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ESC Rennes School of Business

APPLICATION FORM
POSTGRADUATE PROGRAMMES
2010 - 2011
Applicant, please complete:

FAMILY NAME: ...................................................................

FIRST NAME: ......................................................................

NATIONALITY: ....................................................................

DATE OF BIRTH:.................................................................

PLACE OF BIRTH: ..............................................................

Official use only:


Programme:.........................................
ESC N°:................................................
Contact:...............................................
Age: ....................................................
Final decision:  accepted
 English condition
 diploma condition
 refused
Reception date:...................................

.08A
ONLY FULLY COMPLETED APPLICATION FORMS WILL BE CONSIDERED.
PLEASE COMPLETE IN BLOCK CAPITAL LETTERS

PERSONAL INFORMATION

TITLE:  Mr  Mrs Miss Ms


FAMILY NAME OR SURNAME: ...................................................................................

FIRST NAME(S) OR GIVEN NAME(S): ........................................................................

ADDRESS FOR CORRESPONDENCE or PERMANENT ADDRESS:


.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................

TELEPHONE: ............................................ MOBILE TELEPHONE:...............................


(Country Code/Area Code/Telephone)

E-MAIL: ....................................................................................................................

SOCIAL SECURITY NUMBER: /__/ /__/__/ /__/__/ /__/__/ /__/__/__/ /__/__/__/ /__/__/
(For applicants already living in France only)

ADMISSION INFORMATION

Programme for which you are applying:

Postgraduate Programmes

 Master of Arts in International  MSc in Global Business


Business (MAIB) Management
(MSc GBM)
 MSc in International Accounting  MSc in International Business
(MSc IA) Negotiation
(MSc IBN)

 MSc International Finance (MSc  MSc in International Human


Resources
IF)
Management (MSc IHRM)

 MSc in International Marketing  MSc. in Sports, Leisure &


(MSc IM) Tourism Management
(MSc SLT)

S.DMC.ADMISSIO.08A – Page 1/8


EDUCATIONAL BACKGROUND

 A- LEVEL or BACCALAUREAT / Secondary School

Please tick
Location Date
here if the
Name of High School (City/Countr (Month/Year Specialization / major exam was
y) ) in English

 POST-SECONDARY SCHOOLS AND UNIVERSITIES (please enclose certified copies of


all grades & diplomas; the originals will be requested if you are accepted on the
programme):

Please list the last 4 years’ post secondary school and universities attended.
Please write the full name of the school; do not abbreviate or use initials.

Please tick
Date of
Location Date of
Complet Name of here if the
Past Entry degree / programm
(City/Countr ion Major e was
School/University (Month/Ye diploma
y) ar)
(Month/Ye taught in
ar) English

Expecte
Name of Please tick
d date
Date of here if the
Current Location of degree /
Entry programm
(City/Countr Complet diploma Major
School/University (Month/Ye e was
y) ar) ion taught in
(Month/Ye English
ar)

S.DMC.ADMISSIO.08A – Page 2/8


S.DMC.ADMISSIO.08A – Page 2/8


LANGUAGE PROFICIENCY

Please complete this table using the following:

A: Native Language B: Fluent C: Conversational D: Non-existent

Language General level

English

French

 Have you completed one of the following tests of English in the last 24 months?
(If yes, attach a certified copy of your results)

 TOEFL (Paper-based: ___/ 677 or computer-based ___/300 or Internet-based


___/120)

 IELTS (score________)  TOEIC (score________)


 Other test (e.g. GMAT): ________________ (score______)

 Any test planned:  At ESC Rennes School of Business (for applicants living in
France only)
 Name of the test and when approximately to be taken:
_________________

SIGNIFICANT INTERNATIONAL EXPERIENCE

Year / period Length of Stay Country Reason

COMPUTER SOFTWARE PROFICIENCY

Please complete the following table using the scale:

A: Expert B: Good knowledge C: Average knowledge D: No knowledge

Powerpo Others
Word Excel Internet
int Please specify

S.DMC.ADMISSIO.08A – Page 3/8


 Do you own a laptop computer?  Yes  No

S.DMC.ADMISSIO.08A – Page 3/8


EMPLOYMENT AND INTERNSHIP INFORMATION

Please list all recent and relevant employment experience, if any:

Employer
Period Job Title Responsibilities
(Name/City/Country)

FINANCIAL ASSISTANCE FOR YOUR STUDIES

 PERSONAL FUNDS  BANK LOAN

 SCHOLARSHIP Type: ............................................ Amount: ...................

 AFR (ASSEDIC) ** Department: ......................................... Amount: ....................

 FONGECIF ** Department: ......................................... Amount: ....................


