山东大学EMBA正式
报名表
集团标准化工作小组 #Q8QGGQT-GX8G08Q8-GNQGJ8-MHHGN#
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报名须知
一、为了使您的报名有效，请在截止日期之前提交所需材料。我们郑重承诺将对您的个人信息严格保密。提交的材料应包括：
1．报名表
报名表需由本人认真填写所有栏目，务必工整书写。您的报名表将被学校留档，请您自行复印留底。
2. 学历证明
请提交所有学历、学位证书复印件及大学成绩单复印件（加盖教务部门公章）各两份。
3. 两封推荐信
推荐人必须充分了解申请人的个人情况、教育背景和工作业绩。推荐人之一建议由申请人的直接领导担任，另一位可以是同业中的权威人士。推荐信必须由推荐人本人用所附空白推荐表填写，否则推荐无效。
4. 其他附件
八张一寸近照（请在背面署名），其中三张按要求贴在报名表和资格审查表上。 请在报名表规定处贴一张名片，并在报名表内附一张名片。 请在报名表规定处贴上清晰的身份证复印件。
二、 报名截止日期请参见当期招生简章。在收到申请人的报名表后，我们将进行初审，以确定参加笔试、面试的人选。请申请人在寄回报名表后注意查收考试通知。
三、申请人声明 本人郑重声明 我提供的所有个人信息皆准确和完整，我同意在需要的情况下提交原件以确认我的报名资格。报考程序规定的个人论述及自命题论文均由我本人完成。由于报名材料中的虚假、错误信息或重大遗漏而导致不被录取或取消学籍，后果由我个人承担。 我理解并同意山东大学关于所有EMBA申请人报名材料归学校所有、不予退回的规定。 申请人签名: 日期：
Ⅰ. Please finish all the information required in the application form before the deadline, which should be treated as strictly confidential.
1. Application Form
Please fill in every item in neat letter and save a copy before you send the application form back.
2. Clear copy of college degree or diploma certificate
Two clear copies of college degree or diploma certificate and the copy of sealed official college transcript are necessary. 3. Two Recommendation Letters
Please submit two letters of recommendation written by individuals who have observed your abilities and personalities in a professional or academic environment. One of them
should be your current immediate supervisor. The other must be an authoritative figure in the same industry who knows the applicant well. The letters of recommendation are valid only when they are written and signed by the recommenders themselves.
4. Others
Five 1-inch recent photos bearing the name of the applicant on the back, with three pasted on the form as required.
Please paste one business card on the form and enclose another one in it. Please paste one clear copy of your ID card.
Ⅱ. The deadline for application can be found in recruitment booklet. Candidates who
have passed the preliminary checkup are to be interviewed. Please be noted to check our advice after application form had been mailed. Ⅲ. Declaration Declaration by applicant： I hereby declare that all the information given in this application, including required attachments and supporting documents, is to the best of my knowledge, truthful, accurate and complete; and I agree to provide original documents/certificate(s) for verification when required. I further certify that all essays are entirely and exclusively my own work and that no documents have been falsified. I am aware that any misrepresentation or omission of material in my application will result in the denial of application or the 请贴一寸彩色 cancellation of student status. 近照 I understand that materials received by Shandong University in connection with this application become the Please attach property of Shandong University, as such, no materials submitted can be returned. one 1-inch Signature： Date： Shandong University EMBA Program 山东大学高级管理人员工商管理硕士 recent photo 请贴上清晰的有效身份证件复印件 Please attach a clear copy of your ID card
个人信息 Personal Data
1.姓 名: 英文名（如果有） Name English name 2.性 别： □男 □女 民族: 政治面貌: Gender □Male □Female Ethnic Group Party 3.出生日期: Date of Birth (dd/mm/yy) 身份证号(或护照号等)： Personal ID Number 4.婚姻状况: □未婚
□已婚
Marital Status: □Single □Married
5.国籍: 籍贯（或出生地）: Nationality Place of Birth 6.通讯信息 Contact Information 通讯地址： 省 市 邮编 Contact Address Province City Zip code 电话： 传真： 电子邮件： 手机： Telephone Fax E-Mail Mobile 常住地址： 省 市 邮编
Permanent Address Province City Zip code 电话： 传真： 电子邮件： 手机： Telephone Fax E-Mail Mobile 紧急联系人 In case of emergency, please contact: 姓名： (先生□/女士□)电话: 手机:
Name (Sir□/Madam□)Tel Mobile 7.家庭信息 Family Information
家庭成员 Family Member 关系 Relationship 工作单位 Current Employer 职务 Position 联系方式（手机） Contact Number
山东大学EMBA正式报名表
