International University in Geneva

1. Programme of study applied for

Programme name *
Doctor of Business Administration (DBA) (in partnership with Plymouth University)
Doctor of Public Administration (DPA) (in partnership with Plymouth University)

2. Personal details - full names as shown on passport

Gender *
Male
Female

3. Residence

4. Address details

Permanent home address

Address for correspondence (if different from home address) e.g. overseas agent

5. English language requirements

Is English your first language? *
Yes
No

If no, have you taken your IELTS examination

English qualification (including Examining Body) Result / score Date taken
add

6. Educational qualifications

Please give details of your main qualifications to be considered for entry (BSc, BA, MSc, etc.). List in reverse chronological order giving most recent first.

Qualification Title Grade or Class Name of Institution Awarding Body Date of Award
add

7. Professional and other qualifications

Please give details of any professional qualifications held and specify whether obtained by examination, exemption from examination, or by other means. List in reverse chronological order giving most recent first.

Qualification Title Awarding Body Date of Award
add

8. Funding information

Who will pay your fees? *
You or your family
Government body
Employer
Other
Please provide details
Sponsorship applied for?
Approved?

(If appropriate attach confirmation to your application)

9. Employment and experience

Please give details below of employment including previous positions held with present employer. List in reverse chronological order giving most recent first. (Note: please send as an e-mail attachment (dba@iun.ch) a CV/résumé in addition to this information)

Name and address of employer Title and duties of post Date from Date to
add

10. Referees

Please give details of two referees below. We might contact them for further information about you.

First referee

Second referee

11. Availability for interview

We would like to interview applicants before recommending admission. Kindly give a contact number which can be used for this purpose.

12. Criminal convictions

If you have a relevant criminal conviction please tick box.

Relevant criminal offences include convictions, cautions, admonitions, reprimands, final warnings, bind over orders or similar involving one or more of those listed below:

Any kind of violence including (but not limited to) threatening behaviour, offences concerning the intention to harm or offences which resulted in actual bodily harm

Offences listed in the Sex Offences Act 2003

The unlawful supply of controlled drugs or substances where the conviction concerns commercial drug dealing or trafficking

Offences involving firearms

Offences involving arson

Offences listed in the Terrorism Act 2006

If your conviction involved an offence similar to those set out above, but was made by a court outside of Great Britain, and that conviction would not be considered as spent under the Rehabilitation of Act 1974, you should tick the box above.

13. Declaration

I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I understand that the decision to offer me a place rests solely with Plymouth University and is not subject to appeal. I understand that if I am offered a place on the programme, I agree to abide by the rules and regulations of Plymouth University.

14. Application checklist

Please ensure you scan and send us by e-mail (dba@iun.ch) the following items with this application form (incomplete applications will not be processed)

Documents to check

Copies of degree certificate(s) and transcript(s) (if appropriate) Copies of certificate(s) for professional qualifications (if appropriate) IELTS score slip or date when test to be taken (if appropriate) Passport photograph CV/résumé Proof of sponsorship if appropriate Research proposal