** French students only

 SPONSORSHIP Please describe below in Company Information section:

Company name: .......................................................................................................


Activity: ....................................................................................................................
Address: ....................................................................................................................
Zip code: ................. City: ............................................ Country: ............................
Contact’s name & position in the company: .............................................................
Telephone: ....................... Fax: ................................... Email: ................................

S.DMC.ADMISSIO.08A – Page 4/8


SOURCE OF INFORMATION

Where did you hear about the ESC Rennes School of Business Programmes?

Type of source Please specify

 ESC Rennes web-site

 Web search-engine or website

Advice from alumni, friend,


 family….

 Education / student fair

French Cultural Centre /


 Embassy
Alliance Française / Campus
 France
Partner abroad (representative
 office)

Advertisement in a magazine /
 newspaper (please specify)

Chamber of Commerce and


 Industry

 Others

DECLARATION

I am aware of the extent of the tuition and living costs associated with studying
on the programme of studies for which I am applying and I am able to meet all
these expenses. I understand that it is my responsibility to request that school
records from each academic institution I have attended be submitted to ESC
Rennes School of Business. I certify that the information that I have provided
on this application, and on all other admission application materials, is
complete, accurate and true to the best of my knowledge. I understand that
misrepresentation of any information may result in cancellation of the
application or registration, with no refund of any fees possible.

Date: .................................................. Signature *:.......................................

S.DMC.ADMISSIO.08A – Page 5/8


* If this application form was to be sent by email first, it needs to be sent by
post later (original signature compulsory for legal acceptance.

S.DMC.ADMISSIO.08A – Page 5/8


APPLICATION PROCEDURE

We advise early application.

Payment to be included with this application form.

Please cross which means of payment you have chosen:

 I will pay the 60€ application fees by including a cheque, payable to ESC
Rennes School of Business.

 I will pay the 60€ application fees by bank transfer in Euros to the following
bank account:

Name and address of the bank:

BANQUE DE BRETAGNE RENNES


18 Quai Duguay Trouin
35000 Rennes
FRANCE
Bank code : 40168

Desk code: 00019

Account Number: 19249202284 Key: 75

IBAN: FR76 4016 8000 1919 2492 0228 475

Code swift: BDEBFR2R

(All fees are payable in Euro)

In order for your application to be processed rapidly, please mail the completed
application form and relevant materials to the following address:

ESC RENNES SCHOOL OF BUSINESS


Postgraduate admissions
2, rue Robert d’Arbrissel - CS 76522
35065 RENNES Cedex
FRANCE

S.DMC.ADMISSIO.08A – Page 6/8


Before mailing your application, ensure that you have enclosed:

All programmes: For official use only

Compulsory for eligibility to an interview

fully completed and signed


 application form 
certified copies in English or
French of all your academic
 transcripts and all your academic 
records

a personal letter of motivation in


 English only 
a curriculum vitae (resume) in
 English only 
copy of your TOEFL score report
 or equivalent (TOEIC, IELTS…), if
available now

the 60€ application fee
 (cheque or bank transfer only, do
not mail cash)

Compulsory for completing your registration (after enrolled on the
programme)

Certified copy or original of your


 university degrees or equivalent
in English or French

• Non EU-applicants: certified
copy of a birth certificate in
English or French and passport
 
• French and EU applicants:
Identity card or passport copy

Copy of your TOEFL score report


 or equivalent (TOEIC, IELTS…) 
 1 passport-sized photo 

S.DMC.ADMISSIO.08A – Page 7/8


Decision after reception Final decision
of application form
(Refer to Evaluation Sheet)

 interview in Rennes  Unconditional Acceptance

 interview in home  Conditional Acceptance:


country
English test:
 telephone interview ……………………..................................................
Certified copy of (degree):
 Refused ………………………………………..
Reason:
…………………………
 Refused:
……………………………… Reason:
……… ……………………………………………………………………
……
.......................................................................................................................
……………………………………………………………………
……………………………………………………………………
 Other:
………………………………
………………………………
 Propose another programme:
………………………………
…………………………………………………………………
……………. ……………

 Propose same programme next year

 Other:
……………………………………………………………………
….

 Cancelled:
………………………………………………………………….

Programme Director /
Programme Director / Manager :
Manager:

Date:
…………………………………... Date: ……………………………………
.

S.DMC.ADMISSIO.08A – Page 8/8


Signature:
Signature: ………………………………
……………………………

ESC RENNES SCHOOL OF BUSINESS


2 rue Robert d’Arbrissel - CS 76522
35065 Rennes Cedex - France
Telephone: 33 (0)2 99 54 63 63
Fax: 33 (0)2 99 33 08 24
Website: www.esc-rennes.fr

S.DMC.ADMISSIO.08A – Page 8/8

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