Preview - SCALE Admission Form

8/10/2019 Preview - SCALE Admission Form

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APPLICATION FOR ADMISSIONAn asterisk (*) indicates a required eld.

Personal InformationFull Legal Name

Last Name: First Name: Middle Name:

Prex:

Sufx:

Preferred First name:

Former Name (if any):

* Gender:

* Native language:

* Date of Birth:

MIT ID:

Citizenship Information

* Country of birth:

* City of birth:

* State/Province of birth:

* Country of citizenship:

Permanent resident of:

If a permanent resident of the US, give registrationnumber:

If a foreign citizen in the US, give date of entry:

If a foreign citizen in the US, visa type:

* Passport number:

* Please upload a scanned copy of the personalinformation page of your passport:

Contact Information

* Email Address:

* Primary Phone:

Alternate Phone:

Skype ID:

LinkedIn Prole:Permanent Address

* Street Address:

Street Address Line 2:

* City:

* Country:

US State:

International State/Province:

Zip/Postal Code:

(if assigned one as a former student

(mm/dd/yyyy)

Accepted File Types: .jpg, .png, .pdf, .doc, .docx, .rtf, .gif

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Academic HistoryEducation Information

List all colleges and universities attended, major eld, dates of attendance and actual names of degrees

received or expected. List undergraduate institution where your bachelors degree or equivalent wascompleted rst (College/University #1). Then list the other institutions you attended, most recent rst.In order to allow us to receive your information properly, please use the search buttons. If the college/university is not on our list, you may enter your college/university information manually.

Please upload a copy of transcripts and diplomas from every college or university you have attendedin order to be reviewed for admission. If you are admitted to the program you must submit an ofcialtranscript from every college or university you have attended before you can begin the program. To beofcial, transcripts must be issued and sent by the Registrar of each institution, directly to the ProgramOfce of Admissions. You will not be fully admitted until all of your ofcial transcripts have been receivedand evaluated.

College/University

College/University #1

* College Name:

* City:

* State:

* Country:

Degree of Diploma:

* Start Date:

* End Date:

* Date degree awarded or expected:

* Major eld of study:

Second major eld of study:

Additional degree or diploma:

Cumulative G.P.A. for Colleges as listed on yourtranscript:

Enter Rank/Class Size:

Please describe the grading system used at thiscollege/university. Explain the specic meaning ofany numeric values, letter grades, and rankings.

Please attach your transcript for this College/University (PDF format preferred) in a single le

using the following button:

(mm/dd/yyyy)

Accepted File Types: .pdf

(mm/dd/yyyy)

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Browse... No le selected.

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Program Information

* Have you previously applied for admission to MITor one of the SCALE network programs:

* How did you hear about this program?


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Your extracurricular activities and accomplishments:

Other experience, including military, volunteer work, travel. Give dates and nature of work:

* Are you a Dual Degree applicant:

Dual Degree University of College:

Other graduate schools to which you are applying:

Employment Information

* Total years of work experience:

* Total years of work experience in the SupplyChain Management eld:

What industry are you currently employed in?

What is your current role?

Most recent or current employer:

Current Position Title:

Duration of Current Employment (years, months):

Does your current employer offer tuitionreimbursement?

If yes, what percentage or amount does itcontribute per year?

* Please attach your resume or C.V. using the

following button: Accepted File Types: .pdf, .doc, .docx, .rtf, .txt


,

Financial Aid

* Do you wish to be considered for an MIT SCALESupply Chain Fellowship?

Yes No

If you wish to be considered for an MIT SCALE Supply Chain Fellowship, please attach an essay stating anyspecial personal or family circumstances affecting your need for nancial assistance (500 word limit).

Accepted File Types: .pdf, .doc, .docx, .rtf, .txt



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Assured fnancial resources

List the amount of funds in US Dollars you can contribute to your rst year of study. Please note, if nocontribution is being reported, please enter 0:

* from savings:

* from spouse:

* from other family/friends:

* from employer or other outside agencies (moneyalready granted):

* from other sources:

* TOTAL ASSURED RESOURCES:

please specify:

Potential fnancial resources

List the sources of nancial aid for which your application is still pending (e.g., employer, military, N.S.F.,governmental or other agencies). Please note, if no contribution is being reported, please enter 0:

Name of agency

/ /

Potential

contribution

Start Date

(mm/dd/yyyy)

Date of

Notication(mm/dd/yyyy)

Number of

semesters

/ /

If you are married and plan to have your spouse and/or children accompany you, please state amount andsource of funds available for their support.

Total aid:

Source:

Total nancial resources (U.S.$) you expect to have during each subsequent year:

Total aid:

Source:

Expenses

Estimate the total expenses for your study at the MIT SCALE Program.

