Application Form

Application Form
The
Manager’s
MBA
Developing
Leadership
Talent with Vision
Teamwork
For Office Use Only
Applicant: _________________________________________________
Company: _________________________________________________
Date: ________________________
EMBA Cohort: ________________________
Instructions
Instructions
Please be precise when filling out this form. All fields must be completed. Use the English Language only.
Please provide the following supplementary material:
• Filled application form
• Updated Curriculum Vitae (CV)
• Diplomas
• Copy of ID or Passport
• Corporate sponsorship letter
• Business Card
• Photo
Prière d’être précis lors du remplissage du formulaire et utiliser la
langue anglaise. Veuillez joindre au dossier d’inscription les pièces
suivantes :
• Formulaire d’admission dûment rempli
• Un Curriculum Vitae (CV) à jour
• Diplômes
• Copie de la CIN ou passeport
• Lettre de sponsoring
• Carte de visite
• Photo
All the material must be sent to the following address:
Mediterranean School of Business
Carthage Center, Rue du Lac Constance, les Berges du Lac, 1053, Tunis, Tunisie
Application Process
Processus de demande d’admission
Admission Criteria
Students admitted to the Manager’s MBA program should be highly
motivated and competent executives from diverse business sectors
and industries.
Critères d’admission
La MSB cherche à recruter des candidats talentueux, qui ont un esprit
analytique et une expérience professionnelle significative, des personnes ambitieuses et motivées. Dans le cadre du processus d’évaluation,
le Comité d’Admission s’appuyera sur les éléments suivants :
English Proficiency
The Manager’s MBA is taught in English. All candidates must have
an adequate English Proficiency level to be admitted. Candidates
English Proficiency level may be assessed on interview at MSB or
by taking an exam administered by AMIDEAST or the BRITISH
COUNCIL in Tunis, Tunisia.
Maîtrise de l’Anglais
Les cours du Manager’s MBA sont en langue Anglaise. Le niveau
du candidat en anglais peut être évalué en passant un entretien en
anglais à la MSB ou un examen d’Anglais qui peut être administré
par AMIDEAST ou BRITISH COUNCIL à Tunis, Tunisie.
Applicants whose mother tongue is English or those who have had a
part of their previous education in English are exempted from the
English Proficiency requirement.
Les candidats originaires de pays anglophones ou ceux qui ont fait
des études antérieures en langue anglaise sont exemptés de l’examen
d’Anglais.
For further information and arrangements for the English Exam, you
may contact directly AMIDEAST by phone at (216 71 790 559) or
the BRITISH COUNCIL by phone at (216 71 354 346) or send us an
Email at [email protected] .
Pour informations et prise de rendez vous pour l’examen d’Anglais,
vous pouvez contacter directement par téléphone AMIDEAST au
(+216 71 790 559) ou BRITISH COUNCIL au (216 71 354 346) ou
nous envoyer un courrier électronique à l’adresse suivante
[email protected] .
Interview
An interview with a member of the Admissions Committee is required. For those living outside the Tunis area or abroad, the interviews
can be made by telephone. For scheduling the interview, please
submit an application online. For more information, please send us an
Email at [email protected] or call (+216 71 961 333).
Entretien
Les candidats doivent passer un entretien avec un membre du Comité
d’Admission. Pour ceux qui habitent en dehors de la région de Tunis
ou à l’étranger, les entretiens peuvent se tenir par téléphone. Pour
fixer un rendez vous pour l’entretien, une demande d’inscription doit
être remplie sur le site. Pour plus d’informations, prière nous adresser
un courrier électronique à l’adresse suivante [email protected] ou
nous téléphoner au (+216 71 961 333).
Letter of Financial Support
Applicants who are financially sponsored by their employers should
provide a statement to this effect. They are invited to use the enclosed
Form.
Lettre de Soutien Financier
Les candidats dont la participation au programme sera financée par
leurs employeurs, doivent fournir une attestation à cet effet. Ils sont
invités à utiliser le formulaire ci-joint.
Application Period
Applicants are invited to submit their application at their earliest
convenience to increase their chances of being admitted.
Période de Présentation des Candidatures
Les candidats sont invités à présenter leurs demandes aussi tôt qu’il
leur est possible afin d’augmenter leurs chances d’admission.
Application Form
1/5
1. Personal Information
First Name: …………...…………………………………...……............…………………..............…
Maiden Name: …...…………………………………………………...………….....…………………
Last Name: ...…...…………………………………………………...…………….…………………..
Gender:
□ Male
□ Female
Date of Birth: ………………………………...……………...………….....………………………….
Country of Birth: ……................…….…………....…………………………………....……………..
Nationality: …...…………..………….......……………………………………………………………
Country of Residence: …....................………………...………………………………………………
Passport or CIN number: ...…………...…………......………………………………………………..
Marital Status: □ Single
□ Married
□ Divorced
□ Widow
2. Personal Contact Information
Current Address: ………………………………………………………..…………………………….
Postal Code: …………………… City: ………………………… Country: …........…....…………
Home Telephone: ……..……..…........................ Cell Phone: …………….........….........................
