INTERNATIONAL EXCHANGE PROGRAM (IEP) – APPLICATION, SUMMER 2013, ROUND 1

Program information, dates and policies can be found at http://spike.wharton.upenn.edu/mbaprogram/. Please direct questions to Natalya Levina, Associate Director, Wharton MBA Program Office, 300 JMHH, [email protected], 215.898.8834 (direct line) or 215.898.7604 (to schedule an appointment).

Please type your responses to the questions indicated below. Applications should be delivered to the MBA Program Office, 300 JMHH, by October 19, 2012 at 5pm. Late applications and email submissions will not be accepted. Instructions:  Complete this application form and the student information form. If you are accepted, the student information form may be sent to the partner school.  Paste or upload a photo of yourself in the space to the left. You may use your Wharton MBA Facebook photo.  Print out your transcript from Penn InTouch and attach. Paste your photo  Print out your LT page (even if you have none) from Spike and attach. here after printing  Print a current copy of your resume and attach. or click to upload.  Answer the following questions, limiting yourself to one page at 12pt font, and attach: Why do you wish to participate in the specific exchange program? What do you hope to gain from the program that you would not have available to you at Wharton? How will participation in the exchange program help you achieve your academic, personal, and professional goals? Be specific with respect to your future plans and the benefits of study at your chosen exchange institution.

Name: ______Email: ______

Wharton MBA Major(s): ______Dual Degree Program (e.g., Lauder, SAIS, MBA/JD), if applicable: ______

GPA: ______Credit units of LT: ______Expected Graduation Date: ______

Name of your first choice exchange school: ______

Please rank up to five of the schools listed below (1 = most interest, 5 = least interest). Remember to indicate the term of study, including dates. Class instruction is in English, unless otherwise noted. Rank School Term of Study ____ Arison School of Business, IDC Herzliya, Israel ______Asian Institute of Management (AIM), Manila, Philippines ______Australian Graduate School of Management (AGSM), Sydney, Australia ______China Europe International Business School (CEIBS), Shanghai, China ______Indian School of Business (ISB), Hyderabad, India ______Keio Business School (KBS), Yokohama, Japan ______INSEAD – Europe, Fontainebleau, France ______INSEAD – Asia, Singapore ______HEC School of Management, Jouy-en-Josas, France ______IESE Business School, Barcelona, Spain ______COPPEAD, Rio de Janeiro, Brazil (most classes taught in Portuguese) ______London Business School (LBS), London, England ______Guanghua School of Management, Peking University, Beijing, China ______Rotterdam School of Management (RSM), Rotterdam, The Netherlands ______Sasin Graduate Institute of Business Administration, Bangkok, Thailand ______SDA Bocconi, Milan, Italy ______Stockholm School of Economics (SSE), Stockholm, Sweden ______Universidad Adolfo Ibanez, Santiago, Chile ______INTERNATIONAL EXCHANGE PROGRAM (IEP) – STUDENT INFORMATION FORM

Please complete this form and return it to the Wharton MBA Program Office (contact information below).

Name: ______

Email: ______

Current Address: ______

______Tel: ______

Permanent Address: ______

______Tel: ______

Date of Birth (Month/Day/Year): ____ /____ / ______Gender: ______

City and Country of Birth: ______

Citizenship: ______

Please enter the name and contact information of the person you would like contacted in the event of an emergency.

Name and relationship (mother, spouse, etc.):______

Address: ______

______Tel: ______

Please enter the name and relationship of any people that will be accompanying you on exchange.

Name and relationship: ______

Name and relationship: ______

Name and relationship: ______

Academic major: ______

Personal interests: ______

Please return this form and direct any questions to:

Staff: Natalya Levina, Associate Director Wharton MBA Program Office Address: Email: [email protected] 300 Jon M. Huntsman Hall Tel: +1.215.898.8834 3730 Walnut Street +1.215.898.7604 (MBA Program Office) Philadelphia, PA 19104-6340 Fax: +1.215.573.2090 Websites: www.wharton.upenn.edu