MBA Programme

Dear Applicant,
Each year INSEAD selects a limited number of talented young professionals who have demonstrated high potential to succeed in an international business career. Selection is based on a combination of an individual's academic performance, managerial potential, personal characteristics and international motivation, as well as willingness to learn and contribute to the exchange of ideas at INSEAD. The purpose of the admissions procedure is to identify evidence of these qualities and to select classes with an overall balance of academic competence, diversity of background, work experience, personal characteristics and a strong commitment to international business. For further information about the INSEAD MBA Programme and the admissions process, please consult our website http://mba.insead.edu/. Thank you for considering the INSEAD MBA Programme. We look forward to receiving your application. The MBA Admissions Team

APPLICATION FOR ADMISSIONS January & September Intakes

Application Version: 5.0 Last Updated:

2011-07-26

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Collection, Processing and Use Your personal information is intended to be used by INSEADs representatives and divisions for administration purposes. You have the right, on compelling legitimate grounds, to object to the collection and processing of your personal information. INSEAD is the owner of the database and controls the data processing collected by virtue of this application. The French supervisory authority ("Commission Nationale de l'Informatique et des Liberts") has been notified of this process. Confidentiality This application, together with all materials submitted in its support, becomes the confidential property of INSEAD and is not returnable. The Admissions Office will not reproduce copies of any part of the INSEAD application material for individuals not involved in the admission procedure, companies, or institutions requesting this information, except upon written consent from the candidate. Candidates and INSEAD participants do not have access to the letters of recommendation and interview reports. Rights of Access, Modification and Deletion You are granted statutory rights of access, modification, update and deletion of your personal information ("Loi n78-17 du 6 janvier 1978 relative l'Informatique, aux Fichiers et aux Liberts" as amended). You may exercise these rights by writing or sending an email to INSEAD at the address indicated below. Transfer of Data Abroad You consent to the transfer of your personal information to INSEADs representatives and divisions located outside the European Union, with the knowledge that INSEAD guarantees security and confidentiality. If you object to the transfer of your personal information to INSEADs representatives and divisions located outside the European Union, please contact INSEAD at the following address. INSEAD, MBA Admissions Office, Boulevard de Constance, 77305 Fontainebleau Cedex, France. From time to time, photographs may be taken on campus of participants in class or in working groups. These photographs will only be used in INSEAD material promoting the programmes. If you have any objections, please contact the following address: INSEAD, MBA Programme Management, Boulevard de Constance, 77305 Fontainebleau Cedex, France. Non-Discrimination Policy INSEAD does not discriminate against any person on the basis of race, colour, religion, sex, sexual orientation, national or ethnic origin or disability in its programmes and activities.

Tools

Applying Online via this PDF Form

Requirements to fill-in and save the NetApply application form on your local hard drive: You will need the free Adobe Acrobat Reader version 7.0 or above. Requirements to submit the form: You will need a connection to the Internet at the time of submitting your application, and when triggering your letters of recommendation links. Instructions/Guidelines: 1) Fill in your information into the supplied fields on the form. 2) Make sure the email addresses that you supply are correct as the online application system will send you a receipt via email. 3) You may save your application to your local hard drive or onto a USB key, at any time, without being connected to the Internet. 4) Make sure you trigger your letters of recommendation links early in the application process and follow the indicated steps. Your recommenders will submit their forms online. 5) Once you have signed and submitted your application online, a personal identification number will be displayed and sent to you by email. This number will be useful if you want to check your status in the online status centre. 6) After you have completed your application, you will be prompted to upload a digital photo of yourself (.jpg/JPEG format). Please note that if your application is accepted, this photo will be used for internal publications. You will also be prompted to pay the application fee. 7) Please note that applications will not be reviewed until all materials have been received, including test scores and transcripts. Candidates are responsible for ensuring that all items are submitted on time. Should you wish to send supporting documents by post (regardless of requested starting campus), please mail them to: INSEAD - MBA Admissions Office Boulevard de Constance 77305 Fontainebleau Cedex, France It is INSEAD policy not to answer requests about the status of applications. We will acknowledge receipt of your application and contact you by email as soon as decisions are made. Technical Support: If you encounter technical difficulties when completing your application form, please first consult our list of Frequently Asked Questions. Should you still require technical support, please contact [email protected]. Please note that the MBA Admissions & Marketing Offices will not be able to provide you with technical support should you contact them.

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MBA Programme Personal Data

FAMILY NAME FIRST NAME(S) PREFERRED FIRST NAME

PROFILE 1

Please complete all sections of the application form in the spaces provided by typing directly into the PDF file. You may work on this document offline. Save your application as often as you wish.

MAILING ADDRESS
STREET TOWN COUNTRY

UNTIL __ __|__ _
DAY MONTH

_|__ __
YEAR

POSTAL CODE

STATE

PERMANENT ADDRESS
STREET TOWN COUNTRY HOME PHONE

(Same as above)

POSTAL CODE

STATE

Preferred
COUNTRY CODE AREA CODE NUMBER

PERSONAL MOBILE PHONE

COUNTRY CODE AREA CODE NUMBER

Preferred

BUSINESS PHONE
COUNTRY CODE AREA CODE NUMBER

Preferred

PERMANENT PHONE
COUNTRY CODE AREA CODE NUMBER

Preferred

PERSONAL E-MAIL
(MUST BE VALID UNTIL PROGRAMME START)

Preferred

BUSINESS E-MAIL
(ONLY IF YOU ACCEPT TO BE CONTACTED AT THIS ADDRESS)

Preferred

MALE

FEMALE _|__ ___

YEAR

DATE OF BIRTH ___ __|__ _

DAY MONTH

PLACE OF BIRTH: TOWN CHILDREN AGED OTHER CITIZENSHIP

COUNTRY

SINGLE NATIONALITY

MARRIED

N.B. Only complete the business telephone if it is convenient for you to be contacted at work.

CANDIDATE FOR THE MBA PROGRAMME

JANUARY

SEPTEMBER YEAR:

INSEAD will endeavour to accommodate your choice of campus but cannot guarantee your first choice in every instance. Please tick ONE of the boxes below to indicate your starting campus preference. Campus choice is not taken into account in admission decisions and your preference will not be included in your file when presented to the Admissions Committee.

Fontainebleau campus

Singapore campus

Either campus

ARE YOU A CANDIDATE FOR THE DUAL-DEGREE PROGRAMME BETWEEN THE INSEAD MBA AND SAIS MA IN INTERNATIONAL RELATIONS? YES If yes: NO JANUARY MAYBE SEPTEMBER YEAR: HAVE YOU PREVIOUSLY FILED AN APPLICATION TO THE INSEAD MBA PROGRAMME?

Academic Background
GMAT RESULTS How many times have you taken the GMAT test in the last 5 years? Please make sure to have ALL your official scores sent to us.
TOTAL VERBAL % QUANTITATIVE %

PROFILE 2

DATE TEST TAKEN/TO BE TAKEN ___ __|__ _

DAY MONTH

_|__ ___
YEAR

___ __|__ _
DAY MONTH

_|__ ___
YEAR

___ __|__ _
DAY MONTH

_|__ ___
YEAR

GRE RESULTS How many times have you taken the GRE test in the last 5 years? Please make sure to have ALL your official scores sent to us.
VERBAL % QUANTITATIVE % DATE TEST TAKEN/TO BE TAKEN ___ __|__ _
DAY MONTH

_|__ ___
YEAR

TOEFL/TOEIC/CPE/IELTS/PTE Academic
TEST TYPE SCORE (if applicable) DATE TEST TAKEN ___ __|__ _
DAY MONTH

_|__ __
YEAR

If not applicable, please indicate the reason

ACADEMIC DEGREES Starting with the most recent, please list all colleges and universities attended.
COUNTRY INSTITUTION DEGREE RECEIVED STARTING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ LEAVING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ FINAL GRADE* MAJOR FIELD F (FULL TIME) P (PART TIME)

* If you are currently completing a degree, please send interim results, and final results as soon as available

Major Field of Studies

Please select one. If you have a double major, please use the box entitled Major Field (in the table above) to manually insert your other subjects.

Please list academic distinctions, honours and awards.

Professional Background
CURRENT OR MOST RECENT FULL-TIME POSITION
COMPANY/ORGANISATION NAME STREET TOWN TELEPHONE
COUNTRY CODE AREA CODE NUMBER

PROFILE 3

POSTAL CODE FAX

COUNTRY CODE AREA CODE NUMBER

COUNTRY

SECTOR OF ACTIVITY

NUMBER OF STAFF DIRECTLY REPORTING TO YOU (IF APPLICABLE)

TOTAL STAFF UNDER YOUR RESPONSIBILITY (IF APPLICABLE) NUMBER OF EMPLOYEES LOCALLY SUBSIDIARY OF CURRENT JOB TITLE DEPARTMENT DATE OF APPOINTMENT TO CURRENT POSITION
MONTH YEAR

NUMBER OF EMPLOYEES WORLDWIDE

JOB FUNCTION

EXPECTED LEAVING DATE*

MONTH YEAR

*If position ongoing, please state anticipated end date if you join the INSEAD MBA Programme.

