Student Application Form

INTERNATIONAL APPLICATION
All information that you provide will be immediately available to the institution
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?
If you are not a U.S. citizen but reside in the U.S., what visa do you hold?
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
Business Economics
Corporate Finance
Data Analytics
International Economic
Marketing
Policy Analysis
Real Estate
Risk Management
Sustainability
EDUCATION (Attach your transcript)
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:
From (mm/yyyy):
To (mm/yyyy):
Country:
If you have been dismissed from any college or university, please state reasons:
Name of Institution 2:
Degree earned (Specify exact degree received):
Date of degree earned (mm/yyyy):
Major(s):
City:
State/Province:
From (mm/yyyy):
To (mm/yyyy):
Country:
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:
City:
From (mm/yyyy):
Hours per week:
Position/Title:
State:
To (mm/yyyy):
Salary (report in US dollars):
Country:
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)
mm/yyyy
Total
Score
Verbal
Percentage
Quantitative
Percentage
Analytical
Writing Score
If you have not already taken the GMAT, please indicate your intended test date (mm/yyyy):
GRE
mm/yyyy
Total
Score
Verbal
Percentage
Quantitative
Percentage
Analytical
Writing Score
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)
mm/yyyy
Total
Score
Reading
Score
Listening
Score
Speaking
Score
If you have not already taken the TOEFL, please indicate your intended test date (mm/yyyy):
Writing
Score
IELTS
If you have taken the IELTS, please list your test date and scores below.
International English Language Testing System (IELTS)
mm/yyyy
Listening
Reading
Writing
Speaking
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)
Overall
Score
mm/yyyy
If you have not already taken the PTE, please indicate your intended test date (mm/yyyy):
ACTIVITIES/AWARDS/PUBLICATIONS
Activity/Organization 1
Name of Activity/Organization:
From (mm/yyyy):
Activity/Organization 2
Name of Activity/Organization:
From (mm/yyyy):
Awards
Award 1:
Publication 1
Title of Work:
Date of Publication (mm/yyyy):
Publication 2
Title of Work:
Date of Publication (mm/yyyy):
To (mm/yyyy):
Position Held:
Hours Per Week:
To (mm/yyyy):
Position Held:
Hours Per Week:
Award 2:
Award 3:
INTERNATIONAL EXPERIENCE
Publisher:
Web Link (if applicable):
Publisher:
Web Link (if applicable):
Have you studied outside of your home country?
If so, for how long?
Have you worked outside of your home country?
If so, for how long?
ADDITIONAL INFORMATION
YES
NO
YES
NO
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
Yellow Ribbon
Overall
Score
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 (last three-digit # printed at the back of the card):
Card Expiry (mm/yy):
Card Type:
VISA
MASTERCARD
Name of Card Holder:
Amount of Payment: $
Version 27April2015
Signature:
Date: