APPLICATION FORM 2016-2017 EXCHANGE / TRANSFER CREDIT STUDENTS. Applicant, please complete in capital letters. Title: Mr Mrs Ms. Gender: Male Female

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Applicant, please complete in capital letters. Title: Mr Mrs Ms Gender: Male Female Family name: First name: Please attach one recent official identity photo Preferred first name: Home University: Country of residence: Date of birth: / / 19 City of birth: Nationality 1: Passport Number: Valid until: / / 20 Age: Country of birth: Nationality 2: Passport Number: Valid until: / / 20 For French students only: INE Number: For French students and students who have already lived in France: French Social Security Number: For ESC Rennes official use only ESC N Programme : TC1: PGE1 UGTC4 PGTC UGTC3 MSc Decision: Unconditional approval Conditional approval Refused If conditional: Diploma Language test Other: TC2: PGE1 UGTC4 PGTC UGTC3 MSc TCA: PGE1 UGTC4 PGTC UGTC3 MSc DD: PGE 2 PGE3 IBPM3 MAIB MSc Academic Year: 20 / Signature Coordinator International Studies TOEFL/IELTS/TOEIC score: Date: Page 1/10

Only fully completed application forms will be considered. Please complete in capital letters. 1. STUDENT INFORMATION Your postal address for correspondence before coming to Rennes: Street: N : Zip code: City: State: Country: Telephone: (Country Code / Area Code / number) Mobile phone: (Country Code / Area Code / number) E-mail 1: E-mail 2: Emergency contact information: Name: Telephone: (Country Code/Area Code/number) Relationship to you: Fax: E-mail: 2. PRESENT ACADEMIC SITUATION Name of School / University: Date of Entry (month/year): Expected date of Completion (month / year): / Name of diploma or certificate currently being prepared: Is the programme taught in English?: Yes No 3. LANGUAGE PROFICIENCY Please indicate which of the following options best correspond to your written and oral level in: English French Native language Fluent Good working knowledge Conversational Non-existent For transfer credit students only, please note that the home university must provide an official document certifying that the student s level of English (oral and written) is sufficient to follow and participate in business classes (at least equivalent to a B2 level or IBT TOEFL = 79). For double degree candidates, the students must provide a recent TOEFL, TOEIC or equivalent result as mentioned in our prerequisites or according to bilateral agreement. Have you completed one of the following tests of English in the last 24 months? If so, please attach a certified copy of the results. TOEFL (score: ) IELTS (score: ) TOEIC (score: ) Other test: (score: ) Page 2/10

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4. ADMISSION INFORMATION For all international exchange students the programmes are taught in English unless mentioned otherwise. Transfer Credit Level of Studies at ESC Rennes: Undergraduate Transfer Credit Programme taught in French (UGTC French) Undergraduate Transfer Credit Programme Level 3, taught in English (UGTC3) Undergraduate Transfer Credit Programme Level 4, taught in English (UGTC4) Postgraduate Transfer Credit Programme Level 5, taught in English (PGTC) Length of stay: Fall Semester (Sept-Dec) Spring Semester (Jan-April / May) Whole Academic Year (Sept-April / May) French Language / French Culture courses (optional) Students have the possibility to attend courses in French Language and/or French Culture worth 3 ECTS each. French Language 3 ECTS per semester French Culture 3 ECTS per semester Does the student transfer his/her credits? No Yes If so, what is the minimum number of ECTS Credits required? ECTS credits. A detailed list of courses is available on the website https://www.esc-rennes.fr/index.php/fr/international-students/student-exchange Page 4/10

