Official Application Form – BSL 2009 Future Leader ... - WiWi-Online

Official Application Form – BSL 2009 Future Leader Scholarship1. Winner PreferencePlease indicate the BSL MBA degree program you would be interested in taking:o Full‐time MBAo Flex MBAo Executive MBA2. Personal information and contact detailsMr./Mrs./Ms.:…………………………………………………………………………………………………………………………………………………….First Name Middle Name Family NameGender: Male FemaleMailing address: ………………………………………………………………………………………..……………….……………………………….Post code & City & Country:………………………………………………………………………………………………………………………….Telephone: ……………………………………………………………………Mobile telephone: ………………………………………………………..Nationality: …………………………………………………………………..Email: ………………………………………………………………Passport number: ……………………………………………3. Education (List the highest degree or qualification obtained)Degree or qualification obtained (year) by (Institution and location)……………………………………………………………………………… ………………………… …………………………………………………………….……………………………………………………………………………… ………………………… …………………………………………………………….4. English levelMother tongue Excellent Good Fair5. Work experience (Please mention your most recent positions starting with the current one)Company name Sector Position Dates(MM/YY to –MM/YY)………………………………………………………………….. ……………………………………...……. ……………………………………………………...........…… ……………….……..………………………………………………………………….. ……………………………………………. …………………………………………..………………….…… ……………….……..………………………………………………………………….. ……………………………………………. …………………………………………………………………… …………….………..

6. How did you hear about the BSL Future Leader Scholarship? (Please indicate the source)o BSL Website ……………………………………………………………………o Internet engine search ……………………………………………………………………o Current/Former BSL student(s) ……………………………………………………………………o Press Article ……………………………………………………………………o Other source: ……………………………………………………………………______________________________________________________________________________________________7. Future Leader Essay CompetitionBSL introduces a new modular MBA program designed to develop future leaders for tomorrow’s business challenges. To applyfor the BSL 2009 Future Leader Scholarship, please submit an essay, in English, consisting of 2000‐2500 words in response tothe following question:How will you use a BSL MBA to achieve your professional vision(s)?Additionally, the winning essay will outline:• Your professional vision and what you wish to accomplish.• Demonstrate your motivation and desire to succeed.• What is particularly relevant about BSL’s new MBA that will help you to succeed?Please note, all essays and application forms must be received by July 31, 2009.8. JudgingBSL’s new MBA was developed in collaboration with CEO’s and HR directors in order to provide an educationrelevant to today’s business needs. Essay submissions to the BSL 2009 Future Leader Scholarship award will bejudged by leaders in business, BSL’s two honorary judges:• Siegfried Gerlach, President & CEO of Siemens• Benoit Dumont, Chairman of JP Morgan ‐ SwitzerlandThe BSL 2009 Future Leader Scholarship recipient will be announced during the month of September.I, ………………………………………………………………, hereby certify that I have read and understood the BSL 2009 FutureLeader “Official Rules and Eligibility Requirements” and sign in acceptance of these conditions. I confirm that theinformation entered by myself on the application form is correct.First name: ____________________________ Family name: _________________________________Date: ________________________________ Signature of applicant: __________________________Please return your completed BSL 2009 Future Leader Scholarship application file, along with your typed essay to:Business School LausanneFuture Leader ScholarshipAv. Dapples 38 – PO Box 1601001 Lausanne, SwitzerlandEmailed entries are also accepted at info@bsl‐lausanne.ch.