FIRST POSITION DEPARTMENT STARTING GROSS ANNUAL SALARY CURRENT GROSS ANNUAL SALARY CURRENT GROSS ANNUAL SALARY IN EUROS**
** You may use any currency converter website to convert your salary

DATE OF JOINING CURRENT COMPANY

MONTH YEAR

CURRENCY CURRENCY

BONUS & OTHER COMPENSATION COMPANY REVENUE MAY WE CONTACT YOUR CURRENT EMPLOYER? IF YES, WHOM MAY WE CONTACT? FULL NAME TITLE WILL YOUR COMPANY PAY YOUR INSEAD TUITION FEES? DIRECT TELEPHONE
COUNTRY CODE AREA CODE NUMBER

YES

NO EMAIL

YES

NO

TO BE NEGOTIATED

PROFILE 4 PREVIOUS FULL-TIME POSITIONS

COMPANY NAME IN FULL STARTING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ LEAVING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ JOB TITLE CITY/COUNTRY OF WORK GROSS ANNUAL SALARY CURRENCY

Total duration in months of full-time positions held

(by the beginning of the MBA programme)

Please list part-time work, internships and summer jobs starting with your most recent position.
COMPANY NAME* STARTING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ LEAVING DATE (MM/YY) ____|____ ____|____ ____|____ ____|____ JOB TITLE CITY/COUNTRY OF WORK GROSS ANNUAL SALARY CURRENCY

Please explain any gaps of time since you left high school for which you have not accounted.

International Exposure
ACTIVITY FROM (MM/YY) ____|____ ____|____ ____|____ ____|____ ____|____ ____|____ TO (MM/YY) ____|____ ____|____ ____|____ ____|____ ____|____ ____|____

PROFILE 5

Please list your most significant examples of international exposure that you have experienced living, studying, working or travelling outside your own country.
COUNTRY/REGION

LANGUAGES Prior to completing the table below please refer to INSEADs Language Policy: http://www.insead.edu/admissions/languages.cfm Please declare and self-assess the languages you speak in the table below by using INSEADs scale as follows: Native Fluent Business Practical Basic Beginner
Native language Ability to communicate very fluently and precisely in complex situations Ability to interact with a degree of fluency and communicate on a wide range of subjects including in a professional context Ability to understand and communicate on familiar matters regularly encountered in work, school, leisure, etc. Ability to communicate in a simple and direct exchange of information on routine matters Limited knowledge of a language
SELF ASSESSED LEVEL MEANS OF ASSESSMENT

LANGUAGE

ENGLISH

IN WHICH LANGUAGE (S) WAS YOUR UNIVERSITY DEGREE TAUGHT? WHAT LANGUAGE (S) DO YOU USE AT WORK?

Activities and Interests

ACTIVITY FROM (MM/YY) ____|____ ____|____ ____|____ ____|____ ____|____ TO (MM/YY) ____|____ ____|____ ____|____ ____|____ ____|____

PROFILE 6

Please list significant extra-curricular activities in which you are/have been involved, starting with your most recent activities (i.e. sports, politics, performing arts, associations, club memberships, hobbies, community activities, etc.)
POSITION/LEVEL/OFFICE HELD

List any distinctions, honours and awards achieved through your extra-curricular activities.

Supplementary Information
HOW DID YOU LEARN ABOUT THE INSEAD MBA PROGRAMME? (Indicate all that apply) INSEAD Alumnus/a (name) INSEAD Professor (name) Colleague at work (other than INSEAD Alumnus) Event (e.g. MBA fair, info session, campus visit) IF YOU HAVE VISITED AN INSEAD CAMPUS OR ATTENDED AN INSEAD EVENT, PLEASE STATE WHERE AND WHEN: INSEAD MBA brochure Internet Other (please specify)

HAS A MEMBER OF YOUR FAMILY ATTENDED INSEAD? (name)

Please give details of physical disabilities which might necessitate special arrangements.

Military Service
COMPLETED TO BE DONE EXEMPTED NOT APPLICABLE FROM ____ |____
MONTH YEAR

TO ___ _ |____
MONTH YEAR

LETTERS OF RECOMMENDATION

Letters of Recommendation
Please make sure to first enter your personal details in the Profile section before generating the corresponding Internet links and providing them to your recommenders. Once your details are complete, please use the Show Recommendation Links button below. You will receive two different Internet links.
CANDIDATE FAMILY NAME DATE OF BIRTH___ __|__ _
DAY MONTH

FIRST NAME _|__ __ CANDIDATE FOR THE PROGRAMME STARTING

YEAR

JANUARY

SEPTEMBER YEAR

Recommendation Prefix Code

Note 1: A web connection is required to obtain the two Internet links. Note 2: Once you have obtained the links, please forward them to your recommenders as soon as possible and in parallel to completing your application to ensure that the recommendation forms are completed by the deadline for the round for which you wish to apply (see Check List at the end of this application). Note 3: Your recommenders will be asked to create a password before filling in the recommendation forms. Note 4: Should your recommenders encounter any technical difficulties, please have them contact Etheryl directly via email at: [email protected] Note 5: Once you have successfully submitted your application and received your application ID, you will be able to verify that your recommenders have properly submitted their letters via the following link: http://www.etheryl.net/INSEAD/application/ by providing your ID in the indicated space.

