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MPP application form

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APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP) 53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected] 1 | Page APPLICANT INFORMATION Please attach a recent passport-sized photo of yourself here* ___________________________ Last Name* __________________________ First Name* __________________________ Middle Name (Enter name exactly as it appears on official documents) Date of birth* ______________________ dd/mm/yyyy Place of birth* _______________________ Age* ____________ Preferred Telephone* Home Cell Permanent home address* _________________________________ Street address Male Female Home*:__________________________ Area/Country/City Code _________________________________ City/Town ZIP/Postal Code Marital Status* Single Married Widowed Divorced Cell*:__________________________ Area/Country/City Code __________ _____________________ State/Province Country No. of children* ___________ E-mail Address*___________________ Name of next-of-kin* ______________________________ Relationship* Parent Trustee Sibling Address* _______________________________ Telephone* _______________________________ ZIP/Postal Code* ________________ DEMOGRAPHICS Citizenship* __________________________________ Non-KZ Citizenship ______________________________________________ Country Ethnic group* __________________________________ Dual citizenship * Yes No If yes, from which country _________________________________ Passport or ID number* (underline) ____________________________ Place of issue* ___________________________________________________ Date of issue* ___________________________________________________ Date of expiry* __________________________________________________
Transcript
Page 1: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

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APPLICANT INFORMATION

Please attach

a recent passport-sized

photo of yourself here*

___________________________

Last Name*

__________________________

First Name*

__________________________

Middle Name

(Enter name exactly as it appears on official documents)

Date of birth* ______________________ dd/mm/yyyy

Place of birth* _______________________

Age* ____________

Preferred Telephone*

Home

Cell

Permanent home address*

_________________________________ Street address

Male

Female

Home*:__________________________

Area/Country/City Code

_________________________________ City/Town ZIP/Postal Code

Marital Status*

Single

Married

Widowed

Divorced

Cell*:__________________________

Area/Country/City Code

__________ _____________________

State/Province Country

No. of children* ___________ E-mail Address*___________________

Name of next-of-kin*

______________________________

Relationship*

Parent

Trustee

Sibling

Address*

_______________________________

Telephone*

_______________________________

ZIP/Postal Code* ________________

DEMOGRAPHICS

Citizenship* __________________________________ Non-KZ Citizenship ______________________________________________

Country

Ethnic group* __________________________________

Dual citizenship *

Yes No

If yes, from which country

_________________________________

Passport or ID number* (underline) ____________________________

Place of issue* ___________________________________________________

Date of issue* ___________________________________________________

Date of expiry* __________________________________________________

Page 2: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

2 | P a g e

WORK EXPERIENCE

Please list your current or most recent position first. Please do not refer us to your curriculum vitae

1. Position __________________________________ Organization ___________________________

Date employed from ________ to ________ Full-time Part-time

Nature of organization Government Private Non-for-profit sector

______________________________ ________________ ________________ ________________ Mailing address Postal Code Telephone Fax number

2. Position __________________________________ Organization ___________________________

Date employed from ________ to ________ Full-time Part-time

Nature of organization: Government Private Non-for-profit sector

_____________________________ ________________ ________________ ________________ Mailing address Postal Code Telephone Fax number

3. Position __________________________________ Organization ___________________________

Date employed from ________ to ________ Full-time Part-time

Nature of organization Government Private Non-for-profit sector

____________________________ ________________ ________________ ________________ Mailing address Postal Code Telephone Fax number

___________________________________________________________________ Total years of work experience as of 1 January 2013

___________________________________________________________________ Total years of work experience in current position

____________________________________________________________________________________________________________________ Please describe your current position and major responsibilities

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

TERTIARY EDUCATION

Please list your undergraduate and graduate education, as well as any courses you are currently enrolled in and their expected

completion dates.

