UNIVERSITA’ CATTOLICA DEL SACRO CUORE APPLICATION FORM FOR SCHOLARSHIP AND PRE-ADMISSION PROCESS UCSC AFRICA PROGRAM 2011/2012 Please send this form plus necessary attachments by e-mail to: Università Cattolica del Sacro Cuore E-mail: [email protected] Application Deadlines: 30 April 2011 for September intake 30 September 2011 for January intake Please indicate for which programme you wish to apply: International MBA in Global Business and Sustainability – one year – September intake Master in Banking and Finance – two years – September intake Master in International Relations – one year – January intake Master in International Cooperation and Development – one year – January intake Partial Scholarship Only: Master in Economics – two years – September intake PERSONAL DETAILS Family Name (Surname) ……………………………… First name(s).............................................. Male Female Date of Birth (dd/mm/yy)………………………. Place of Birth (city, country) ………………………………… Citizenship ………………………….. Country of Residence ……………………………………………… ADDRESS (for correspondence) Address 1 ……………………………………………………………………………………………………………………………………………………. Address 2 ……………………………………………………………………………………………………………………………………………………. City, State/Province …………………………………………………………………………………………………………………………………….. Postal Code, Country ……………………………………………………………………………………………………………………………… E-mail address....................................................................................................................................... PREVIOUS QUALIFICATIONS (HIGHER EDUCATION) Undergraduate Program (Degree, BS, BA & Major) ……………………………………………………………………………………… Institution Name, State/Province and Country …………………………………………………………………………………………… Degree Minor (if applicable) ………………………………………………………………………………………………………………………. Program duration (mm/yy) to (mm/yy) ……………………………………………………………………………………………………… Graduate Program (Degree, Major) ……………………………………………………………………………………………… Institution Name, State/Province and Country …………………………………………………………………………………………… Program duration (mm/yy) to (mm/yy) ……………………………………………………………………………………………………… (for other qualifications please refer to your CV) WORK EXPERIENCE Current Position............................................................................................................................................... Name and location of Employer...................................................................................................................... Position held since (mm/yy) ......................................................................................................................... (for other work experience please refer to your CV) Before sending your application make sure you attach the following documents: Resume or CV in English Transcripts of all institutions of higher education Università Cattolica del Sacro Cuore (UCSC), as responsible for the data processing, guarantees the confidential nature of the data you have provided according to Italian Law D.Lgs. 196/2003. At any time, in conformity with the article 7 of the mentioned law by decree, you can have access to your data to ask for either their modification or cancellation. Please, indicate whether you consent to your personal data processing according to the Italian Law D.Lgs 196/03. Yes, I consent No, I do not consent Date …………………………………… Signature …………………………………………………………… All applications will be acknowledged within 72 hours of receipt. Please contact us if you don’t receive an acknowledgement. Università Cattolica del Sacro Cuore [email protected]