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APPLICATION FORM
Dossier reçu le
Your Picture ID
Master MAE Management et Administration des Entreprises
International Executive MBA > IE MBA IAE Lille
Master Degree
Academic Year 20|_____| - 20|_____|
N° CAMPUS FRANCE
THIS FORM IS TO BE COMPLETED AND SENT BACK TO THE ADDRESS:
______________________________________________
IAE Lille - Ecole Universitaire de Management
IE-MBA
104, avenue du Peuple Belge
59043 Lille Cedex, France
All PAGES ARE TO BE PRINTED AND SENT BACK once completed before deadline
About Yourself
Female [ ]
N° VALIDATION OF STUDY ______________________
N° CANDIDAT IAE |__||__||__||__||__||__||__|
[ ] FC - Formation Continue [ ] CP - Contrat de Professionnalisation [ ] FI - Formation Initiale -
Your Marital Status
Male [ ]
Single [ ]
Last name:
Maried [ ]
Number and age of children:
First name:
Date of birth:
Place of birth:
Nationality:
Address:
e-mail:
Telephone:
About Your Family
NUMBER OF BROTHERS AND SISTERS
PARENTS ACTIVITY
First name:
Mother:
Age:
Activity/Organisation/Education level:
Father:
Divorced [ ]
Your Education
INFORMATIONS ABOUT YOUR LAST UNIVERSITY
Name:
City:
Country:
Diploma:
OTHER DIPLOMAS
Please, list your diplomas from very last one to the very one which allow you to follow superior studies
Training Course Name
Year
Level of Distinction
University
Master 2
Master 1
Undergraduate
Studies
Other English Qualifications
[ ] TOEFL
[ ] TOEIC
[ ] IBT
[ ] IELTS
Other: _________________________________
Score: _________________________________
CECRL Level
[ ] B2
[ ] C1
[ ] C2
Please indicate in order of importance the three key elements of your application.
1.
2.
3.
Training Periods or Work Experiences
The last 4 periods starting with the latest one
Period
and Duration
Company
Position
Responsibility
Salary/Month
Written projects, Internship, Term Papers or Dissertations
Language Skills
Please mention if Beginner, Intermediate, Fluent
English
French
German
Spanish
Italian
Others
Personal Activities or Interests
Sports
Computer Skills
Please mention your level of proficiency
Word
Excel
Access
Others
Culture
Are you applying for another master
programme?
Yes [ ] No [ ]
Others
Where
In case of positive answer to my application, I am committed to respect the IAE internal rules of the
programme I am applying for.
Date and Signature:
Master MAE Management et Administration des Entreprises
International Executive MBA > IE MBA IAE Lille
Master Degree
Online registration: from february 1st to mid-june 2017
1st round
Application file: to be sent before may 15th
Interview: between end of may and mid-june
Admission: mid-june
2nd round «contrat de professionnalisation» & «formation continue» only
Application file: to be sent before september 1st
Interview: september 6th
Admission: mid-september
Start of school: september 2017
Internship: 3 to 6 months from april. In France or abroad
Other information, all mails sent to:
Chloé Lefebvre
[email protected]
IAE Lille | IE-MBA
104, avenue du Peuple Belge
59043 Lille Cedex - France
Application by email
Please send all documents in one PDF.
Only completed application will be reviewed.
Documents submitted with the application form:
Report on every documents your full name and make sure you check the box for all documents included.
And send them in the order requested with your application form fully completed.
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Cover letter (motivation) written in English
Resume in English
Birth certificate, a copy of an ID card (passport or residency card)
Proof of Master 1 or higher degree completion (a notarized copy of the original diploma)
1st and 2nd semesters transcripts of last two years of Education
Letters of recommendation from work or school
Proof of work experience and all personal projects (research or professional)
Proof of English language proficiency, TOEIC, TOEFL, IBT, IELTS…
One picture ID attached to the application form
All foreign diplomas must be translated into French or English and notarized/certified.
Pre-registration online at iaelille.fr/candidature-en-ligne
Foreign students > Campus France or Validation of studies webgestion4.univ-lille1.fr/demarche
IAE Lille | ECOLE UNIVERSITAIRE DE MANAGEMENT
104, avenue du Peuple Belge 59043 Lille Cedex
Tél. : 03 20 12 34 50 - Fax 03 20 12 34 00
www.iaelille.fr