Personal Email: …………………………………………………………...…………….....………….
Have you already applied to the Manager’s MBA program?
□ Yes, year: ..............
2008
2009
□ No
If permanent address is different from current address, please provide the following:
Permanent Address: ………………………………………………………………………………......
Postal Code: …………………………………City………………………….Country……….........…
Home Telephone: ……………………………Cell Phone…………………….......…………...…......
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3. Academic
Please start with most recent degree.
Degree
Dates
Institution
Country
maz
mk
4. Language Skills
Please use the following scale to describe your command of the language (1-Excellent, 2-Good, 3-Average,
4-Poor, 5-Very poor).
Language
Writing
Oral
Reading
1
1
1
1
1
1
1
1
1
1
1
1
Award/Honors/
Scholarship
5. Other Skills
Please use this section to list any other skill/qualification you feel relevant for your application such as training, volunteer projects, published work, conferences, working papers, etc…
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6. Current Employment
Company Name: ....................................................................................................................................
Address: .................................................................................................................................................
City: …………………………………. Postal Code: ………………Country: ……………………....
Company group name (if applicable): ...................................................................................................
Job Title: ................................................................................................................................................
Professional Email: ................................................................................................................................
Phone: ................................................................Fax: ............................................................................
MAIN FUNCTION
ACTIVITY SECTOR
□ General Management
□ Manufacturing
□ Marketing
□ Engineering
□ Finance
□ Consulting
□ Accounting
□ IT Services
□ Human Resources
□ Financial Services
□ Project Management
□ Distribution
□ Operations Management
□ Public Sector
□ IT Consulting
□ Advertising/Media
□ Engineering
□ Other (please specify)
□ Other (please specify)
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7. Previous Employment if any
Please start with most recent.
From
(m/y)
To
(m/y)
Position, Institution and Brief Description of Responsibilities
- Company name: ........................................................................................
12/02
- Title & description: ...................................................................................
.....................................................................................................................
- Company name: ........................................................................................
- Title & description: ...................................................................................
.....................................................................................................................
- Company name: ........................................................................................
- Title & description: ...................................................................................
.....................................................................................................................
8. Motivation
Please use the space below to motivate your application to MSB’s Manager’s MBA Program
(Approximately 200 words)
You may use another blank paper if you require more space
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9. Funding
In this section please specify how you plan to finance your EMBA tuition. If your company will be funding
your studies, please submit with your application a signed and stamped sponsorship letter provided in the
admission pack.
□ Self-funded □ Employing Company
□ Other (please specify)
10. Marketing Information
In the space provided below please state how you heard about the EMBA program.
□ Company
□ Colleagues from work
□ Advertisement
□ Personal friend
□ Press article
□ MSB website
□ Other (please specify)
Application Checklist
□ Filled application form
□ Updated Curriculum Vitae (CV)
□ Diplomas (Baccalaureate, Bachelor’s degree or equivalent, other)
□ University transcripts (if available)
□ Corporate sponsorship letter (if applicable)
□ Business card
□ Copy of CIN or passport
□ Photo
Mediterranean School of Business
Rue du Lac Constance, les Berges du Lac 1053 Tunis - Tunisia
Phone:(+216) 71 961 333 - Fax: (+216) 71 965 955
E-mail: [email protected] - Site web: www.msb-online.org
Sample Company Sponsorship Letter
English
South Mediterranean University
Gentlemen,
(Name of candidate) is employed with (name of company) as (title). (First name) has been in our company
for (number of years).
I have read the brochure that describes The Manager’s MBA program at the Mediterranean School of Business and wish to confirm that (name of company) wishes to fully sponsor (name of candidate) in your class
starting on …………………. As (title of sponsor), I authorize (name of company) to provide the time away
from work as described in your brochure and pay the full tuition fees* for the program.
(Name of candidate) is a valued employee and we are pleased to provide this support.
Sincerely yours,
Authorized Signature
* If your company’s terms of financial sponsorship differ from what is described in this letter, please provide
the company’s desired terms of financial support.
Sample Company Sponsorship Letter
Français
South Mediterranean University
Messieurs,
(Nom du candidat) est employé de (nom de l’entreprise) en tant que (titre). (Prénom) fait partie de notre
entreprise depuis (mois/année).
J’ai lu votre brochure qui décrit le programme “The Manager’s MBA” de la Mediterranean School of Business, et confirme par la présente que (nom de l’entreprise) souhaiterait parrainer (nom du candidat) au sein
de votre promotion admise pour ……………….. En tant que (titre du sponsor), j’autorise (nom de l’entreprise) à accorder le temps requis par votre programme et à financer les frais de scolarité pour le programme*.
(Nom du candidat) est un employé de valeur et nous sommes heureux de lui accorder ce soutien.
Veuillez agréer nos meilleures salutations.
Signature du Responsable habilité
* Si les termes du support financier de votre entreprise diffèrent de ce qui est décrit dans cette lettre, veuillez
détailler les termes spécifiques de la prise en charge du candidat.