Application Form 2014

FULL TIME MBA - MASTER OF BUSINESS ADMINISTRATION

APPLICATION FORM 2014

GENERAL INFORMATION
The ideal MBA candidate should show a good balance across the following criteria: academic records, working
experience, soft skills, interpersonal skills, international outlook and commitment to achieve full potential.

Admission Requirements:
Application form and application fee (a non-refundable application fee of 100 is required in the form of
a paypal payment or a bank transfer)
Curriculum vitae or Resume
University Degree and Transcripts*
Certificate of English Proficiency for non-native English speakers. MIP accepts TOEFL, IELTS TOEIC, CAE.
We may consider exemptions from these if the student has lived, studied or worked in an English speaking
environment for a significant amount of time.
GMAT/GRE/MIP Test**
2 reference letters (format provided inside the application form, standard formats are also accepted)
Copy of a valid passport
1 digital passport-sized picture

*Transcripts are required from all Universities attended and must include the list of courses attended and grades obtained along with
the Grade Point Average (GPA). MIP accepts copies of the originals for admission purposes. In case of admission, candidates will have
to provide the original copies for legal authorities such as Embassies or notaries. If transcripts are not in Italian, French, Spanish or
English, applicants must supply a certified translation.

**MIP Test
MIP administers this internal test which is valid for MIP Politecnico di Milano admission purposes only and is not recognized by any
other institution. Please note that applicants for financial aid will be required to submit a GMAT or GRE score as MIP test is not
considered an acceptable substitute in this case. If you intend to take the MIP test, please notify our admissions or recruitment staff
and they will provide further details. The MIP test costs 100, payable in the form of a paypal payment or a bank transfer.

www.mip.polimi.it/imba

Selection Steps

STEP 1

In order to activate your application to MIP MBA program, you must:

Send a carefully completed application form (downloadable from: http://www.mip.polimi.it/imba)
and up-to-date Curriculum Vitae/Rsum
Pay application fee of 100 (see below)
Final pages must be signed. Please use an electronic signature or print out, sign, scan and send
back to us via email with the rest of the application.

STEP 2

Motivational interview held in person or via Skype.

STEP 3

Put together and send remaining scanned documents by email

STEP 4

Communication of Admissions will be formally given by email

STEP 5

Confirmation of Participation by Student

The student will only be considered enrolled after signing a copy of the MIP contract and after paying the first installment of the tuition fee.
The participant will also be required to provide Dichiarazione di Valore (Declaration of Value) and will be notified by the school when they
need to obtain this document. More detailed info can be provided by the Italian Embassy or Consulate in your city.

The Tuition Fee of MIP MBA program is 26,000 + 1700 administrative fees + 1000 for didactic material. Travel and living
expenses are not included in the fee. The deposit must be paid upon acceptance of admission in order to secure a seat in the program.
Payment should be made by bank transfer to:
Beneficiary: Consorzio MIP
Account number: 000010025X55
IBAN : IT02 L056 9601 6200 0001 0025 X55
BIC/SWIFT : POSOIT22
Bank: Banca Popolare di Sondrio - Filiale di Milano Ag.21 - Via E. Bonardi 4 c/o Politecnico di Milano

www.mip.polimi.it/imba

ADMISSION APPLICATION
Last Name
First Name
Preferred Name
Social Security or Tax Number
(or similar code, according to nationality)

VAT number

Marital Status

Place and Date of Birth

Country(ies) of Citizenship
Gender

Female

Male

Home Address
City
Zip code

Country
Telephone

E-mail

SKYPE

Correspondence Address
City
Zip code

Country
Telephone
Yes

No

Have you presented your MBA application at MIP before?

In which year? ___________________ Were you accepted? _________________________________________________________________
I am applying for the full-time MBA program beginning in ____________________________________________(specify month and year)

www.mip.polimi.it/imba

EDUCATION
Please list colleges and/or universities attended. Also indicate whether you attended as full-time (FT) or part-time
(PT) and the type of program (Bachelor, Master of Science, Master Degree).

Title of Bachelor Degree

Concentration or Major
Name of University
Starting date (MM/YY)

Graduation date(MM/YY)

Official Program Duration (Years)

Attendance

FT

PT

Final GPA
Thesis Title (if any)

Scholarships or other Awards

Postgraduate Course

Master of Science

Master Degree

Title of the Master

Concentration or Major
Name of University
Starting date (MM/YY)

Graduation date(MM/YY)

Official Program Duration (Years)

Attendance

Final GPA
Thesis Title (if any)
Scholarships or other Awards

Professional courses or seminars

Publications

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FT

PT

GMAT/GRE
If you have taken the GMAT or GRE more than once please write down the highest score you received
Taken_________________ Score:____________________
To be taken______________________________________ (date booked or indication of when you plan to take the test)
I would like to take MIPs internal test (The test has a fee of 100 - see page 2 for details)

LANGUAGES
English language proficiency
If English is not your first language, you must provide documentary evidence of your English language proficiency.
TOEFL _______________

TOEIC _______________

IELTS _______________

Other _____________________________

Taken_________________ Score:____________________
To be taken______________________________________ (date booked or indication of when you plan to take the test)

Languages skills

LEVEL
Mother tongue

Fluent

Good

English
Italian
French
Spanish
German
Other ___________________
Other ___________________

Study periods abroad (Place, length of time, reason):

www.mip.polimi.it/imba

Fair

PROFESSIONAL ACTIVITY
Name of current/most recent employer
Field of activity
Position
Job Responsibilities

Start date (MM/YY)

Annual Gross and Net Salary

Benefits and/or bonus

Languages used at work
Is the company a family-owned business?