JOB DESCRIPTION

Job Description Essays

CONFIDENTIAL

1. Briefly summarise your current (or most recent) job, including the nature of work, major responsibilities, and, where relevant, employees under your supervision, size of budget, clients/ products and results achieved. (250 words maximum)

2. Please give a full description of your career since graduating from university. If you were to remain with your present employer, what would be your next step in terms of position? (250 words maximum)

3. If you are currently not working, what are you doing and what do you plan to do until you start the MBA programme? (250 words maximum)

ESSAYS

Essays

CONFIDENTIAL

Please answer each essay topic in the below and subsequent pages, unless otherwise stated. 1. Give a candid description of yourself, stressing the personal characteristics you feel to be your strengths and weaknesses and the main factors, which have influenced your personal development, giving examples when necessary. (600 words maximum)

ESSAYS
CONFIDENTIAL

2. Describe what you believe to be your two most substantial accomplishments to date (if possible specify one personal and one professional), explaining why you view them as such. (400 words maximum)

ESSAYS
CONFIDENTIAL

3. Describe a situation taken from your personal or professional life where you failed. Discuss what you learned. (400 words maximum)

ESSAYS
CONFIDENTIAL

4. a) Discuss your short and long term career goals. (300 words maximum) and b) How will studying at INSEAD help you achieve your vision? (250 words maximum)

ESSAYS
CONFIDENTIAL

5. Please choose one of the following two essay topics: a) Have you ever experienced culture shock? What insights did you gain? (250 words maximum) b) Describe the ways in which a foreigner in your country might experience culture shock. (250 words maximum)

ESSAYS
CONFIDENTIAL

6. Is there anything that you have not mentioned in your application that you would like the Admissions Committee to know? (350 words maximum) This section is optional.

ESSAYS
CONFIDENTIAL

7. In case of reapplication, please provide an update on any new aspects of your professional, international, academic or personal profile that would not have been included in your previous application. Please also explain your motivation for re-applying to INSEAD. (400 words maximum)

CHECK LIST

Check List
Please use this check list to ensure that your application is complete before you submit: Profile (pages 1-6 of application) Job Description Essays Essays 1st Letter of Recommendation Link generated and sent to the recommender 2nd Letter of Recommendation Link generated and sent to the recommender Transcripts of Grades and Diploma with certified translation in English where applicable. Original GMAT score report sent by PearsonVue Original GRE score report sent by ETS Original TOEFL/TOEIC/CPE/IELTS/PTE Academic score report (where applicable). To complete your application, we require results higher than or equal to the minimum required level. Second language certification (if English is your native language)
Please see our website http://mba.insead.edu/admissions/languages.cfm for details of acceptable certification of languages. If you are unable to supply certification at the time of your application, then you should supply this proof no later than November 1st for the January intake and June 1st for the September intake.

Signed statement of Integrity Photograph in digital format (jpg) to be uploaded after submitting this form Application Fee of 200 to be paid after submitting this form (by VISA, American Express, or Master card).

Deadlines
It is your responsibility to ensure that all application materials arrive at INSEAD by the deadline for your chosen round at 23:59 CET (Paris time). Please check admissions deadlines on the following page: http://mba.insead.edu/admissions/dates_deadlines.cfm All application materials received after the day of the deadline will be considered late and the application will automatically be considered for the next round. Please note that a limited amount of flexibility may exceptionally be provided in the case of natural causes outside your control (postal strikes, lost packages, etc.). Mail any additional documents to: INSEAD, MBA Admissions Office Boulevard de Constance 77305 Fontainebleau Cedex, France Direct Fax: 33 (0)1 60 72 44 46 E-mail: [email protected]

STATEMENT OF INTEGRITY & SUBMITTING THE FORM

Statement of Integrity
I hereby certify that I have provided accurate information in this application. I am the sole author of the essays that follow. I authorise INSEAD / the Admissions Office to verify my credentials. I understand that any misrepresentation or omission of facts in my application may result in denial of admission, cancellation of admission or expulsion from the MBA Programme. This is my honest statement to INSEAD. SIGNATURE

The electronic signature above should contain your name and email address. This digital identification formalises your application and helps the Admissions Office catalogue your data. You can create a self-designed digital ID following the instructions provided by Adobe.

Submitting the Form

This final step cannot be reversed. Please make sure that all the information is correct. Once you have submitted the form, you may want to save it locally for your records. Upon successful application data transfer, you will receive a receipt via email.