MBA World Summit 2016 - Application Form
PERSONAL DATA
First Name
Last Name
Nationality
Email
Phone
Place of Residence
first name
last name
nationality
email
(country code) number
Street No.
ZIP | City, Country
MBA BACKGROUND
Business School
your business school
Graduation Year
XXXX
GMAT Score: XXX OR/AND GRE: XXX OR/AND CAT: XXX
ACADEMIC BACKGROUND
IMPORANT REMARKS
 Do only use this template
 Fill in the complete form
 Please consider the specifications
on page 2
 Name your CV (resume) as follows:
CV_Last Name, First Name
 Save file as .DOC and name it as
follows:
Application Form_Last Name, First
Name
 and send the form together with
your CV (resume) to
application@mbaworldsummit.com
Most important period(s)
MM/20YY - MM/20YY
University
Subject
Degree
MM/20YY - MM/20YY
University
Subject
Degree
PROFESSIONAL BACKGROUND
Most important period(s):
MM/20YY - MM/20YY
Company, Industry
Position / Function
Short Description
MM/20YY - MM/20YY
Company, Industry
Position / Function
Short Description
MM/20YY - MM/20YY
Company, Industry
Position / Function
Short Description
Total working Experience: XXX [in years]
Languages
Language 1
Language 2
Language 3
Language 4
X
X
X
X
Please state your proficiency level for each language:
[1]
[2]
[3]
[4]
[5]
Elementary proficiency
Limited working proficiency
Professional working proficiency
Full professional proficiency
Native or bilingual proficiency
Personal Interests
Name any personal interests which are especially important to you
MBA WORLD SUMMIT 2016
What can you contribute to the “MBA World Summit 2016? [max. 400 characters]
What do you expect from the “MBA World Summit 2016? [max. 400 characters]
SLS – Summit Laboratory Session [optional]:
If you would like to co-create the agenda for the Summit by conducting a „lecture”/ ”workshop”/
”talk shop”/ ”think tank”/ a creative format of your choice, please suggest a possible topic along
with a brief description. [max. 400 characters]
Title:
| Description:
Comments:
Terms & Conditions
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Applications for the MBA World Summit 2016 are open as of May 19th 2015
The deadline to submit the application is 23:59 GMT, November 27th, 2015
Early Bird Submissions received by November 14th 2015 enjoy a reduced application handling fee of EUR 30
(applications beyond this date will be charged at EUR 50). Applications can only be processed after having received
the application handling fee
Within 7 days after submission of the application applicants will be informed whether they are invited to the
“qualifying round”
“Qualifying Round” consisting of asynchronous video interviews will be held between December 4th 2015 and
January 2nd 2016
Those who are accepted to the “qualifying round” will receive regular updates on the MBA World Summit 2016 and
exclusive information about our partner companies
All selected summit participants will be notified by January 22nd 2016
Sponsorship of Travel for MBA World Summit Participants: We take care for all participants' hotel-reservation in
Miami and cover up to three hotel-nights in a 4*-hotel from the 9th until the 12th of March 2016 in a shared twinbed room (incl. breakfast); Furthermore we will sponsor flights into Miami depending on participant’s
corresponding airport zone (location of participant’s Business School) for tickets originating in the following zones
up to these maximum amounts
Airport Zone
Maximum Flight Sponsorship
United States & Canada
180 USD
Europe
380 EUR
Middle East
480 USD
Asia Pacific
580 USD
Africa
430 USD
Latin & South America
330 USD
Payment Method for Application Handling Fee: Applicants can either provide credit card information or transfer the
application fee via wire transfer directly to our account (applicants need to instruct their bank that all fees and
charges which might apply should be charged to the applicant; reference: full name + “MBA WS 2016 Application”
Please charge the application fee to my credit card
Your Credit Card Information
Credit Card Holder:
Credit Card Type:
Card Number:
XXXX-XXXX-XXXX-XXXX
Expiration Date:
MM / YY
Security Code:

I will transfer the application fee directly
Our Bank Account Information
Beneficiary:
QX-Quarterly Crossing GmbH
Bank:
Commerzbank Frankfurt
IBAN:
DE90 5004 0000 0316 4555 00
BIC:
COBADEFFXXX
By submitting the application I acknowledge these terms and conditions