APPLICATION FORM A PROGRAM OF IN COOPERATION WITH

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1 APPLICATION FORM A PROGRAM OF IN COOPERATION WITH

2 INDEX 1. APPLICATION CHECKLIST 2. PERSONAL DATA 3. PROFESSIONAL EXPERIENCE 4. EDUCATION 5. DISTINCTIONS & AWARDS 6. LANGUAGE SKILLS 7. ESSAY & LETTER OF MOTIVATION 8. APPENDIX 1. APPLICATION CHECKLIST The following documents have to be submitted with your application. Please be assured to send certified copies of your transcripts as indicated. Completed and signed application form Curriculum vitae Evidence of work experience Two letters of recommendation (see template) University degree certificates* and diplomas* University transcripts* Essay (see pg. 5) Letter of motivation (see pg. 5) English certificate* (as indicated) Copy of official ID card or passport * certified copy of first university degree (Bachelor/Diploma) and English certificate (unless submitted as original); Master and PhD degrees are accepted as regular copies and therefore exempted from certification obligation. All documents have to be translated to English or German language. Please answer all sections that are applicable and send all documents to the following adress via regular mail: Technische Universität München TUM School of Management c/o UnternehmerTUM GmbH Executive MBA in Innovation & Business Creation Lichtenbergstr Garching, Germany Tel.: +49 (0)89 / Fax: +49 (0)89 / info@innovationprogram.de Executive MBA in Innovation and Business Creation 1

3 2. PERSONAL DATA Private adress Last name: Date of birth: Nationalities*: Street, Number: ZIP Code: State: Telephone: First name: Place of birth: male City: Country: Mobile Phone: female Correspondence adress: private company other * in case of dual citizenship, please indicate both nationalities Company adress Company name: ZIP Code: State: Telephone: Street, Number: City: Country: Homepage: other address I am applying for the Executive MBA in Innovation and Business Creation for the year (The program starts each year in April.) Executive MBA in Innovation and Business Creation 2

4 3. PROFESSIONAL EXPERIENCE Years of work experience in total Years of work experience after first university degree Years of leadership experience Current Company Company: Position: Homepage: Department: Employed since: Number of employees: Description of tasks, responsibilities: Previous Work Experience Company, position, from... to..., region/country Executive MBA in Innovation and Business Creation 3

5 4. EDUCATION University Education University: Field of study: Title of degree: From... to... (mm.yy) Final grade or rank: No. of earned credits: University: Field of study: Title of degree: From... to... (mm.yy) Final grade or rank: No. of earned credits: University: Field of study: Title of degree: From... to... (mm.yy): Final grade or rank: No. of earned credits: other: 5. DISTINCTIONS & AWARDS Executive MBA in Innovation and Business Creation 4

6 6. LANGUAGE SKILLS 1 = native speaker 2 = business fluent English 3 = fluent 4 = advanced German 5 = basic knowledge Proficiency in English Native speaker Working experience in an English-speaking country of at least one year (Please specify country, work experience as well as time frame and attach reference by employer to application) multiple course modules during University Education have been conducted in English (Please specify institution, time period, number of credit points earned, if applicable) TOEFL ibt* ( 90) Score: I will hand in one of the listed certifications later Planned test and date of examination: IELTS* ( 6.5) Score: TOEIC* L&R ( 823) Score: Please be aware, that you need to submit an original or a certified copy of your test results CAE / CPE (ESOL) (pass) Score: before the beginning of the program! * test valid for two years 7. ESSAY & LETTER OF MOTIVATION The purpose of the essay and the letter of motivation is to get to know you better. The more genuine you answer these questions, the easier it is for us to understand you, your aspirations, as well as the value and inspirations you add to our class. Please attach the essay and the letter of motivation as seperate documents to your application. The combined length of both texts shall not exceed a maximum of 2000 words. Essay: Answer one of the questions below. This essay is supposed to be about the past. Tell us what you did and particularly how you did it. What was the outcome and the response by the people in your environment? A) Tell us about an entrepreneurial opportunity you seized. B) Tell us about a challenging time in your career, you had to go through. How did you face the situation and what are the key learnings you have gained. Letter of motivation: Tell us about your motivation for seeking the Executive MBA in Innovation and Business Creation and why you are a perfect fit for our program. You can relate to your objectives for the future, your entrepreneurial aspirations, or how you want to be an innovative leader within your organization or society. Executive MBA in Innovation and Business Creation 5

7 8. APPENDIX How did you find out about our program? I hereby confirm that the information supplied above is correct and complete. I also declare that I have composed the written essay and the letter of motivation independently on my own and without any other resources than the ones indicated. All thoughts taken directly or indirectly from external sources are properly denoted as such. Applying to a joint program, I am aware that officials of TUM and UnternehmerTUM GmbH are involved in the application process. I hereby authorize both institutions to review and duplicate my submitted application documents. Place, Date Signature Applicant Technische Universität München TUM School of Management c/o UnternehmerTUM GmbH Center for Innovation and Business Creation at TUM Lichtenbergstr Garching Germany Tel. +49 (0) Fax +49 (0) info@innovationprogram.de Executive MBA in Innovation and Business Creation 6

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