Double Degree (agreement between ESC Rennes and the host institution) Whole Academic Year only (Sept 2016 - April/May 2017) International Bachelor Programme in Management (IBPM) Grande École Programme - Master Programme in Management (year 2) Grande École Programme - Master Programme in Management (year 3) Masters (require a Bachelor Degree in Business): Master of Arts in International Business MSc in International Accounting, Management, Control and Auditing MSc in International Finance MSc in International Human Resource Management MSc in Digital Marketing & Communication MSc in International Business Negotiation MSc in International Luxury and Brand Management MSc in Supply Chain Management Logistics or Purchasing MSc in Sustainable Management & Eco-innovation MSc in Innovation and Entrepreneurship (taught in French & English) MSc in Global Business Management MSc in Sports, Leisure &Tourism Management MSc in International Marketing MSc Creative Project Management, Culture & Design French Language / French Culture courses (optional) Students have the possibility to attend courses in French Language and French Culture worth 3 ECTS each. French Language 3 ECTS per semester French Culture 3 ECTS per semester Does the student transfer his/her credits? No Yes If so, what is the minimum number of ECTS Credits required? ECTS credits. A detailed list of courses is available on the website https://www.esc-rennes.fr/index.php/fr/international-students/student-exchange Page 5/10

5. CHECK-LIST Exchange students seeking admission at ESC Rennes School of Business are expected to submit all the required documents mentioned below: Documents to submit with the Application Form: Fully completed application form signed by the student and the Home University (with the official stamp of your home institution). Official transcripts with the official stamp of your home institution. CV (in English). Motivation letter (in English). 1 photocopy of your passport. 1 passport photo (attached to the Application Form). List of courses you wish to take. Language requirements for Transfer Credit Students: Official certificate provided by your home institution certifying the level of your oral and written business English language skills, equivalent to IBT TOEFL = 79 or B2 level. French certificate (if electives in French are chosen) equivalent to a B2 level. Language requirements for Double Diploma Students: TOEFL: IBT = 79, computer based = 213, paper based = 550 / TOEIC = 750 / IELTS = 6.5. 6. MISCELLANEOUS Please tell us of any special circumstances we need to know about (e.g., physical handicaps, whether you will be bringing other family members with you, etc). 7. STUDENT DECLARATION I am aware of the extent of the 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. 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. I authorise ESC Rennes to forward my transcripts to the Registrar. Date: / / Signature:... dd / mm / yyyy Page 6/10

N.B. Your application will not be considered if you do not sign here. Page 7/10

To be completed by the Home University Coordinator. 8. HOME INSTITUTION INFORMATION 8.1. Contact s name (Study Abroad Coordinator, Int l Relations Director, Programme Director, Academic Advisor, etc.) Title: Dr. Mr. Mrs. Ms. Name: Position: Address: City: Country: Fax: First name: University: Zip code: State: Telephone: Email: I authorise the student School of Business. to participate to the exchange programme at ESC Rennes Semester 1 (September 2016 December 2016) Semester 2 (January 2017 April/May 2017) Whole academic year (September 2016 April/May 2017) 8.2 Registrar s name (person to whom ESC Rennes must send the transcripts if different from above) Please send the transcripts to the person and address above (8.1). Please send the student s transcripts to the person and address below: Title: Dr. Mr. Mrs. Ms. Name: Position: Address: City: Country: Fax: First name: University: Zip code: State: Telephone: Email: Page 8/10

Date: / / dd / mm / yyyy Institution name:. Coordinator s name: Signature:.. Official University Stamp: Please send the application form duly completed to the following address: ESC Rennes School of Business Att: Amparo REIG MARTÍNEZ 2, Rue Robert d Arbrissel - CS 76522 35065 RENNES Cedex - FRANCE Contact: amparo.reig-martinez@esc-rennes.com or incoming@esc-rennes.com Fall Semester and Academic Year Deadlines: Nomination Deadline 20 th May, 2016. Application Deadline 30 th May, 2016. Spring Semester Deadlines: Nomination Deadline 14 th October, 2016. Application Deadline 21 st October, 2016. Page 9/10

ESC Rennes is committed to a policy of equal opportunity in student admissions without regard to race, colour, religion, sex, national origin, age, marital status or handicap. Page 10/10