Total Expenses:

/ / / /

/ / / /


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Course Information

Record of Courses Taken in Preparation for Graduate Study

Please carefully read the instructions below before you complete this form.

Based on your transcript(s), please complete the following summary of your college and university classes.

Why we ask you to complete this form:We see transcripts from thousands of schools from all over the world. It is extremely helpful for us to

review applicants coursework and grades in a standard format.Transcripts show courses by semester oryear. However, the best way for us to evaluate your preparation is to see your courses grouped by subjectarea, with the most relevant courses at the top. Transcripts do not list textbooks used; many departmentsnd that information especially helpful. You can upload a list of textbooks used at the bottom of thissection.

General instructions:A transcript will not be accepted as a substitute for this information. If your university system does not twith the categories below--for example, if your courses do not have numbers or you did not receive coursegrades--leave those elds blank. Do not try to convert your university grading scale to MITs. Indicate thegrades as granted by your school and be sure that you give us a brief explanation of your schools gradingsystem on the previous page of this application.

Course no. Course name Academic year inwhich course was

taken

Ofcial coursegrade

Math Courses:

+

Course no. Course name Academic year in

which course wastaken

Ofcial course

grade

Operations Research, Management Science Courses:

+


taken

Ofcial coursegrade

Supply Chain and Logistics related Courses:

+


taken

Ofcial coursegrade

Other Engineering and Sciences Courses:

+


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taken

Ofcial coursegrade

Humanities Courses:

+

You may upload a list of textbooks used:



Your Selection:You have selected SCM Master of Engineering in Logistics and Supply Chain Management for Fall Term

2014.

Video Applycam Statement:You will need webcam capability to complete your application. As part of your application you will recorda video statement (3:00 time limit) answering the following question: Why do you want to get a Mastersdegree in supply chain management?

Video Interview:Also as part of your application we need to hear from you in person. After you have submitted the writtenportion of your application you will respond via webcam to a series of three questions (one minute timelimit for each question). Please follow the link in the email you will receive after you submit the writtenform to record your responses and complete your application. The video interview will be the nal compo-

nent of your application.

Apply to Multiple Programs in the SCALE Network:We encourage you to apply to all Masters programs in the MIT SCALE Global Network (SCM, ZLOG andMSCM). You will have the opportunity to apply to the other programs after you have submitted your initialapplication. Please follow the instructions on the nal submission page of this application and in the emailyou will receive after submitting. Most of the information you have already submitted in your initial appli-cation has been saved. You will not need to re-enter that information.

Financial Aid Information:For additional nancial aid information and eligibility requirements visit your programs nancial resourcepage: Zaragoza Logistics Center.

Program Selection


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Entrance Tests

MBA Entrance Exam

Note: In addition to self-reporting test scores on this form, ofcial reports must be send directly from thetesting organization to the program.

MBA Entrance Exam (IE, EBS, and INCAE dualdegree applicants only):

Score:

GRE

Date taken or to be taken:

Verbal Score:

Verbal Score Percentile(Do not include the % symbol):

Quantitative Score:

Quantitative Score Percentile(Do not include the % symbol):

Analytical Writing Score:

Analytical Writing Score Percentile(Do not include the % symbol):

(mm/yyyy)/

GMAT


GMAT Total Score:

Verbal Score:

Verbal Score Percentile

(Do not include the % symbol):Quantitative Score:

Quantitative Score Percentile(Do not include the % symbol):

Analytical Writing Score:

Analytical Writing Score Percentile(Do not include the % symbol):

Integrated Reasoning:

Integrated Reasoning Percentile(Do not include the % symbol):

(mm/yyyy)/


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International English Language Testing System (IELTS)


Reading:

Listening:

Writing:

Speaking:

Overall Score:

(mm/yyyy)/

Non-Native English Applicants Only

Test of English as a Foreign Language (TOFEL iBT) - Internet Test


Reading:

Listening:

Writing:

Speaking:Overall Score:

(mm/yyyy)/

* Essay

Research Topic (500 word limit)

Please choose an area or topic in supply chain management or logistics that interests you and describethe research you would like to be a part of or see done. Feel free to cite examples from work experience,readings, previous courses, etc.

Upload your essay here:


Browse...No le selected.

* Statement of Intent

(500 word limit)

Please give your reasons for wishing to do graduate work in Supply Chain Management. Prepare yourstatement of objectives and goals in whatever form clearly presents your views. Include as best youcan, your particular interests, be they experimental, theoretical, or issue-oriented, and show how yourbackground and MITs Global SCALE Network programs support these interests. Explain your long-termprofessional goals. The Admissions Committee will welcome any factors you wish to bring to its attention

concerning your academic and work experience to date.

