International Immersion Initiatives KU Leuven FEB – 2015-2016 Lectures/Seminar/ Study trip to Chicago Applicant Name of applicant (first name, family name, as used in @student.kuleuven.be): KU student number: Enrolled in (tick the box of the relevant program): o o o o o o o o Master EW, TEW, Economie, het Recht en de Bedrijfskunde (Leuven) Master Business Economics (Leuven) Master Economics (Leuven) Master Handelswetenschappen (Antwerp) Master Handelswetenschappen/Master Business Administration (Brussels) Master Handelsingenieur (Brussels) Master Internationale Bedrijfseconomie en het Bedrijfsbeleid/Master of International Business Economics and Management (Brussels) Other: Passport data: Nr Country: Gender: F/M Academic record Belgian students: I earned my Bachelor’s (or Master’s, if any) from (university, program): It took me … years, and my overall percentage grade was: Foreign students: I earned my Bachelor’s from (university, program): My latest GMAT or GRE score is: All students: list any relevant awards/prizes, participation in selective events, etc: Extracurriculuar credentials State in at most five lines the extra-curricular activities you are most proud of – hobbies, community work, projects you contributed to or were coordinating, etc.: I confirm that the above is a true and faithful statement Date: Signature: Add: copy of Belgian grade transcripts if any, or GMAT/GRE, and a motivation letter (1 page). Send to Vanessa.geers@kuleuven.be by Friday Nov 6, 4:00 p.m. and put ‘Chicago application’ in the subject line