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Application form

Please fill this application form for the MBA at PSBS :

SURNAME FIRST NAME Sex M F
MAIDEN NAME DATE OF BIRTH
TOWN OF BIRTH COUNTRY OF BIRTH
Nationality Mother tongue
Cellphone number Address during the studies
Land phone Residential address
Mail address


Obtained or current diplomas (note average or mention, precise of 10/20/100)
Diplomas Title of the diploma Establishment, Town, Country Year Average or mention

Baccalaureat (or equiv.)

Junior College degree (or equiv.)

Bachelor’s degree (or equiv.)

Master’s degree (or equiv.)

Advanced degree  (5 years or +)

 


SITUATION
If employee, precise post :


FOREIGN LANGUAGES : Precise your estimated level.
Language Very good Good Average Low Beginner
Frenchspeaking: Yes
No 		If not Frenchspeaking, level in French:
First foreign language
Second foreign language
Third foreign language


STAYS ABROAD : Studies (ERASMUS…), professional or personal reasons : indicate below the nature, the country and the period (by starting with the most recent)


PROFESSIONAL EXPERIENCES : EMPLOYMENT, TRAINING PERIODS : Precise below the posts you’ve occupied, the training periods or the experiences, by beginning with the most recent.


PROJECTS : Why have you chosen this formation? What is your professional project or research, if you already have one? Thank  you for answering these questions in 10 to 15 lines.


PERSONAL CENTER OF INTEREST : Reading, practice of art, sport, associations…


 
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PSBS 82-86, rue de l’Etoile, 93000 Bobigny – Paris – France
Tel : +33 (0)1 48 32 78 78

Conception & réalisation Cortix, 2007