From

(MM/YYYY)

To

(MM/YYYY) Institution Degree/Major

Duration of

program

(no. of years)

Page 3: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

3 | P a g e

EDUCATIONAL RECORD

Please indicate if you have previously studied the subjects below and whether it was at the post-secondary/high school or tertiary

levels

Subject Level Subject Level Subject Level

Economics Political Science Mathematics

Sociology Statistics

Any other public policy-related disciplines

Subject Level Subject Level Subject Level

STANDARDISED TEST SCORES

Please provide either your TOEFL or IELTS score below.

TOEFL ______________________________ (Date Taken) dd/mm/yy

Please indicate the type of test you are taking/ have taken

Paper-based test Internet-based test

Reading ________

Writing ________

Listening ________

Speaking ________

Total score ________

IELTS ______________________________ (Date Taken) dd/mm/yy

Reading ________

Writing ________

Listening ________

Speaking ________

Total score ________

If you are still waiting for your English language proficiency results please indicate the expected date __________ dd/mm/yy

OTHER GRADUATE ADMISSIONS EXAMINATIONS

GRE Date (mm/yyyy) __________________ Verbal score / percentile ________

Registration number _______________ Quantitative score / percentile________

Analytical score / percentile ________

Total score / percentile ________

GMAT Date (mm/yyyy) __________________ Verbal score / percentile _______

Registration number _______________ Quantitative score / percentile_______

Analytical score / percentile _______

Total score / percentile _______

If you are still waiting for your GRE result please indicate the expected date __________ dd/mm/yy

Page 4: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

4 | P a g e

PROFESSIONAL QUALIFICATIONS / CERTIFICATION

From To Organization/

Institution Certificate/Diploma

MEMBERSHIP OF PROFESSIONAL ORGANIZATIONS

From To Organization/

Institution Position

MAJOR EXTRA-CURRICULAR AND CIVIC OR COMMUNITY ACTIVITIES (Please list in order of importance)

Activity Office held or

honours

Elected or

appointed

Active dates

mm/yyyy – mm/yyyy

REFERENCES

Please provide below the details of your two referees. Please note that references have to be in English.

______________________________ ______________________________ __________________________________ Name Position Organization

__________________________________________________________________________________________________

Address of organization/ Institution

_____________________________________ ____________________________ _________________________________________

Telephone number Fax number Email

______________________________ ______________________________ _________________________________ Name Position Organization

_________________________________________________________________________________________________

Address of organization/ Institution

_________________________ ________________ ___________________ Telephone number Fax number Email

Page 5: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

5 | P a g e

ESSAY*

Please limit your essays to 500 words each.

#1: Describe your most significant professional contribution towards the public interest.

Page 6: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

6 | P a g e

#2: What is the most critical public problem facing your organization or community? What should be done about it?

(500 words limit)

Page 7: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

7 | P a g e

#3: How do you see the MPP programme helping you to further your personal and career goals?

(500 words limit)

Page 8: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

8 | P a g e

PREVIOUS APPLICATION

Have you previously applied for admission or been admitted to any graduate programme at the Nazarbayev University? *

Yes No _________________________________________________________________________

If yes please identify the programme you applied to and the year of application

Outcome of application: Successful Unsuccessful ______________________________________ If successful please indicate date of enrollment

Current status: Graduated Withdrawn Failed Current student

Are you applying to any other graduate programme at NU for Academic Year 2013? *

Yes No __________________________________________________________________ If yes please identify them

Are you applying to any other universities? *

Yes No __________________________________________________________________ If yes please identify them

DISABILITIES AND SPECIAL NEEDS

Do you have any disabilities (including but not limited to chronic illnesses, communicable diseases, mental illness,

colour blindness, visual or other physical constraints or limitations) which may or may not cause you to require special assistance

or facilities while studying at the University?*

Yes No _________________________________________________________________________________ If yes please provide all relevant information on a separate sheet of paper (and attach the relevant medical documents)

Note: This information will enable the University to develop a complete profile of an applicant and to determine whether

he/she might need additional resources in his/her studies. The University does not however guarantee the provision of special aid

(financial or otherwise) to any student.

