Date of completion (Month/Year):... Specialization / Major :... Please tick here if the exam was : in English in French POST-SECONDARY SCHOOLS AND UNIVERSITIES Please list the last 3 years post secondary school and universities attended. Please write the full name of the school ; do not abbreviate or use initials. Past College / University :... Date of Entry (Month/Year):... Date of Completion (Month/Year):... Name of the degree :... Specialization / Major :... Programme taught in English Past College / University :... Date of Entry (Month/Year):... Date of Completion (Month/Year):... Name of the degree :... Specialization / Major :... Programme taught in English Past College / University :... Date of Entry (Month/Year):... Date of Completion (Month/Year):... Name of the degree :... Specialization / Major :... Programme taught in English Current College / University:... Date of Entry (Month/Year):... Date of Completion (Month/Year):... Name of the degree:... Specialization / Major:... GPA:... Programme taught in English page 3

4 INTERNATIONAL PROGRAMMES January 2016 Intake EMPLOYMENT/INTERNSHIP/VOLUNTEER ACTIVITIES Total number of years :... Please list all recent and relevant employment experience, if any : Period :... Organisation (Name/ City/Country) :... Function :... Responsibilities :... Period :... Organisation (Name/ City/Country) :... Function :... Responsibilities :... Period :... Organisation (Name/ City/Country) :... Function :... Responsibilities :... SIGNIFICANT INTERNATIONAL EXPERIENCE/INTEREST Total number of years:... Year / period :... Length of Stay :... Country :... Reason :... Year / period :... Length of Stay :... Country :... Reason :... page 4

5 MOTIVATION FOR THE PROGRAMME Why do you choose the ESC Rennes School of Business? Why do you choose this programme? What are your professionnal prospects? Explain why your profile/personality and past experience match with your professionnal prospects : Further comments : page 5

6 INTERNATIONAL PROGRAMMES January 2016 Intake FUNDING OF YOUR STUDIES Personal funds Bank Loan Scholarship Type :... Amount :... Sponsorship Please describe below in-company information section : Company name:... Activity:... Address:... Zip code:... City:... Country:... Contact s name & position in the company:... Telephone:... Fax: PAYMENT TO BE INCLUDED WITH THIS APPLICATION FORM : Please cross which means of payment you have chosen: I will pay the 90 application fees by including a cheque, payable to ESC Rennes School of Business I will pay the 90 application fees through ESC Rennes website (Paypal) I will pay the 90 application fees by bank transfer in Euros to the following bank account : Name and address of the bank : BNP PARIBAS 18 Quai Duguay Trouin Rennes FRANCE Bank code : Desk code : Account Number: Key : 86 IBAN : FR Swift Code : BNPAFRPPCRN (All fees are payable in Euro - No cash accepted by mail) SOURCE OF INFORMATION Where did you hear about the ESC Rennes School of Business Programmes? TYPE OF SOURCE Web search-engine ESC Rennes web-site Representative office abroad Education / Student fair Partner University Alliance Française / CampusFrance Advertisement in a magazine / Newspaper / Student guide... Advice from alumni, friend, family... French cultural Centre / Embassy Lycée Français abroad Other: PLEASE SPECIFY (NAME, CITY, ETC) page 6

7 APPLICATION PROCEDURE Before mailing your application, ensure that you have enclosed: ALL PROGRAMMES Fully completed and signed application form Identity card or passport copy Copies in English or French of your academic transcripts and your academic records (for the last 3 years) The 90 application fee 1 passport-sized photo 1 personal letter of recommendation (academic or personal environment) A curriculum vitae (resume) in English Copy of your English score (IELTS, TOEFL, TOEIC, etc), if available now French candidates only (or living in France): - INSEE N (sécurité sociale): _ / / / / _ / _ / - copy of your Baccalauréat transcript FOR OFFICIAL USE ONLY page 7

8 INTERNATIONAL PROGRAMMES January 2016 Intake APPLICATION PROCEDURE AND CHECKLIST Before sending this application form, please: Make sure that your application is fully completed Application package to be sent: - before 20 th November 2015 Take into account the visa formalities. Time needed for a visa after acceptation: about 2 months. You will need an interview at CampusFrance before getting your visa from the French Embassy/Consulate The total tuition fees have to be paid upon arrival at ESC Rennes Courses will start on the second week of January. Your arrival is requested at this time In order for your application to be processed rapidly, please : Either it with relevant documents to: internationaladmissions@esc-rennes.fr Or mail the completed application form and relevant materials to the following address: ESC Rennes School of Business Direction for Development - Admissions Department 2 rue Robert d Arbrissel - CS Rennes cedex - France I am aware of the extent of the tuition and living costs associated with studying on the programme of studies for which I am applying and I am able to meet all these expenses. I understand that it is my responsibility to request that school records from each academic institution I have attended be submitted to ESC Rennes School of Business. I certify that the information that I have provided on this application, and on all other admission application materials, is complete, accurate and true to the best of my knowledge. I understand that misrepresentation of any information may result in cancellation of the application or registration, with no refund of any fees possible. Date :... Signature*: *This application form can either be scanned by , or by post (signature compulsory). page 8

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