Yes

No

Work Address
Name of company
Address
City
Zip code

Country
Telephone

E-mail

Previous Full Time Professional Work Experience (starting from the most recent)
Company

Location

Title

Period of employment
From

to

From

to

From

to

From

to

AREAS OF EXPERTISE
Strong
General Management
Strategic Planning
Accounting and Control
Finance and Financial Analysis
Project Management
Marketing
Sales
Production and Operations
HR and Organization
IT
Development potential

www.mip.polimi.it/imba

Moderate

None

SHORT ESSAY
List the main reasons for applying to an MBA program and why you are interested in MIP.
Highlight your expectations from the program and the school.

www.mip.polimi.it/imba

How do you propose to finance your studies?

Self-sponsored
Company-sponsored (specify ____________________________________________)
Government-sponsored (specify _________________________________________)
MIP Financial Aid*
(specify ________________________________________________________________)
* If you are interested in applying for financial aid, please request the form from your recruitment representative or infomasters@mip.polimi.it

Where did you hear about our MBA program the real first time?
Work environment (specify ______________________________________________)
MIP Alumni (specify ___________________________________________________)
Website/Internet (specify ________________________________________________)
Google Search
Your University/ Professor (specify ________________________________________)
MIP Advertisement/Press (Publication name _______________________________)
Online Presentation (specify _____________________________________________)
Exhibitions/Fairs (specify the city _________________________________________)
Direct contact from MIP (specify _________________________________________)
Other (specify ________________________________________________________)

Have you applied to other Business schools in Italy and/or Abroad?

Yes

No

If yes, please specify which ones and the reasons for your choice:

Agreement to share information for MIP selections process.

In accordance with Art. 13 D.Igs n. 196/2003 the undersigned______________________________ expressly authorizes that the information
contained in the application for admission submitted to MIP Politecnico di Milano can be used as the basis for the admissions process into the
Master of Business Administration Program. The undersigned _______________________________________ is aware of the MIP Privacy Act
http://www.mip.polimi.it/mip/en/globals/mip/privacy-eng.html) and gives his/her authorization to process his/her personal data.
Date_________________

Signature ________________________________________________

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APPLICATION CHECKLIST - Please fill out in full.

Name of applicant:

Have you attached to your application(please tick):

1st level requirements

2nd level requirements

Carefully completed Application Form

University Degree copy of diploma

Professional curriculum vitae/resume

Official transcripts

Proof of payment (application fee, MIP test)

Copy of passport/EU identity card

(4 passport-sized photographs)
English Language Test Result (if required)
GMAT/GRE/MIP test score
Two reference letters (template attached)

Please list items not attached

Reason and expected date of submission

I hereby certify that the information above is true and accurate.

Date_____________________________________

Signature______________________________________

Please return your completed application by email to infomasters@mip.polimi.it or by post to:

MIP Politecnico di Milano
International Full Time MBA
Via Lambruschini 4C - Building 26 A 20156 Milan, Italy
Tel +39 02 23992820
Fax +39 02 23992844

www.mip.polimi.it/imba
infomasters@mip.polimi.it

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REFERENCE LETTER
Name

of Candidate

For how long have you known the candidate? How did you meet the Candidate? (Work, school?)

Which are the most relevant personality and behavioral traits (both positive and negative) of the candidate?

Do you recommend the candidate for admission in a demanding MBA program in general management?
Please state clearly your reasons.

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Please rate the candidate on the following characteristics

Below Average

Average

Very good

Excellent

Ability to work in groups

Ability to debate
Ability to take advantage of opportunities
Communication skills
Leadership skills
Ability to take risks
Professional abilities
Creativity
Determination in completing projects
Intellectual ability
Development potential

Please comment on any other important information relevant to all above stated

Please state your:

First and Last Name
Position
Company
Address
E-Mail

In accordance with Art. 13 D.Igs n. 196/2003 the undersigned______________________________ expressly authorizes that the information
contained in the application for admission submitted to MIP Politecnico di Milano can be used as the basis for the admissions process into the
Master of Business Administration Program. The undersigned _______________________________________ is aware of the MIP Privacy Act
http://www.mip.polimi.it/mip/en/globals/mip/privacy-eng.html) and gives his/her authorization to process his/her personal data.

Date_________________

Signature ________________________________________________

www.mip.polimi.it/imba

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