Primary ID*

State/Province

Country

Country Code

First Name in Hebrew

APPLICANT PERSONAL INFORMATION

Full Legal Name*Your name must reflect your official government-registered name. This is how your name will appear on all official university documents.

Last Name in Hebrew

MBA : International ProgramApplication Form

2020-2021

Type Number Pl ace of Birth*

Permanent Mailing Address*

Permanent Phone Number*

Street Address

Street Address 2

City

Zip/Postal Code

State/Province

Country

Phone NumberCountry Code

Preferred Address*

Preferred Phone Number*

Street Address

Street Address 2

City

Zip/Postal Code

If you have a Teudat Zehut number, please use that as your primary ID.

Phone Number

Check here if preferred phone number is the same as above.

First Name Middle Name Last Name

Check here if preferred address is the same as above.

WAIT! BEFORE YOU ENTER ANY INFORMATION,

FIRST DOWNLOAD AND SAVE THIS FORM TO YOUR COMPUTER.

Marital Status

Children

Preferred Name - English

Date of Birth *

Gender*

Legal Status in Israel *

Preferred Name - Hebrew

Email Address*

Skype ID

LinkedIn URL

Blog or Personal Website

Expiration Date

Expiration Date

Country*

Major*

End Date

ACADEMIC INFORMATION

Degree Awarded*

Academic Institution*

State/Province

Department*

Dates Attended*

Country Passport Number

Country Passport Number

CITIZENSHIP & PASSPORTSIf you bear foreign citizenship, list each country and relevant passport information (except Israel).

Country* Passport Number* Expiration Date*

to

HIGHEST LEVEL OF EDUCATIONAs of August 2020, what will be your highest level of education (completed degree)?*

If other, please specify:

In order to apply to the MBA:IP, you must have an Undergraduate Degree from an accredited institution. If you completed your undergraduate degree in Israel but have not yet received your diploma, you may present your Certificate of Degree Eligibility instead.

UNDERGRADUATE DEGREE

Start Date End Date

I have not yet completed my undergraduate degree. I expect to receive my certificate of degree eligibility or diploma on

Current GPA

GPA

Country

Major

End Date

GPA Class Ranking/Standing (if available)

For which exam are you submitting a score?

Exam Date Total Score

GMAT/GRE ID Quantitative Score

Verbal Score

TEST SCORES

GMAT EXAM*

If none of your degrees are from an Israeli academic institution, you are required to submit a GMAT score. If you are a graduate of an Israeli academic institution, submission of the GMAT is an advantage. A GRE score may be submitted as well.

We accept GMAT/GRE scores that are no more than five years old. You may submit your Unofficial Score Report with this application; however, official acceptance to Ben-Gurion University of the Negev requires submission of your Official Score Report. To do so, select Ben-Gurion University of the Negev on test day. In addition, you may log into your account to use the Additional Score Reporting service and request to have your scores sent to BGU. Visit the official GMAT site for additional information:

https://www.mba.com/exams/gmat

ENGLISH LANGUAGE PROFICIENCY TESTIs English your first language?*

Was your undergraduate degree taught in English?*

If you have taken an English Language Skills Test within the past two years, please provide your score and date of exam for the test with the highest relative score.

Test

Score

Date

ADDITIONAL DEGREE

Degree Awarded

Academic Institution

State/Province

Department

Dates Attended

Start Date

If incomplete, I expect to receive the degree on

End Date

If you have additional degrees, please list them here:

HISTORYHave you previously applied to the Guilford Glazer Faculty of Business and Management? *

Please provide the year of your previous application.

Have you previously attended, or are you now attending, another business school? *Name of your previous business school: Dates attended:

Have you ever been suspended or placed on academic probation at any institution of higher learning?* Please explain your suspension or academic probation.

Have you ever been convicted of a felony?*

In 250 words, describe your specific career aspirations and your reason for pursuing an MBA at the

GGFBM International Program at BGU.

PERSONAL STATEMENT

How did you hear about us?

PROFESSIONAL BACKGROUND

Dates Job Title and Role Organization

Please select:*

Kindly elaborate:*

Please submit copies of the following supporting documents with your application. Note: - All documents must be saved in PDF format.

- All photos must saved in JPG format.

- All files must be saved with the indicated file name format.

Curriculum Vitae (CV) / Resume*

In English. No page limit.

File name format: “First-Name Last-Name_CV”.

Personal Statement

Save in WORD or PDF

File name format: “First-Name Last-Name_ESSAY”

Passport-sized Photo*

Save in JPG format

File name format: “First-Name Last-Name_PHOTO”

Diplomas*

All diplomas, for degree programs only.

File name format: “First-Name Last-Name_DEGREE TYPE_DIPLOMA”

Transcripts*

All transcripts, for degree programs only.

File name format: “First-Name Last-Name_DEGREE TYPE_TRANSCRIPT”

Official Class Ranking

If available

File name format: “First-Name Last-Name_DEGREE TYPE_OFFICIAL CLASS RANKING”

GMAT (or GRE) Unofficial Score Report

If available

File name format: “First-Name Last-Name_GMAT Unofficial Score Report YYYYMM”

**YYYY = Year in 4 digit. MM = Month in 2 digits

English Language Proficiency Test Score (TOEFL, IELTS, or Pearson's)

If available

File name format: “First-Name Last-Name_English_TEST NAME_ YYYYMMDD”

**YYYY = Year in 4 digits. MM = Month in 2 digits. DD = Day in 2 digits.

FOR NON-ISRAELI APPLICANTS Copy of the first page of each Passport

Save in JPG format

Copy of Birth CertificateIf the certificate is not in English, include a non-notarized, unofficial English translation.

FOR CURRENT OR PAST INTERNATIONAL BGU STUDENTSCopy of your BGU ID Save in JPG format

APPLICATION SUBMISSION CHECKLIST

IMPORTANT

Please check the following to confirm that you have read and understand the following:

SUBMISSION

Any non-Israeli Undergraduate documents that are not in English must be translated and notarized.

Non-original copies of the above documents are sufficient for the eligibility application form.

If you are deemed eligible to register to the MBA:IP, you will be required to submit an official BGU application via the link provided in your Letter of Eligibility.

Confirmation of Eligibility does not guarantee acceptance to BGU.

Upon official admission to BGU, the Admissions Office requires that students present their original diplomas, transcripts, and standardized test scores.

Thank you for submitting your application to the MBA : International Program at the Guilford Glazer Faculty of Business and Management

at Ben-Gurion University of the Negev.

1.DOWNLOAD - Download and save the PDF application form to your desktop.

2.COMPLETE - Complete the entire application form.

3.SIGN - Digitally sign your application form and add the date.

4.SAVE - Save your completed and signed application as a PDF.

5.SUBMIT - Submit application form and supporting documentation by email to mbaip@som.bgu.ac.il.

6.CHANGE SUBJECT - Change Email Subject to: MBA:IP Application - YOUR FULL NAME

INSTRUCTIONSYour application and supporting documentation must be submitted by email directly to the MBA:IP office.

FINAL SUBMISSION

The admission and registration of the undersigned, if granted pursuant to this application, is subject to all rules and provisions set forth by the university. I hereby certify that all information provided in my application is truthful, accurate and complete.

DATE SIGNATURE