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Application for Admission to the Executive Master Of Business Administration

Please note the red asterix* denotes a compulsory field. You must complete all compulsory fields to submit this application.

A. COURSE INFORMATION
Commencement year: 2014
B. PERSONAL DETAILS
Title:*
Surname:*
Given names:*
Date of Birth:* Gender:*
Have you ever been enrolled at the University of Sydney?*
If yes, give your student number (if available)
Postal address:*
Suburb/City:*
State:*
(enter N/A if not applicable)
Postcode:*
(enter N/A if not applicable)
Country:*
Phone (Home):
(including area code)
Phone (Business):
(including area code)
Mobile:*
Fax:
Email:*
Are you an Australian or New Zealand citizen or Australian Permanent Resident?:*

† If you are a Permanent Resident you will be asked to provide photocopies of your passport showing your name, date of birth, PR visa and date entered Australia (if issued outside Australia) at a later date. No evidence required for citizens of Aust or NZ.
If other; nationality:
If you are a permanent resident, what date was your permanent residency granted?
If granted outside Australia, what date did you enter Australia?
C. ACADEMIC QUALIFICATIONS*
Name of course Insitution Country Start
year		 End
year		 Total
years		 Completed
(Y/N)
D. EMPLOYMENT HISTORY / PROFESSIONAL DETAILS
Are you employed by a Not-For-Profit Organisation? *
From
(date)		 To
(date)		 Total
(mths/yrs)		 Company Job title
E. STATEMENT OF MOTIVATION*

Please upload a one page statement outlining what you hope to achieve professionally and personally by completing The University of Sydney Executive MBA. This will assist the selection process by helping the University match an applicant's aspirations with the nature of the course.

The file must be a MS Word, RTF, or PDF document.
The file name must include your surname.

F. CURRICULUM VITAE*

Please upload a brief employment history/curriculum vitae.

The file must be a MS Word, RTF, or PDF document.
The file name must include your surname.

G. OFFICIAL TRANSCRIPT

Please scan and upload your official transcript from the Registrar of your previous institution (with English translation).

The file must be a MS Word, RTF, or PDF document.
The file name must include your surname.

H. REFEREES

Please provide the details of two referees.

Referee 1: A referee who can provide information about your leadership potential.
Referee 2: A referee that is either work-related or personal.


Referee 1

Name:*
Position title:
Company:
Email:*
Phone:*

Referee 2

Name:*
Position title:
Company:
Email:*
Phone:*
I. PRIVACY STATEMENT

The information you provide on this form will be used by The University of Sydney to administer your application for admission to the Executive MBA. The information collected is confidential and will not be disclosed to third parties without your consent, except in accordance with the University's privacy policy. For further information see The University Web Sites Privacy Statement or telephone (02) 9351 4263 or foi@mail.usyd.edu.au

J. DECLARATION

I agree:

  • to read and comply with the rules on admission and enrolment of the University of Sydney;
  • to notify the University immediately if there is any change to the information I have given in this application.

I understand that:

  • the University may obtain official records from any institution that I attended previously;
  • the University is not responsible for documents submitted; the documents become the property of the University;
  • the University may vary or cancel any decision it makes if the information I have given is incorrect or incomplete;
  • the University may request a statement from my employer about my experience or the level of my position;
  • I am fully responsible for booking and paying for airfares and arranging required visas, travel insurance and medical advice prior to travel.
I declare that the information I have given in this application is true and correct.*