高级管理人员工商管理硕士.doc

高级管理人员工商管理硕士CUHK EMBA(Xian) Programme申 请 表Application Form香港中文大学工商管理学院与西安交通大学管理学院合作开办Offered by the Faculty of Business Administration, The Chinese University of Hong Kong (CUHK)in cooperation with the School of Management, Xian Jiaotong University (XJTU) Offered by the Faculty of Business Administration, The Chinese University of Hong Kong (CUHK)in cooperation with the School of Management, Xian Jiaotong University (XJTU) 香港中文大学工商管理学院与西安交通大学管理学院合作开办CUHK高级管理人员工商管理硕士EMBA 申请须知Notes for Applicants截止报名日期容后公布。Application closing date is to be announced at a later date. I. 申请表格Application Form阁下需以中/英文填写申请表格，并寄回下列其中一个CUHK EMBA(Xian)办公室。The application form should be completed in English/Chinese and sent to one of the CUHK EMBA representative offices located at: 深圳高新区南区虚拟大学园A201室香港中文大学深圳研究院香港中文大学EMBA(Xian)深圳办公室邮政编码：518057CUHK EMBA(Xian) Programme Shenzhen OfficeCUHK Shenzhen Research InstituteRoom A201, Shenzhen Virtual University Park Building, High-Tech Industrial Park,Shenzhen,P.R.China(518057)香港新界沙田香港中文大学梁銶琚楼413A室香港中文大学EMBA(Xian)办公室CUHK EMBA (Xian) Programme OfficeRoom 413A, Leung Kau Kui Building , The Chinese University of Hong Kong,Shatin, N. T., Hong Kong陕西省西安市咸宁西路28号西安交通大学管理学院201室EMBA合作项目办公室邮政编码：710049Joint EMBA Programme Office, Room 201, The School of Management, Xian Jiaotong University , No. 28 Xian Ning West Road, Xian, P.R. China，710049II. 入学资格 Admission Requirementsi. 获得由中国教育部和香港中文大学认可的本科学历以及学士学位或等同本科学历的专业资格The applicant should have obtained a Bachelors degree or professional qualifications equivalent to a degree that is recognized by both the Chinese Ministry of Education and The Chinese University of Hong Kong;ii. 一般应具有至少7年的相关工作经验（毕业后计起），而其中5年必须居于管理职层The applicant should have at least 7 years of post-qualification business or relevant work experience, including 5 years in a managerial position;iii. 现居于高级管理职层。The applicant must currently hold a responsible, senior management position.III. 申请程序 Application Procedures以下文件需在截止日期之前送递有关办公室The following document should be submitted to the CUHK EMBA representative offices by the application closing date:i. 填妥的申请表；A completed application form;ii. 身份证复印件；A copy of your Identity Card;iii. 个人简历；Your Resume;iv. 大学成绩单两份 (加盖原毕业院校公章) ；Two sets of universitys official transcripts (with certified chop by the university concerned);v. 大学本科毕业证书、学士学位复印件一份；Copies of the graduation certificate plus the Degrees certificate;vi. 单位人事部发出的任职证明；Letter of Certification issued by the Unit(s) concerned;vii. 两份机密推荐书，推荐人可以使用拟定的推荐表格或自行另拟包含推荐表格所规定内容之推荐信。Two recommendation letters: the referees could either use the prescribed recommendation forms or individually draft letters with content contained in the prescribed form.viii. 名片六张； Six Business cards;ix. 近照六张；Six Photographs;阁下注册入学时，需出示上述文件之正本以作核实。The original versions of the above documents must be presented for verification during your registration.报名费Application Fee每位申请人交表时，需同时缴交人民币600元整之报名费。Each applicant is required to pay an application fee of RMB 600 together with the application forms. 面试Interviews 面试将在深圳或西安进行，时间和地点则另行通知。Interviews for selection will be held at Shenzhen or Xian. Selected applicants will be notified of the exact date and time later on.学费Tuition Fees是项为期两年的课程，学费为人民币220,000元整，费用将包括学费、书本费及往香港和境外实地考察的学习费用(不包括机票)。所有费用一经缴交，概不退还。The tuition fee for the entire two-year programme is RMB 220,000. The total amount covers the costs of instruction, textbooks and land costs of field trips in Hong Kong and overseas organization but does not cover the cost of airfare. Fees paid are non-refundable.