Upload your essay here:




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Recommendations

An application for admission to SCALE Programs requires evaluations from three people capable ofjudging the professional and academic promise of the applicant. Applicants are encouraged to providetwo evaluations from professional sources (i.e., supervisors) and one from an academic source (i.e.,professor).

Prex:

* First Name:

* Last Name:

* Title:

* Institution/Company:

* Email Address:

* Waive Right to Access?

* I have completed this page and am ready to submit it at the time. I realize I will not be able toadd another evaluator after I submit this form.

Prex:

* First Name:

* Last Name:

* Title:


* Email Address:


Prex:

* First Name:

* Last Name:

* Title:


* Email Address:



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Additional Information and Requirements

Please upload any additional certicates, awards, publications, etc.

Comments (50 word limit)

Additional Document Upload

Additional Upload 1:




Accepted File Types: .jpg, .png, .pdf, .doc, .docx, .rtf, .txt, .gif








We encourage you to apply to all programs in theMIT SCALE Global Network. Let us know which

programs you are also interested in and instructionswill be emailed to you on how to resubmit your

application to these programs (check all that apply):

ZLOG The Master of Logistics and Supply Chain Management Program at the Zaragoza Logistics

Center, Zaragoza, SpainMSCM The Master of Science in Supply Chain Management Program at the Malaysia Institute forSupply Chain Innovation, Shah Alam, Malaysia

Administrative Code

If you have been given an administrative code,please enter your code:

If you have received a waiver code, please enter it:

Click here to enter your administrative code

I certify that all the information given on this application is complete and accurate. If I amadmitted, I agree to abide by established rules and regulations of the institution and accept theobligations imposed on me by the honor system.

By checking this box, I understand and afrm that I have an obligation to inform the Ofce ofAdmissions immediately if there is new information that changes the accuracy of my answers toany sections of this application. I understand that any misrepresentation of facts on this form maybe cause for refusal or cancellation of admission.

By checking this box, I agree to the transfer of this application data to the USA and consent to thedisclosure of this personal information to the MIT Global SCALE Program that that I am applyingto.

Date (mm/dd/yyyy)/ /


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MITs use of student information

MIT is committed to protecting the individual privacy of applicants and students by restricting the use of all collected information asspecied by Institute policies. In accordance with these policies, the information on this application may be used by MIT ofcials onlyfor appropriate administrative and research purposes.

Safety and securityThe MIT Annual Security and Fire Safety Report for 2012, prepared by the MIT Police Department, is a comprehensive publicationrequired by the Department of Education, also known as the Jeanne Clery Act. This publication, which provides an overview of theMIT Police Department, its services, campus security policies, and crime and re statistics, is available upon request from MIT PoliceHeadquarters, at W89, 77 Massachusetts Ave., Cambridge, MA 02139-4307 or online at http://web.mit.edu/cp/www/_docs/MIT-Police-security-report-2012.pdf This handbook is also available at HR and from the Admissions Ofce.

Nondiscrimination PolicyThe Massachusetts Institute of Technology is committed to the principle of equal opportunity in education and employment. TheInstitute does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion,disability, age, genetic information, veteran status, ancestry, or national or ethnic origin in the administration of its educational

policies, admissions policies, employment policies, scholarship and loan programs, and other Institute administered programs andactivities, but may favor US citizens or residents in admissions and nancial aid.*

The Vice President for Human Resources is designated as the Institutes Equal Opportunity Ofcer and Title IX Coordinator. Inquiriesconcerning the Institutes policies, compliance with applicable laws, statutes, and regulations (such as Title VI, Title IX, and Section504), and complaints may be directed to the Vice President for Human Resources, Room E19-215, 617-253-6512, or to theCoordinator of Staff Diversity Initiatives/Afrmative Action, Room E19-215, 617-253-1594. In the absence of the Vice President forHuman Resources or the Coordinator of Staff Diversity Initiatives/Afrmative Action, inquiries or complaints may be directed to theExecutive Vice President, Room 3-211, 617-253-3928, or to the Director of Labor and Employee Relations, Room E19-235N, 617-253-4264, respectively. Inquiries about the laws and about compliance may also be directed to the Assistant Secretary for CivilRights, US Department of Education.

*The ROTC programs at MIT are operated under Department of Defense (DOD) policies and regulations, and do not comply fullywith MITs policy of nondiscrimination with regard to sexual orientation. MIT continues to advocate for a change in DOD policies andregulations concerning sexual orientation, and will replace scholarships of students who lose ROTC nancial aid because of theseDOD policies and regulations.

Documents

Preview - SCALE Admission Form