APPLICATION FORM FOR NON-LUISS STUDENTS AND GRADUATES

DOUBLE DEGREE PROGRAM WITH EUROPEAN BUSINESS SCHOOL
Application form to be handed or sent by regular mail to:
International Development Office
Viale Romania, 32
00197 Roma
NB: Applications sent by regular mail must be received within the deadline of the Call and must be anticipated by pdf to the following email address:
Deadline for submission: February 15th 2016 at 13.00 / Photo
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Ø Please complete the form with clear capital letters:

1. PERSONAL DATA:

Surname: ______Name: ______Nationality: ______

City of birth: ______Date of birth: ______Mobile: ______

Permanent Address: ______N°: _____ Cap: ______City: ______

Prov: ______tel.: ______E-mail:______

Current Address: ______N°: ______cap: ______City:______

Prov:______tel.: ______E-mail:______

ID Card or Passport N°: ______

2. CURRICULUM DATA:

Students and graduates from other universities (not graduated before July 2015) in compliance with the minimum curricular requirements indicated in the LUISS Admission Procedures, willing to enrol in the LUISS Master’s Degree in Management

University of enrolment at Bachelor level ______

For students only: Credits registered by the deadline of the Call ______

For students only: Credits obtainable by the deadline of the Call ______

3. ATTACHMENTS (all documents must be in English):

·  For students: Latest transcript of records with indication of all credits and grades obtained;

·  For students: Official study plan sealed by the University of origin, with indications of all credits obtainable in each semester of the Bachelor’s Degree;

·  For graduates: Transcript of records with indication of the Bachelor’s Degree final grade;

·  Certificate of proficiency of the English Language;

·  GMAT/GRE or EBScore certificate;

·  Copy of passport/ID;

·  Motivation letter;

·  Curriculum Vitae;

·  1 passport-sized picture;

·  Other certificates (optional).

I authorize the processing of my personal data, under the Legislative Decree No. 196/03, for the purposes envisaged by the programme.

Date: / Candidate’s signature for acceptance of the Calls’ rules: