China Europe International Business School (CEIBS) Africa Programme, Accra, Ghana Executive MBA Application Form

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1 China Europe International Business School (CEIBS) Africa Programme, Accra, Ghana Executive MBA Application Form Application Checklist Application form Two recommendation letters Photocopies of all degree certificates (certified translations if degree is not in English) Corporate Sponsorship Letter or Letter of Support Nonrefundable Application fee: 100 New Ghana Cedis or equivalent in US dollars or Euros. 1. Personal Information Mr. Ms. Last Name First Name Date of birth Place of birth Country Nationality 2. Permanent Address Street P.O. Box Town/City Post code Country Home phone Mobile phone Fax (must be valid until program start) 3. Business Address Street P.O. Box Town/City Post code Country Home phone Mobile phone Fax (must be valid until program start) * Please keep us informed, should your contact information change during the application process. How would you prefer us to communicate with you? By post By By telephone By fax Page 1 of 6

2 4. Academic Backgrounds Please indicate below the three most important and recent degrees you have completed in reverse chronological order. Level of highest degree obtained: PhD/ Doctorate Master s Undergraduate Duration From To Name of University or College Field Degree received Full/Part time 5. Please indicate the area in which you obtained your bachelor's degree (Please mark one box only) Science (e.g., Biology, Chemistry, Informatics, Computer) Health & Medicine (e.g., Medicine, Pharmaceuticals, Dentistry, Veterinary) Engineering (e.g., Electrical, Industrial, Architectural, Building, Mechanical) Social Science (e.g., Economics, Law, Social Science, Political Science) Business & Management (e.g., Management, Management Information Systems, Business Administration) Arts & Humanities (e.g., History, Languages, Arts) Others (e.g., Agriculture, Education, Media, etc) Please specify In which language(s) was your university degree taught? Page 2 of 6

3 6. Professional Background Please list each full-salaried position after your first degree obtained in reverse chronological order, starting with your most recent position and accounting for any gaps. a) Current Position Duration From To Company City, country of Work Position Gross annual salary GHC or US$ Briefly summarize your current job responsibilities. Number of employees in subsidiary Name and number of employees worldwide of parent company Number of direct and total subordinates Responsible for budget of GHC or US$ Company Sector Job Function Do you belong to a project team? Yes No If yes, please describe briefly your team s duties, sizes etc. (max. 50 words). Please draw a simplified organizational chart of your company. Mark your position in the chart with an X. Page 3 of 6

4 Please indicate the name of the Human Resources Manager in your company. Mr. Ms. Last Name First Name Business phone Mobile phone Fax Please indicate the name of the person in charge of Management Development/Training in your company. Mr. Ms. Last Name First Name Business phone Mobile phone Fax b) Previous work experience Duration From To Company City, country of Work Position Gross annual salary GHC or US$ Total duration in years of full-time positions held (by the beginning of the EMBA program) Of which years in a leadership position and in international assignments 7. International Experience Please list your most significant international experiences growing up, studying or working outside your own country. Duration From To City, Country Activity Page 4 of 6

5 8. English Language Proficiency To be admitted to the CEIBS (Africa) EMBA program, you must be fluent in English. Applicants who have a degree from an institution in an English speaking country are exempt from submitting the TOEFL. The same applies to applicants whose mother tongue is English. Please indicate in the table below the level at which you situate your proficiency in English. Use the following for self-assessment. Level 1 The ability to participate in a conversation about daily life Level 2 The ability to understand, speak and write with structural accuracy, communicate and read newspapers, as well as to give adequate information about future career goals Level 3 The ability to conduct business in English Level 4 The ability to interact in any circumstances with the near-ease of a native speaker Level 5 Native language 9. Awards, Honors, etc. Please list any honors, distinctions, awards you have received in your academic, professional or extracurricular activities. From To Awards, Honors, etc. Institution Explanation 10. Financing Your Studies If selected for admission to the CEIBS (Africa) EMBA program, how will your tuition be funded? Tuition funded by company % Tuition funded by yourself % Tuition funded by other source(s) % Amount Amount Amount Please indicate the other sources of funding (name of institution) Page 5 of 6

