SPJIMR – PGPM PROGRAM INFORMATION FROM APPLICANT NAME: APPLICATION NO: SPECILIZATION: 1. Post PGPM, what will be your career plan- (Please put a tick or cross as applicable) I will rejoin my previous employer I will remain in the same function I will remain in the same industry I will move to another industry I want to make a track change Anything other than the above(please be as specific as possible) How certain are you about your above discussed plan? Very Sure/ Sure / Not Sure/ cant say 2. Will you be joining the program on study leave? Yes / No/ Any other option , please be specific No 3. Will you be sponsored by your employer for the program? Yes / No/ Any other option , please be specific No 4. Post PGPM, which of the following statements best describes your Job placement scenario(Please put a tick or cross as applicable) I would not need any help I will need some help I will be totally dependent on SPJMIR Anything other than the above(please be as specific as possible) 5. Based on your perception, please rate your self on the Competencies listed below. (Please tick one column in each row) a. b. c. Conceptual Skills (e.g. clarity of complex situations or theory; systematic thinking, vision, etc.) Analytical Skills (e.g. analytical thinking, comfort with data, modeling,etc) Managerial skills (e.g. decision making, dealing with difficult situation etc.) Outstandin g Very Good Good Averag e d. Behavioural skills - Team Handling (e.g. Works effectively and co-operatively with all stakeholders, Anticipates and responds to the needs) - Communication (e.g. good listener, ability to analyze and put into perspective, give and take feedback effectively - Adaptability & collaborative working (e.g. open and receptive to changes, willingness to change, acceptability of new ideas, keeps the team along, result oriented) Leading, Managing & developing (e.g. lead and show the way, ability to interact will levels with ease, allow & nurture growth of team, groom teammates, succession planning) Problem solving & delegation (e.g. quick thinking, proactive, look ahead and plan/delegate) 6. How did you come to know about PGPM programme in SPJIMR ( Please put a tick or cross as applicable) Paper Advertisement Internet Social Networking Sites Alumni Friends Mail If others specify Post PGPM and with specialization chosen by you, please list below the role that best describes your preferred role. (Kindly Rank your preference with Rank 1 being the most preferred role then Role 2 & 3) How have your professional experience shaped your current competencies? (please feel free to elaborate ) SECTION A NAME: APPLICATION NO: ACADEMIC PERFORMANCE Exam Year Stream University College % or CGPA Others, if any Post Graduation Graduation 4th Year Graduation 3rd Year Graduation 2nd Year Graduation 1st Year H. S. C. S. S. C PERSONAL & FAMILY DETAILS Annual Family Income excluding your income: Father Qualification Occupation Briefly state in not more than 50 words: Adversity faced in life. Mother Brother/Sister Rank, if any Distinct contributions to the society by you or your family members. My formative years… 1. SECTION B (Answer in not more than 200 words) 1. Explain a situation when you were a part of a team where the group process and/or intended outcome failed. What was your role, how did you contribute to the process or outcome, and what did you learn? 2. Describe an instance in which you took the strongest stand of your value system. What specific values were violated and what was at stake for you? 3. Explain a situation where you have brought about any improvement either in your self, work or society. SECTION C WORK-EXPERIENCE DETAILS (To be answered only if the candidate has full time work experience) 1. Please state year wise progression of your career Year (starting with recent) Duration (months) Company Name Department Designation *Salary (Per annum) * Kindly mention the Dollar value if any as such without conversion. 2. Give a detailed description of the roles, responsibilities and achievements at your current /last place of employment.(in not more than 300 words) 3.Please mention any academic or career gaps in your profile along with the reasons for the same(in not more than 300 words) PROFILE SHEET For Shortlisted Candidates Only Instructions Format: Font – Times New Roman, Size – 11, Spacing – Single Line. Follow the word limit strictly for each question. Answers exceeding the prescribed word limit WILL NOT be considered for evaluation. Handwritten applications will not be considered. When you send the form back please rename the file in this format-“Profile Sheet 1114-App No” and send it across. For eg: If your app no is 274586 the file should be renamed as “Profile Sheet 1114274586”. Please strictly adhere to this format. Mail a copy to admissionspgpm@spjimr.org with subject line “<APPLICATION NO > Questionnaire form”