FEEDBACK

To help us reach out better to prospective students, please tell us how you first came to know about the MPP programme

(please indicate all relevant channels)

Word of mouth (please select all relevant options and specify them)

__________________________________ ___________________________________________ ○ Referral from faculty or staff at NU ○ Referral from alumni of LKY School, NUS

__________________________________ ___________________________________________ ○ Referral from current students at NU ○ Referral from own organization

__________________________________ ________________________________ ○ Referral from Government Agency, which one? ○ Others ○ Not Applicable

Print Media (please select all relevant options and specify them) __________________________________ _________________________ ○ Advertisement ○ Interview/feature on NU and/ or faculty

__________________________________ _________________________ ○ Others ○ Not Applicable

Online Media (please select all relevant options and specify them)

___________________________________ ________________________ ○ Internet search (please specify search engine) ○ Online advertisement e.g. web banner

___________________________________ ________________________________ ○ Online referral or mention in blogs, chat sites etc ○ Others ○ Not Applicable

Page 9: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

9 | P a g e

Information Sessions or Exhibitions (please select all relevant options and specify them)

__________________________________ ________________________ ○ NU information session ○ Education exhibitions ___________________________________ ________________________ ○ Others ○ Not Applicable

If you have indicated multiple channels, please list your top 3 channels in order of the influence they had in stimulating

your interest in Graduate School of Public Policy, Nazarbayev University

Channel Order of Ranking (eg. 1,2,3)

Word of mouth

Print Media

Online Media

Information Sessions or Exhibitions

Others (please specify)

DECLARATION

Required Signature

I certify that all statements made by me on this form are correct. I understand that any inaccurate or false information (or

omission of material information) will render this application invalid and that, if admitted on the basis of such

information, I may be required to withdraw from the University.

Your full name _________________________________________________ Signature

Date ________________

dd/mm/yyyy

Page 10: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

10 | P a g e

REFERENCE FORM: 2013 MASTER IN PUBLIC POLICY*

TO THE APPLICANT

Please complete this section and forward this form to the person who will write your reference.

__________________________________________ ______________________________ Name of applicant as it appears in Passport

Middle name

__________________________________________ Last name

_______________________________________________________ ____________________________________________

Name of referee Position __________________________________________ Name of institution/organization

__________________________________________

Address

___________________________ _______________ ____________________________________

Telephone number Fax number Email

TO THE REFEREE

The above-named applicant is applying for admission to the Master in Public Policy programme at the Graduate School of Public Policy, Nazarbayev University.

The School requires applicants to submit individual references. Please write as fully as you can about the applicant, describing strengths as well as weaknesses. The School is interested in admitting students of outstanding intellectual promise and sufficient preparation to participate successfully in a rigorous professional education programme. Your reference must be typed on your organization’s letterhead and include your signature.

1. How long have you known the applicant and in what capacity? 2. What do you consider to be the applicant’s strengths? You may wish to comment on breadth of

knowledge and quality of oral and written expression in English. 3. Please describe an activity or programme in which the applicant was involved that illustrates

his or her special abilities and/or leadership skills or potential. 4. What do you consider to be the applicant’s weaknesses? 5. Where do you think the applicant would have greatest difficulty in an intensive

graduate professional course of study? This would be an area where the applicant ought to receive additional preparation if admitted.

6. Please comment on the applicant’s knowledge of economics and mathematics. 7. Please comment on the applicant’s career potential and your projection on his or her future

success. 8. Rate the applicant in the areas indicated below in the table. We are interested in your

comparison of the applicant with his/her peers and colleagues at the same level. 9. Please make any additional comments about the applicant’s potential or personal qualities

which you feel would be helpful to the Admissions Committee. We are especially interested in anything you might add that would not otherwise be apparent in the applicant’s record (e.g.

Page 11: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

11 | P a g e

evidence of character, values, a point of interest or concern about which the applicant is particularly enthusiastic, and any special talent or quality he or she possesses).