6 11 How did you learn about the CEIBS (Africa) Executive MBA? Current employer Print media article Advertisement (please specify) Career adviser CEIBS (Africa) website Alumnus/Alumna (please specify) CEIBS (Africa Programme) Information Session Colleague/ friend/ relative Conference or Fair (please specify) Other website (please specify) Other (please specify) 12 Why did you choose CEIBS (Africa) Executive MBA? Please indicate the reasons for applying for this program. In your opinion, what differentiates us from other programs? Before submitting your application, please use the checklist on the front cover of the application form to ensure that your application is complete and on time. We encourage you to talk to your employer before applying for the program. Statement of Accuracy: I hereby certify that the information contained in this application is complete and correct to the best of my knowledge. Date Applicant s signature Page 6 of 6

7 China Europe International Business School (CEIBS) Africa Programme in Accra, Ghana Executive MBA Application Evaluation Form (CONFIDENTIAL) Applicant Details Surname First name Date of birth Instructions to Evaluator The person named above has applied to the China Europe International Business School (CEIBS) (Africa) EMBA program (Executive Master of Business Administration) delivered at Accra, Ghana. He/she has nominated you as his/her referee. It would be of considerable help in assessing the candidate s suitability for the CEIBS (Africa) Executive MBA program if you would kindly provide the information requested below. The China Europe International Business School (CEIBS) is a leading business school consistently ranked among the Top 50 business schools in the world by the Financial Times. Our partners in some of our programs include some of the best business schools such as Harvard Business School, Wharton, Columbia, IESE and INSEAD. We admit the best, high caliber candidates with the talent and potential to become effective and innovative business and management leaders in their chosen careers. We aim to recruit motivated and committed individuals from all over Africa. Our learning model focuses on collaborative and supportive learning. Hence, participants are deliberately selected from a wide range of academic, cultural and professional backgrounds. We consider each candidate s intellectual ability, previous work experience and management potential, as well as personal motivation and maturity, ability to work successfully in multinational project teams. 1 How long have you known the candidate? In what context (e.g., nature and frequency of contact)? 2 Please describe the leadership potential of the candidate. CEIBS (Africa) EMBA Evaluation Form Page 1 of 3

8 3 Please evaluate the candidate on the following criteria: Outstanding (top 10%) Excellent (top 25%) Good (top 50%) Average (bottom 25%) Below average (bottom 10%) No Information Intellectual ability Analytical skills Communication skills Teamwork Drive / determination Self-discipline Initiative Maturity Social skills Leadership potential 4 What do you consider to be the candidate s major strengths? 5 What do you consider to be the candidate s weaknesses or areas that need to be improved? CEIBS (Africa) EMBA Evaluation Form Page 2 of 3

9 6 What is your opinion of the candidate s motivation towards, and suitability for a very rigorous and demanding executive management education? 7 In what ways do you think the candidate would benefit from CEIBS (Africa) Executive MBA program in his/her management career? 8 May we contact you to discuss this evaluation with you? Yes No 9 Evaluator details Surname Job title/position First name Organization Correspondence adderss Phone Fax Date Signature and official seal Thank you in advance for your time and effort required to complete this letter of reference. Please return it to the candidate, in a sealed envelope and signed across the seal to ensure confidentiality, or, send it directly to: Executive MBA Admissions China Europe International Business School (CEIBS) Africa Programme c/o Ghana College of Physicians and Surgeons, 54 Independent Avenue, Accra, Ghana P.O. Box MB 429 Ministries, Accra, Ghana CEIBS (Africa) EMBA Evaluation Form Page 3 of 3

MBA Application Form

MBA Application Form Mr. Ms. Last Name: First Name: Nationality: Date of Birth: Address: Zip Code: Phone: Province/City: Fax: Mobile: E-mail: Company Name: Address: Zip Code: Province/City: Phone: Fax: