Application Form Admission Term:

Transcription

1 Application Form Admission Term:

2 PERSONAL DATA Title: Family Name: First Name(s): Maiden Name: Date of birth: mm/dd/yyyy Place of birth: Gender: Nationality 1: Nationality 2: Family Situation Personal address: Professional address: Mobile number: + Land Line: + Permanent Address Location/Building: # / Street: City: Zip Code: State: Professional Address Location/Building: # / Street: City: Zip Code: State: 2

3 EDUCATION Latest Degree College: City: Field of Study: Duration: GPA: Degree obtained: Graduation Year: Previous Degree 1 College: City: Field of Study: Duration: GPA: Degree obtained: Graduation Year: Previous Degree 2 College: City: Field of Study: Duration: GPA: Degree obtained: Graduation Year: 3

4 INTERNATIONAL EXPOSURE Mother tongue: English level (spoken/written): Test scores (IELTS/TOEFL/TOEIC): Year: Other language 2: Test scores: Year: Other language 3: Test scores: Year: Other language 4: Test scores: Year: Stays Abroad: (please detail) 4

5 CAREER CURRENT PROFESSIONAL OCCUPATION Company: Field of activity: Job Title: Number of people under your management: Main Responsabilities: (please detail) Number of years in the Company: 5

6 PREVIOUS PROFESSIONAL EXPERIENCES Professional Experience/Total Number of Years: 6

7 EDUCATION PROJECT Tell us more about your project What are your main motivations to apply to the ESSEC Executive Master in Luxury Management EMiLUX? What role should this Executive Master play in your future projects? 7

8 What are your current and past exposures to the Luxury Industry and the Luxury Goods/Brands, both professionally and personally? What is your own definition of Luxury? Through which channels have you heard about ESSEC and its EMiLUX Program? 8

9 Which other Programs/Schools have you considered? What are your financing plans for the EMiLUX Program? - Personal funding: % - Company funding: % - Public allowances: % - Mixed funding: % 9

10 REFERENCES As a candidate, you should provide two recommendation letters to complete your ESSEC EMiLUX Application (refer to attachments) REFEREE 1: Title: Name: First Name: Job Title: Company: Professional address: Phone #: Why did you choose him/her as a reference? REFEREE 2: Title: Name: First Name: Job Title: Company: Professional address: Phone #: Why did you choose him/her as a reference? 10

11 19 # CONFIDENTIAL RECOMMENDATION FORM TO BE RETURNED SEALED AND SIGNED TO THE APPLICANT Admission Sélection Advanced Master s program ESSEC Dear Recommender: In order to select the best candidates for the ESSEC Mastères Spécialisés (Postgraduate Programs) we require confidential information concerning each applicant. The Advanced Master program consortium of Postgraduate Schools of Management (La Conférence des Grandes Écoles) has as objective to complement a professional experience with a specialized program corresponding to a real professional choice. The letter of recommendation which we are asking you to provide is one of the means of evaluating candidates who wish to study within this program in order to help us determine the compatibility of a candidate s personal aptitudes with those required by the specialization chosen. We thank you in advance for taking the time to write on behalf of this candidate. We have found that the most useful recommendations provide detailed descriptions on the candidate s intellectual abilities and personal qualities as they relate to his or her potential for senior-level management careers. This kind of information helps us distinguish the very best candidates from among a pool of many well-qualifed ones. We would appreciate your answering the questions on the back of this sheet. We guarantee the confidentiality of this material, which will help us select the next class of students. Please send the recommendation form to the applicant, sealed in the enclosed envelope. Once again, many thanks for your assistance in providing this evaluation. Yours sincerely, Deyi TCHERDAKOFF Program Advanced Master s programs ESSEC Executive Education CNIT BP Paris-La Défense - France - Tel. +33 (0) Groupe ESSEC (Association Loi 1901) 3, avenue Bernard Hirsch - CS Cergy Cergy-Pontoise Cedex - France - Tél. +33 (0) Fax +33 (0) Siren : TVA Intracommunautaire/Intra-Community VAT: FR # ESSEC Business School - Établissement Privé d Enseignement Supérieur. Accrédité/Accredited AACSB International - The Association To Advance Collegiate Schools of Business. Accrédité/Accredited EQUIS - The European Quality Improvement System. Affilié à la Chambre de Commerce et d Industrie de Région Paris Ile-de-France/ Affiliated to the Chamber of Commerce and Industry of Région Paris Ile-de-France

12 20 CANDIDATE (Write Legibly in Block Letters, Please) FAMILY NAME... FIRST NAME... How long have you known the candidate and in what capacity? Which are his/her two main qualities or greatest strengths? Which are his/her two main weaknesses or developmental needs? Comment on his/her motivation for the program selected? Please complete the grid below, comparing the candidate to his/her peer group as a reference. Feel free to explain any of your ratings in the recommendation. Excellent Good Average Poor No opinion Analytical skills Creativity Deductive skills Communication skills Inter-personal skills Professional potential What final recommendation would you give to the Program Director? Name:... Date:... Company:... Position:... Address:... Signature Tel.:...