ࡱ> '` 0bjbj"9"9  @S@Scm^^^^&9&9&98^9B:LY^;;";;;]>]>]>XXXXXXX$[h^^fXu]>=^]>]>]>X^^;;C"Y:AAA]>^^8;;XA]>XAArcKTcL;; `V&9>KR<YK^a?Z^cL^cLhA]>]>]>XX@^]>]>]>Y]>]>]>]>d2&9&9^^^^^^ ESCP EUROPE Master in Management 2015-2016 Application Form EXCHANGE STUDENTS STUDENTS FROM PARTNER UNIVERSITIES FROM: .. 1. Personal Data  Family name: First name: Date of birth: (day/month/year)...// Not be older than 30 during the application year Place and country of birth: Nationality: Second Nationality (if applicable): Gender ( Male ( Female Current address (for correspondence until: day/month/year././.): Street & number: City & postal code: Country: Phone: .. Mobile phone: .. E-mail address (compulsory): Permanent address (if different from above) Street & number: City & postal code: Country: Phone: .. Mobile phone: .. E-mail address (compulsory): 2. Home Institution Name of the institution: Programme Coordinator: 3. Tentative Academic calendar* Please choose below which semester you are applying for: FALL 2015: 7 September 2015 18 December 2015 ( SPRING 2016: 11 January 2016 15 April 2016 ( FULL YEAR 2015-2016: 7 September 2015 15 April 2016 ( SUMMER 2016: 6 June 2015 8 July 2016 ( VISITING STUDENTS * Fall semester 7 September 2015 11 September 2015 (Orientation week-compulsory) 14 September 2015 11 December 2015 (classes) 14 December 2015 18 December 2015 (final exams for core courses and specializations) Autumn vacation : October 26 (morning) to November 1 (evening) Spring semester 11 January 2016 15 January 2016 (Orientation week-compulsory) 18 January 2016 8 April 2016 (classes) 11 April 2016 15 April 2016 (final exams for core courses and specializations) Winter vacation : February 22 (morning) to February 28 Summer semester 6 June 2016 - 8 July 2016 (exams included) 4. Education %Please describe your education, from secondary school onwards School/ UniversityDegree/Diploma obtained or expectedFrom Month/YearTo Month/Year SpecialisationHonours/ distinction/ mention/grade Date  Name of Degree expected and year (please give the name of the degree in your country) How many years of university education have you already undertaken? How many years of higher education does your degree require? 5. Language Proficiency and Experience Abroad %Language proficiency, please circle your level of oral and written performance. LanguagePerformance LevelStudy period From ToOralWrittenEnglishB1234NB1234NtoFrenchB1234NB1234NtoGermanB1234NB1234NtoSpanishB1234NB1234NtoItalianB1234NB1234Nto..B1234NB1234NtoB = Beginner, no knowledge of the language. 3 = Good performance, some specialist communication. 1 = Poor performance, limited communication. 4 = Near native speaker fluency in the language. 2 = Acceptable performance, general communication. N = Native Speaker, native language fluency. %Please list language diplomas, tests or examinations passed Language Name of test / examGrade / scoreDate taken  %Please list periods of time spent outside your country of birth or permanent residence. Country Type of stay Length of stay Dates  %Please describe a multi-cultural experience that has influenced you in particular. Explain why. 6. Employment Experience %Please list your work experience, including holiday work. 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How did you learn about the ESCP EUROPE Master in Management? Please choose only one answer ( ESCP EUROPE Student( Press article( ESCP EUROPE Graduate( Advertising / Guide( A professor( Presentation at University( A friend( Educational Fair( Other __________________( Website Date: .. Candidates signature: Your application must include the following items: ( The completed application form in English or in French (with one picture ID) Your resume in French or in English (Curriculum Vitae) A cover letter indicating your motivation for studying at ESCP EUROPE (in French or in English) Transcripts of all years of higher education If available, the score of the standardized language tests or any certification stating on your language level (especially if you wish to take management courses taught in French) ( Photocopy of passport or identity card     PAGE  PAGE 6 ESCP EUROPE - this form is for students from partner universities only. 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