Date ________________

dd/mm/yyyy

Please complete this form and write a recommendation letter on your organization's letterhead. The documents must be in a sealed envelope with your signature written across the flap.

Thank you for your time and effort in completing this reference!

Unable to comment

Marginal (lower 50%)

Average (top 50%)

Good (top 25%)

Excellent (top 10%)

Superior (top 3%)

A. Intellectual ability □ □ □ □ □ □

B. Ability/promise as a leader □ □ □ □ □ □

C. Quality of oral expression □ □ □ □ □ □

D. Quality of written expression □ □ □ □ □ □

E. Organizational ability □ □ □ □ □ □

F. Emotional maturity □ □ □ □ □ □

G. Ability to work with others □ □ □ □ □ □

H. Commitment to public service □ □ □ □ □ □

Page 12: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

12 | P a g e

REFERENCE FORM: 2013 MASTER IN PUBLIC POLICY*

TO THE APPLICANT

Please complete this section and forward this form to the person who will write your reference.

__________________________________________ ______________________________ Name of applicant as it appears in Passport

Middle name

__________________________________________ Last name

_______________________________________________________ ____________________________________________

Name of referee Position __________________________________________ Name of institution/organization

__________________________________________

Address

___________________________ _______________ ____________________________________

Telephone number Fax number Email

TO THE REFEREE

The above-named applicant is applying for admission to the Master in Public Policy programme at the Graduate School of Public Policy, Nazarbayev University.

The School requires applicants to submit individual references. Please write as fully as you can about the applicant, describing strengths as well as weaknesses. The School is interested in admitting students of outstanding intellectual promise and sufficient preparation to participate successfully in a rigorous professional education programme. Your reference must be typed on your organization’s letterhead and include your signature.

1. How long have you known the applicant and in what capacity? 2. What do you consider to be the applicant’s strengths? You may wish to comment on breadth of knowledge and quality of oral and written expression in English. 3. Please describe an activity or programme in which the applicant was involved that illustrates his or her special abilities and/or leadership skills or potential. 4. What do you consider to be the applicant’s weaknesses? 5. Where do you think the applicant would have greatest difficulty in an intensive graduate professional course of study? This would be an area where the applicant ought to receive additional preparation if admitted. 6. Please comment on the applicant’s knowledge of economics and mathematics. 7. Please comment on the applicant’s career potential and your projection on his or her future success. 8. Rate the applicant in the areas indicated below in the table. We are interested in your comparison of the applicant with his/her peers and colleagues at the same level. 9. Please make any additional comments about the applicant’s potential or personal qualities which you feel would be helpful to the Admissions Committee. We are especially interested in anything you might add that would not otherwise be apparent in the applicant’s record (e.g.

Page 13: MPP application form

APPLICATION FORM TO THE NAZARBAYEV UNIVERSITY GRADUATE SCHOOL OF PUBLIC POLICY 2013 Master in Public Policy (MPP)

53 Kabanbay batyr Ave., Astana 010000, e-mail: [email protected]

13 | P a g e

evidence of character, values, a point of interest or concern about which the applicant is particularly enthusiastic, and any special talent or quality he or she possesses).

Date ________________

dd/mm/yyyy

Please complete this form and write a recommendation letter on your organization's letterhead. The documents must be in a sealed envelope with your signature written across the flap.

Thank you for your time and effort in completing this reference!

Unable to comment

Marginal (lower 50%)

Average (top 50%)

Good (top 25%)

Excellent (top 10%)

Superior (top 3%)

A. Intellectual ability □ □ □ □ □ □

B. Ability/promise as a leader □ □ □ □ □ □

C. Quality of oral expression □ □ □ □ □ □

D. Quality of written expression □ □ □ □ □ □

E. Organizational ability □ □ □ □ □ □

F. Emotional maturity □ □ □ □ □ □

G. Ability to work with others □ □ □ □ □ □

H. Commitment to public service □ □ □ □ □ □


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