网址W.hk/embachina查询Enquiry香港中文大学工商管理学院EMBA(Xian)办公室 EMBA (Xian) Programme Office联络人Name of Contact项目主任 田洛銦小姐 Miss. Jess Tin, Programme Officer邮寄地址Postal Address香港新界沙田 香港中文大学梁銶琚楼413A室CUHK EMBA (Xian) Programme Office, Room 413A, Leung Kau Kui Building , The Chinese University of Hong Kong, Shatin , N. T., Hong Kong电话号码Telephone00852-2696-1815 2696-1814传真Fax00852-2603-7392电邮Emailemba_.hk网址W.hk/embachinaEMBA(Xian)深圳办公室 EMBA (Xian) Programme Shenzhen Office联络人Name of Contact内地项目主任 张鑫先生 Mr. Zhang Xin, Programme Officer in Mainland China邮寄地址Postal Address深圳高新区南区虚拟大学园A201室 香港中文大学深圳研究院CUHK EMBA (Xian) Programme Shenzhen Office,CUHK Shenzhen Research Institute, Room A201, Shenzhen Virtual University Park Building, High-Tech Industrial Park,Shenzhen,P.R.China(518057)电话号码Telephon13379235427传真Fa邮Emailemba_.hk西安交通大学管理学院联络人Name of Contact项目主任 张晴女士 Ms. Zhang Qing, Programme Officer邮寄地址Postal Address陕西省西安市咸宁西路28号 西安交通大学管理学院201室西安交通大学EMBA合作项目办公室 邮政编码：710049Joint EMBA Programme Office, Room 201, The School of Management, Xian Jiaotong University, No. 28 Xian Ning West Road, Xian, China, 710049电话号码Telephon13319266180电邮E附注Remarks申请人于申请表上所填写之数据将作以下用途：The information we collected from your application form will be used for the following purposes:1. 甄选报读2009-2010年度本校所开办之EMBA课程的申请以及其它相关用途as a basis for selection of applicants for admission in 2009-2010 to the EMBA Programme offered by the University and other relevant or related purposes; and2. 向本地及海外有关院校/机构查核申请人之公开试及校内修业成绩or verifying information about the applicants studies from the relevant institutions in China and elsewhere; and3. 核对申请人是否曾在本校或其它院校就读for identifying records of previous studies as a student in the University and other institutions; and4. 如获录取，申请人注册为本校学生后，部分基本个人资料将会转为学生纪录，该纪录将按本校规定用于与该生学业相关之一切事宜。as part of applicants student records upon registration to the EMBA Programme, which will be used for all purposes relating to his/her study in accordance with the procedures of the University. 申請人編號：Application No.:香港中文大学工商管理学院与西安交通大学管理学院合作开办CUHK高级管理人员工商管理硕士EMBA Offered by the Faculty of Business Administration, The Chinese University of Hong Kong (CUHK)in cooperation with the School of Management, Xian Jiaotong University (XJTU)申请表格Application for Admission工商管理学院Faculty of Business Administration填表前请先细心阅读申请须知。Please read “Notes for Applicants” before completing the form. 第一部份：个人资料*Part I: Personal Data*(请以正楷填写。)(Please type or print.)英名姓名* 中文姓名* 男/女+Name in English* Name in Chinese* M/F+ (姓氏surname) (名字Other Names)身份证/护照号码+ 国籍 居住地点 ID Card/ Passport No.+ Nationality Residence 如果 阁下没有身份证，则请阁下提供阁下的护照或由政府部門签发之身份证明文件之号码。如获得录取， 阁下在注册时必须出示此证明文件以核实身份。If you do not have an Identity Card, please give below the number of your passport or the identity document issued by the government of your country. If you are admitted, you MUST present the same document for verification of your identity during registration. 文件种类 号码 Type of document Number 出生日期及地点 年龄 Date & Place of Birth Age (月Month/日Day/年Year)(地点Place)联络地址Correspondence Address 联络电话号码 移动电话 传呼机 Tel. No. Mobile Pager 通讯地址(如与上址不同) Permanent Address (if different from above) 联络电话 Tel. No. 办公地址Office Address 联络电话 传真号码 电邮地址 Tel No. Fax. No. Email Address 阁下管核之员工数目Number of Staff under Your Supervision直接： Direct：年薪Annual Salary (包括津贴及分红等including any Allowance, Bonus, etc.)：人民币RMB￥_间接：Indirect： 阁下直属上司的职位 Position of Your Direct Supervisor *提交申请表后，本申请书内所提供的数据如有任何更改，申请人必须尽快通知有关部门。Should any data change after submission of this form, the applicant must inform the Programme as soon as possible. *此姓名需与 阁下之身份证/护照上的姓名相同。Same as the name on your Identity Card/ Passport.+请删去不适用者。Delete as appropriate. 第二部份：学历Part II: Educational Background请列出 阁下曾就读的学院和大学。(请附上有关文件之副本两份。)List universities or colleges attended. (Please attach two photocopies of relevant documents.) 