imd mba scholarship fast track application
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IMD MBA Fast Track Application for MBA Class Scholarship
This form serves for candidates interested in applying for a scholarship for the IMD MBA Program 2016. Please send this application to [email protected]. More information on www.imd.org/mba-admission-fees/#tab=3
Applicant Information First name: Last name
Date of birth: Gender:
E-mail address: Phone:
Nationality 1: Nationality 2: Country of residence:
Education Information (latest degree equivalent to a Master or a Bachelor) Type of school: Institution name:
Location: Field of study
Degree: Year graduated:
GMAT score: If not taken, please indicate the planned test date:
Employment Information Total years of full-time work experience: Total years of international exposure:
Current employer: Nature of business/industry:
Country: Job title:
Start date: Annual income in US$:
Please describe yourself in two hundred words or less:
Financial Information Scholarships are granted subject to acceptance to the program, demonstrated financial need and nomination by the scholarship selection committee. Please describe in detail your needs for financial assistance.
Electronic signature of applicant: Date:
IMD Chemin de Bellerive 23, P.O. Box 915, CH-1001 Lausanne, Switzerland Direct tel: +41 21 618 42 98 [email protected] www.imd.org