APPLICATION FORM
(We require only the necessary information. The form is quick to fill out. Please type or write in capital letters.)

  1. PROGRAMME OF STUDY APPLIED FOR

Bachelor Programme

Two-year MA in Law and International Management Programme

One-year MBA programme

  1. NAME & ADDRESS

Title: Mr/Mrs/Miss/Ms/Other …. Date of Birth (dd/mm/yyyy) _ _ /_ _ /_ _ _ _ Male Female
First/Given name(s) ....……………………………………………………………………….....
Surname/Family name ………………………………………………………………………….
Previous Surname/Family name (if applicable) ………………………………………………
Home address (where you are permanently resident):
House number ………………………………………...
Street..…………………………………………………..
City/Town…………….…………………………………
Country ………………………………………………..
Postcode ……………………………………………… /
Correspondence address if different:
House number ……….……….…...………...
Street…………………………………………..
City/Town………………………….…..………
Country ………………………………………..
Postcode ………………………………………
Since it is going to be the main method of communication with applicants, please ensure details below are legible and accurate:
Cell phone number……………………………………………………………………………………………
Email address…………………………………………………………………………………………………
  1. NATIONALITY AND PASSPORT

What is your nationality(as stated on your passport)?
In which country were you born?
In which country do you currently live?
What is your passport number: ……………………………………………………………………………
Have you ever resided in Poland: Yes No
  1. EDUCATION

Secondary/High Education

Name of School
Address
Years of studies

First Cycle Education (Bachelor’s studies)

Name of Institution
Address
Years of studies
Field of studies
Qualification obtained

Second Cycle Education (Master’s studies)

Name of Institution
Address
Years of studies
Field of studies
Qualification obtained
  1. CURRENT EMPLOYMENT IF ANY

Organization /
Address /
Position held
  1. ENGLISH LANGUAGE PROFICIENCY

Native or bilingual proficiency

Full professional proficiency

Professional working proficiency

Limited working proficiency

  1. CHECKLIST

Please make sure that you are sending the following documents along with your application form:

a)Your CV (Resume),

b)A copy of your ID (only the page with your name, photo and ID’s number),

c)A copy of your BA/BSc diploma along with its transcript (if they are issued in other languages than Polish, English, German, Russian or Ukrainian an authorized translation is required).

Additionally, for MA in Law and International Management candidates the following documents are required:

d)A copy of your high school diploma (if they are issued in other languages than Polish, English, German, Russian or Ukrainian an authorized translation is required).

e)A formal photo (one of the formats: JPEG (jpg), TIFF (tif), BITMAP (bmp), PNG (png), GIF (gif); min. size is 236 x 295 pixels).

  1. DECLARATION

The statements on this form are to the best of my knowledge and belief correct. I understand that my acceptance will be based upon the information given in this form, and that if I am found to have given false information, the acceptance may be withdrawn. I understand that the information supplied on this form will be retained by the Interdisciplinary Centre for Business Studies at the Department of International Studies of the Mieszko I School of Education and Administration and will be used for the purpose of processing my application. In the event that my application is successful I understand that the information will form part of my participant record. I agree to have my personal data processed during the admission process at the Interdisciplinary Centre for Business Studies at the Department of International Studies of the Mieszko I School of Education and Administration in accordance with the act about Personal Details Protection dated August 29 1997 (unified text: Journal of Laws, 2014, item 1182 with amendments).

Signature………………...... … Date…………………………………

InterdisciplinaryCentre for Business Studies
Mieszko I School of Education and Administration
/ 115 Marszałkowska st., 00-102, Warsaw, Poland
Tel.: +48 226200633
Email:
Website :