机构的名称及地点 Name & Location of Institution 就读的月/日/年份 AttendanceMonth/Day/Year 主修/副修科目Major/Minor Subjects 上课方式(例：全日制/兼读制/遥距授课等) Mode of Study (e.g. Full-time/ Part-time/ Distance Learning) 上课地点 Location of Study 学位(如属荣誉学位，请列明获取的等级) Degree (with Classification of Honours, if any) 颁发年份Year of Award 至to 至to 至to 至to 至to 至to 至to 至to 第三部份：专业资格Part III: Professional Qualifications请列出 阁下所持有之专业资格。List professional qualifications, if applicable.(请附上有关文件之副本两份。)(Please attached two photocopies of relevant documents.)专业资格 简称颁发日期Professional Qualifications Abbreviation Date Qualified 第四部份：工作经验Part IV: Working Experience请倒序列出 阁下的就业详情。List periods of employment in reverse chronological order. (先填上最近期之资料。) (Latest one first.) 公司/机构 地址 职位月/日/年份Company/Organization Address Position Month/Day/Year 至to 至to 至to 至to 至to 至to 至to 至to 至to 至to 至to 至to 请清楚填上 阁下之全职工作经验之年/月数。(由 阁下取得学位或认可的专业资格后至提交此份申请期间。) Please specify your exact amount (Years & Months) of full-time work experience, after obtaining the Bachelors degree or recognized professional qualification up to the beginning of September of the year of application. 及and 年Years 月Months第五部份：其它数据Part V: Other Information请列明 阁下现任职位之工作性质。(如需要，请另行加纸详述。)Please describe the duties and responsibilities of your present position. (Please attach a separate sheet if the space provided below is not sufficient.)请填上 阁下两位推荐人的姓名、职位、所属公司/机构名称。(阁下现任或前任雇主或老师均属适当人选。) Give names, positions, companies/organizations and addresses of two individuals whom you are requesting to return the confidential recommendation forms. (Current and former employers or teachers are preferred.)姓名职位公司/机构名称通讯地址NamePositionCompany/OrganizationCorrespondence Address (1) (2) 请列出 阁下曾获取的成绩、荣誉或奖项(学术界、商界、社会服务界或其它)。Please list any achievements, honours or awards (academic, business, community or others) which you have obtained. 请列明 阁下报读高级管理人员工商管理硕士课程的目标及原因。入学委员会对此部分格外重视。如 阁下需要，可另行加纸详述。Please describe your objectives and motives for seeking an EMBA degree. The Admissions Committee places strong emphasis on this statement. If you wish, you may append an additional sheet.阁下如何得知高级管理人员工商管理硕士课程的招生事宜请在下列适当的空格内填上。 阁下可选择超过一个空格：How did you learn about the application of the EMBA Programme? Please give a “” in the following box(es). You may give more than one “”: 通过高级管理人员工商管理硕士课程的网页 By EMBA Website 通过报纸的广告/报导 By newspaper advertisement/report来源名称 Name of source： 通过高级管理人员工商管理硕士课程的小册子 By EMBA brochure 通过公司/单位 By your company/unit 其它请列明Others: Please specify _第六部份：声明 Part VI: Declaration 1. 本人授权香港中文大学使用本人之资料数据，以查询有关本人在香港中文大学及其它院校之就读纪录。I authorize The Chinese University of Hong Kong (below “the University”) to use any data to carry out checks on multiple applications and checks on records of previous studies at the University and other institutions. 2. 本人明白在注册后，有关资料数据将转为学生纪录，香港中文大学可将该纪录按规定用于与本人学业相关之一切事宜。I understand that, upon my registration in the EMBA Programme, the data will become a part of my student record and may be used for all purposes relating to my studies in accordance with the procedures of the University. 3. 本人谨声明在本申请表及附件中提交之资料数据均属正确，并无遗漏，并明白若填报之数据失实，本人之入学申请及修业资格将被取消。I declare that the information given in support of this application is accurate and complete, and understand that any misrepresentation will result in disqualification for admission and subsequent enrolment in the University. 申请日期 Date of Application申请人签署 Signature of Applicant 请填妥下列邮寄卷标，作日后通讯之用。Please complete the following for correspondence.(请以正楷填写)(Please type or print.)姓名 Name 地址 Address (请以正楷填写)(Please type or print.)姓名 Name 地址 Address (请以正楷填写)(Please type or print.)姓名 Name 地址 Address 致：香港新界沙田香港中文大学梁銶琚楼413A室香港中文大学EMBA(Xian)办公室EMBA (Xian) Programme OfficeRoom 413A, Leung Kau Kui Building , The Chinese University of H