1
Katholieke Universiteit Leuven
FACULTY OF ECONOMICS AND BUSINESS
NAAMSESTRAAT 69
B-3000 LEUVEN (BELGIUM)
KATHOLIEKE
UNIVERSITEIT
LEUVEN
APPLICATION FORM FOR THE DOCTORAL PROGRAMME
for academic year
1.
/
 I apply for the Doctoral Programme in Economics
 I apply for the Doctoral Programme in Business Economics
2.
Name: Mr. / Ms.
first
middle
last
3a. Permanent address:
Street and number
(State and) ZIP code
City
Country
Telephone
E-mail address: __________________________________________________________________
3b. Mailing address — valid until :
month
day
year
Street and number
4.
Place of birth:
(State and) ZIP code
City
Country
Telephone
Date of birth:
month
Gender:
Marital status:
Number of children:
Native tongue:
Nationality:
day
year
2
5.
My promotor at K.U.Leuven will be: _________________________________________________________
6.
Studies:
Starting with the most recent degree you obtained and going back in time, please list below all educational programmes you attended after
secondary education (high school):
Name, location of institution
From/till (month & year)
Degree obtained
Grade or GPA
Note: certified and detailed copies of diplomas should be included with your application material.
7.
Professional experience, including summer jobs. Please start with the most recent activity and go back in time; use a separate sheet if necessary.
Type of work
8.
8a.
From/till (month & year)
Name of employer or organization
Present status:
I am a student at:
_________________________________________________
Name of school
(State and) ZIP code
_________________________________________________________
Address: street and number
City
Country
Telephone
Degree that will be obtained:
Expected graduation date:
8b.
I am working with
______________________________________
Name of employer
(State and) ZIP code
Address: street and number
City
Country
Telephone
Job title or position:
Concise job description:
Is your company aware of your application?
Yes
No
Will your company be paying for your studies?
Yes
No
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9.
List any papers you have published or scientific work you have done:
essay (mémoire, thesis)
articles:
10.
Language skills (please specify: fluent, adequate, or elementary)
Language
Reading
Speaking
Writing
English
[Other :]
11.
State briefly (1) why you seek admission to this particular programme, (2) which area you would like to specialize in and (3)
why you seek admission to K.U.Leuven (Catholic University of Leuven) for these studies.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
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12.
Name two referees from whom further information may be obtained concerning your qualifications and aptitude.
State their occupation and address:
1.
2.
I am enclosing
letter(s) of recommendation.
13.
I will finance my studies at K.U.Leuven as follows:
14.
Diplomas and transcripts: I enclose diplomas and transcripts from the following colleges or universities:
1.
2.
3.
4.
5.
Note: Transcripts should list, for each individual course that was taken, (1) the course title, (2) the marks obtained, and (3) the minimum mark
for a "pass". Please also provide an overall percentage, GPA, and an indication of your rank in your class (percentage of students below, or
honors, distinctions, etc).
15a. Application for the Doctoral Programme in Business Economics:
GMAT (Graduate Management Admission Test) score:
Not yet taken; will be taken on (specify time):
Has been taken on (specify time):
Result (if known)
score: _________________
Waiver promotor + signature promotor:
15b. Application for the Doctoral Programme in Economics:
GRE (Graduate Record Examinations) score:
Not yet taken; will be taken on (specify time):
Has been taken on (specify time):
Result (if known)
score: _________________
Waiver promotor + signature promotor:
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16.
Please add on a separate sheet any further information or considerations that you think to be relevant for your admission.
17.
PLACE
DATE
SIGNATURE
Please fill in these forms carefully. Date and sign the forms and return them together with all required
documents to:
Ms. Annie Vercruysse
Coordinator Doctoral Programmes and PhD
Faculty of Economics and Business
Naamsestraat 69
B-3000 Leuven (Belgium)
The Faculty Council will not consider any package that is incomplete. Please verify that you have filled in all entries correctly. Date
and sign this form and return it to the above address, together with
1. certified copies of your transcripts, listing all the information mentioned under item 14 of this form
2. certified copies of all the diplomas that you mention under item 6 of this form
3. two letters of recommendation (in sealed envelopes, signed across the seal by the recommender)
4. the original or a copy of your GMAT report (application for the Doctoral Programme in Business Economics) or GRE report
(application for the Doctoral Programme in Economics).