European University Viadrina
MBA-Office
Postfach 1786
15207 Frankfurt(Oder)
Germany

1. Personal Information

Name: Surname:
Date of birth: Place of Birth:
Male: Female: Nationality:
Private Address:
Street: City:
Country: Zip Code:
Correspondence Address (leave these fields blank, if the private address is the same as the correspondence address):
Street: City:
Country: Zip Code:
Tel: Mobile:
Fax: E-Mail:

2. High School Diploma

Institution: Date: Title:

3. Academic and Professional Qualifications

University / College / Institution: From / To: Profile: Title:

4. Current Employment

Job title: Date of entry: Employer: Division:
Brief description of key responsibilities:

5. Previous Employment

Job title:: From / To: Profile: Title:

6. Language Skills

Mother tongue Fluently Good Satisfactory Basic NONE
English
German
Polish
Other, please specify:

7. Finance (How will your fees and other expenses be met ?)

Own funds
   

Sponsored/co-sponsored by employer (please specify)

Other (please specify)

8. How did you learn about this MBA-Program ?

Internet Brochure Chamber of commerce Recommendation
Other (please specify)

9. Declaration

I hereby confirm the correctness of all Information given in this application form.

Checklist for application:

  • Copy of University Diploma or equivalent degree (German or English copies are expected)
  • Letter of motivation on max. one page (Point out why you wish to enter this program? How it can contribute to
        your personal and career objectives? What can be your contribution to the program?)
  • Two recommendation letters (e.g. current and previous employer)
  • Excellent command of English proved either by: TOEFL CB 213 or IELTS 6,5 or CAE B or CPE C or one year
        working/living in an English-speaking environment.

    Tel.: +49-355-55 34 16-419      Fax.: +49-355-55 34 16-427      mba@mba-cee.com      www.mba-cee.com