GRADUATESCHOOLOFTECHNOLOGYMANAGEMENT

APPLICATION FORSELECTION TOMEMIMPM2015

Thankyou foryourinterestintheUniversityofPretoria'sGraduateSchool ofTechnology Management.Thisapplicationshouldbeprinted,completedandsignedbyallapplicantsforthe MEMIMPMProgrammes.Thefollowingdocumentsmustaccompanytheapplication:

1. CopiesofyourdegreecertificatesANDacademicrecordsfromalltheuniversities which youhaveattended,excluding theUniversityofPretoria.

CandidateswhoareinpossessionofqualificationsobtainedfrominstitutionsoutsideSouth AfricaandwhicharenotlistedintheWashington Accord,willonlybeconsideredfor admissionto theMasterofSciencedegreeandnottheMasterofEngineeringdegree.

Suchacandidateiswelcomeonce he/shehasbeenregisteredandcommencedstudies,to approachtheEngineeringCouncilofSouthAfricawithaviewtoregistrationasaCandidate EngineeroraProfessionalEngineer.ShouldsuchregistrationwiththeEngineeringCouncil ofSouthAfricabesuccessfultheUniversityregistrationwillbeconvertedfromtheMaster ofSciencedegreetotheMasterofEngineeringdegree.Pleasebearinmindthatthis processtakesaminimumoffourmonthsandinvolvespaymentofafeetotheEngineering Council.However,shouldacandidatenotbesuccessfulwithregistrationattheEngineering CouncilofSouthAfrica,he/shewillremainregisteredfortheMaster ofScience degreein

eitherEngineeringManagementorProjectManagement.

Youmayalsoberequestedtosubmittheresults oftheTOEFLorBritishequivalent

languagetestspriortoyourapplicationforselectionbeingconsidered.

2. Originaldocumentaryproofofatleastthreeyearspostdegreeworkingexperience.

Acertificateof serviceoranofficialletterfromyouremployerindicatingyourserviceperiod willbeadequate. Ifyouareself-employedyoucansubmitastatementfromyourpartneror

auditor.

3. Aletterfromyourcurrentemployeronacompany letterheadstatingthattheysupportyou

"inprinciple"intermsofyourintendedstudyontheMEM/MPMprogramme.

4. YourreferencenumberIstudentnumberreceivedfromtheUniversity'sClientService Centreonsubmissionofyourapplication foradmissiontotheUniversityofPretoria (

5. Copy of your ID document -South African applicants OR Passport if you are an

Internationalapplicant.

Pleasenote thatthecompletedapplicationformaccompaniedbyallrelevant documentationandapplicationfeesmustreach:

MrsHKriek

GraduateSchoolofTechnologyManagement

2-14,Engineering2Building UniversityofPretoria PRETORIA0002

Beforetheclosingdate,which is31October

Please print and complete the application form in black ink.
Please indicate for which programme you are applying for selection / MEM / MPM

PersonalDetails

Lastname:
Firstname(s):
Title:
PreferredFirstName:
UPstudentnumber:
Employer:
JobTitle:
WorkAddress: / PostalAddress(Home): / PhysicalAddress(Home):
PostalCode: / PostalCode: / PostalCode:
Tel (b) / Mobile
Fax(b)(Code) / Tel(h)
E-mail(b) / E-mail(h)
IdentityNumberIPassportNumber(Internationalapplicants)
Gender / Marital Status
HomeLanguage / Citizenship
Age / Race

WhatsymboldidyouachieveforMathematicsinMatric(Grade12)?

IHG ISGI

HaveyoupreviouslyappliedforadmissiontotheUniversityofPretoria?
IfYes-yearandforwhichprogrammeI degree?
Ifselected,didyouregister?

TertiaryQualifications

Qualificationsobtained(attachcopiesofallcertificatesacademicrecords.
University / Degree / Completed / Year
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No

DoyouhaveInternetaccess?

AtHome AtWork

WheredidyouobtaininformationabouttheMEMIMPM Programmes?

Mediaadvertisements / WordofMouth / Employer / Mail/Brochure

CareerHistory

Employer / Position / Typeofwork / Dates
Numberofyears relevantpost-degreeworkingexperience:

DeclarationbyApplicant

I,theundersigned,declarethat:
1. Theinformationprovidedistrueand correct.
2. Allrequireddocumentsareattached.
3. IamfullyfamiliarwiththeMEMIMPMadmissionrequirements
Signature: / Date: