INTERNATIONAL APPLICATION

INTERNATIONAL APPLICATION

PERSONAL INFORMATION

First (Given): Middle Initial:

Last (Family/Surname): Date of Birth (mm/dd/yyyy): Gender:

Current Address

Street and Number: Apt., PO Box, etc.

City: State/Province (US and Canada Only): Postal Code: Country:

Telephone:

Is your current address the same as your permanent address? YES NO If no, please provide permanent address below

Permanent Street Number: Apt., PO Box:

Permanent City: Permanent State/Province: Permanent Postal Code: Permanent Country:

Permanent Telephone: What citizenship do you claim? Do you plan to come to the US accompanied by one or more dependent on your visa? If you are not a U.S. citizen but reside in the U.S., what visa do you hold?

YES NO If yes, please attach their passport copies.

Ethnicity (Optional): Native American African American Hispanic

Asian Pacific Islander Caucasian Declined Response Native Language:Indicate additional languages spoken and corresponding language level

Language 1: Level: Advanced Intermediate Beginning Language 2: Level: Advanced Intermediate Beginning Language 3: Level: Advanced Intermediate Beginning

PROGRAM INFORMATION

Please select the program to which you are applying.

Master of Arts in International Economics and Finance (MA) Master of Business Administration (MBA) Master of Science in Finance - Full-Time (MSF)

In which term do you wish to enroll? Fall 2015 Spring 2016 (MSF only) Which specializations are you considering?

Asset Management International Economic Risk Management Business Economics Marketing Sustainability Corporate Finance Policy Analysis

Data Analytics Real Estate

EDUCATION

List in chronological order all university-level institutions (degree-granting institution, community college, study abroad, summer programs, etc.) you have attended. Please list your bachelors’s institution first. Applicants whose transcripts are not in English must provide both original language and English-translated transcripts. Name of Institution 1:

Degree earned (Specify exact degree received):

Date of degree earned (mm/yyyy): Major(s):

City: State/Province: Country: From (mm/yyyy): To (mm/yyyy):

Name of Institution 2:

Degree earned (Specify exact degree received): Date of degree earned (mm/yyyy): Major(s):

City: State/Province: Country: From (mm/yyyy): To (mm/yyyy):

If you have been dismissed from any college or university, please state reasons:

EMPLOYMENT HISTORY

Attach your Resume/Curriculum Vitae.

MBA and MSF applicants: List in chronological order all post-graduate professional experience including military experience. Please list your most recent position first.

MA applicants: List in chronological order all internships and/or post-graduate professional experience including military experience. Please list your most recent position first.

Most Recent Employer

Name of Company: Position/Title:

City: State: Country:

From (mm/yyyy) To (mm/yyyy) : currently employed Hours per week: Salary (report in US dollars): Salary Type:

Reasons for leaving:

Previous Employer

Name of Company: Position/Title:

City: State: Country:

From (mm/yyyy): To (mm/yyyy):

Hours per week: Salary (report in US dollars): Salary Type:

TEST SCORES

A GMAT or GRE is required for the Master of Arts in International Economics and Finance (MA), Master of Business administration (MBA) and Master of Science in Finance (MSF) programs.

If you have taken the GMAT or GRE, please list your test date and scores below

Graduate Management AdmissionTest (GMAT)

If you have not already taken the GMAT, please indicate your intended test date (mm/yyyy):

GRE

If you have not already taken the GRE, please indicate your intended test date (mm/yyyy):

ENGLISH PROFICIENCY

Applicants whose native language is not English or who did not complete four years of study at an undergraduate institution (or two years at a graduate institution) in the United States, Canada, United Kingdom, Ireland, Australia or New Zealand must submit a TOEFL, IELTS or Pearson Test of English Academic (PTE) score.

TOEFL

If you have taken the TOEFL, please list your test date and scores below. Test of English as a Foreign Language (TOEFL)

If you have not already taken the TOEFL, please indicate your intended test date (mm/yyyy):

mm/yyyy _ScoreTotal _PercentageVerbal Quantitative_{Percentage Writing Score}Analytical

mm/yyyy _ScoreTotal _PercentageVerbal Quantitative_{Percentage Writing Score}Analytical

IELTS

If you have taken the IELTS, please list your test date and scores below. International English Language Testing System (IELTS)

If you have not taken the IELTS, please indicate your intended test date (mm/yyyy):

PTE

If you taken the PTE, Please list your test date and scores below Pearson Test of English Academic (PTE)

If you have not already taken the PTE, please indicate your intended test date (mm/yyyy):

Overall Score Reading

Listening Writing Speaking

mm/yyyy

Overall

Score mm/yyyy

ACTIVITIES/AWARDS/PUBLICATIONS

Activity/Organization 1

Name of Activity/Organization: Position Held:

From (mm/yyyy): To (mm/yyyy): Hours Per Week:

Activity/Organization 2

Name of Activity/Organization: Position Held:

From (mm/yyyy): To (mm/yyyy): Hours Per Week:

Awards

Award 1: Award 2: Award 3:

Publication 1

Title of Work: Publisher:

Date of Publication (mm/yyyy): Web Link (if applicable):

Publication 2

Title of Work: Publisher:

Date of Publication (mm/yyyy): Web Link (if applicable):

INTERNATIONAL EXPERIENCE

Have you studied outside of your home country? YES NO If so, for how long?

Have you worked outside of your home country? YES NO If so, for how long?

ADDITIONAL INFORMATION

How did you learn about Brandeis International Business School (IBS)?

Please check all that apply and provide additional details in the space(s) provided below.

Advertisement (Print/Online/Radio)

Affiliate Organization (Fulbright/Peace Corps/NSHMBA/etc.)

Alumnus/a

Attended Brandeis University

Communications from IBS (Mail/Email) EduCo International Group

Employer/ee Faculty Friend

Graduate Fair/City

Graduate School Advisor/Agency

Graduate School Guide (Petersons/Gradschools.com/etc.) Internet Search (Google/BingYahoo)

Live in Area Other

Other Undergraduate Institution

Princeton Review Rankings - Economist Rankings - Financial Times Rankings - US News

Social Media (Facebook/LinkedIn/YouTube/Twitter) Student at Brandeis International Business School

ESSAYS

Please provide responses to the two required essays below.

Essay 1: Why are you interested in this graduate program at Brandeis International Business School (IBS)? Please include how this degree will help you achieve your short and long term professional goals.(500-1000 words)

Essay 2: What are three things related to your background, passions and/or personal interests that we have not already learned about you through this application? (500-1000 words)

Essay 3: (Optional): Is there any additional information you would like us to consider as part of your application? You may use this space to discuss gaps in your employment, academic issues (probation, dismissal, failing grades, GMAT or GRE performance), etc. (500-1000 words)

Brandeis International Business School (IBS) requires two recommendations for each of our programs. Please note we do not accept letters of recommendation from personal email addresses (ex. Gmail, Yahoo, Hotmail, etc.)

Student Statement

I certify the information provided on this application is complete and

accurate to the best of my knowledge and understand that any misrepresentation or omission regarding enrollment in other institutions may void my application or result in dismissal.

Signature: Date:

CREDIT CARD PAYMENT REQUEST FORM

Student Information

Student Name: Student Number: Program Name:

Program Start Date (mm/dd/yy): Credit Card Information

Card Number:

CVV (three-digit # printed at the back of the card): Card Expiry (mm/yy):

Card Type:

VISA MASTERCARD Name of Card Holder:

Amount of Payment: $

Signature: Date: