Reference number: C-ZLOG-2009-001 Application Form ZLOG Eastern and Central Europe Scholarship Applicant’s full name: Address: City: Province: Postal code: Country: Telephone: E-mail address: Cumulative grade point average (GPA): GMAT score: Last salary; monthly or early (Please specify): For information about ZLOG student scholarships, please visit the Zaragoza Logistics Center web page at: http://www.zlc.edu.es. Please note that a completed copy of this form and the following documents must be returned to the ZLC Admissions Office before March 15th 2009. Required documents: Application Forms. Applicants need to submit 2 application forms: Admissions application form and Scholarship application form Resume. Detailed current resume indicating references and contact data of former employers. GMAT/GRE. Applicants are required to both self-report the GMAT or GRE scores on the application form and submit official score reports directly to the ZLC by using Institution Code 3803. The Institution Code is the same for both GMAT and GRE. For the GRE, please use Department Code 0000. TOEFL. Applicants are required to self-report the TOEFL scores on the application form and submit official score reports directly to ZLC by using the Institution Code 3803. Transcripts. Applicants should request an official transcript from each undergraduate and graduate program in which they have participated and submit it in its sealed envelope to Zaragoza Logistics Center. You may also request that your former educational institution(s) mail official copies of the transcripts directly to Zaragoza Logistics Center. Letters of Recommendation. Each applicant must provide three personal references from among professors, advisors, or supervisors. We encourage a mix of academic and professional evaluations, if possible. Income Statement Copy of passport 1 Reference number: C-ZLOG-2009-001 1. Please describe in 200 words or less how you feel that your interests and aptitudes compare to those required for a successful career in logistics and supply chain management. How have you nurtured these interests and aptitudes? What are your long term career plans within this field? 2. Please describe in 200 words or less any obstacles that you have overcome in the pursuit of your education. 3. Please describe in 200 words or less a situation when you employed leadership skills. What did you learn from it? 2 Reference number: C-ZLOG-2009-001 4. Briefly describe your employment history (name of employer with contact data, dates and type of work). 5. Briefly describe extracurricular activities (i.e. clubs, campus organizations, community service and/or volunteer organizations) in which you have been involved. 6. Please list any honors and/or awards you have received (copies of documents accounting for the honors and/or awards are required). 7. Please list any scholarships and grants you have received (copies of documents accounting for the scholarships and/or grants are required). 3 Reference number: C-ZLOG-2009-001 In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in cancelation of a scholarship in its original terms. I also certify that I have read the instructions and requirements outlined in the applicable scholarship guidelines and that I will adhere to them and provide all information related to grade reports, transcripts, etc. Applicant’s Signature Date Please return this form to: Zaragoza Logistics Center Admissions Office Avda. Gómez Laguna 25, 1ª planta E-50009 Zaragoza (SPAIN) Phone: +34 (976) 077 605 Fax: +34 (976) 077 612 Email: admissions@zlc.edu.es In compliance with article 5 of the Organic Law on Personal Data Protection, the FUNDACION ZARAGOZA LOGISTICS CENTER informs you that your personal data have been included in this institution’s students’ file. The purpose of the data processing is to manage your participation in the educational programme: registration, enrolment, scholarship program, development, assessment, control of the use of the resources and facilities, billing of such use, etc; to be able to send you information about other programmes, courses, events, Congresses that you may be interested in, via multi-address mails, newsletters or other notifications, as well as to include you in the existing job pool at the end of such Programme, for which you will be requested to send an updated CV at the appropriate time. This information will be received by both the FUNDACION ZARAGOZA LOGISTICS CENTER and the UNIVERSIDAD DE ZARAGOZA, as the programme you are going to study belongs to this university. We also inform you that your data (contact data, photo, curricular data, etc.) may be published on the website www.zlc.edu.es, always in connection with the Programme you have participated in and for which your express consent will be requested at the time. The above data will be used to prepare the MLOG-ZLOG Alumni Directory, which is sent to all the participants of both programmes and to the Massachusetts Institute of Technology, MLOG Program at MIT • 77 Massachusetts Avenue, E40-367 • Cambridge MA 02139, in order for students who have studied such programmes to be able to keep in contact with each other. You may exercise your rights of access, rectification, cancellation and opposition by contacting the party responsible for the file: FUNDACION ZARAGOZA LOGISTICS CENTER, Avenida Gómez Laguna 25, 1ª planta, 50009 Zaragoza. If you do not wish to receive information, please send an e-mail with the Subject “Unsubscribe” to baja@zlc.edu.es. 4