Confidential
University College Dublin
Faculty of Commerce
Faculty of Engineering and Architecture
M.S.c. (Technology Management)
Summer 2005-2006
APPLICATION FOR ADMISSION
Please read page 4 before completing this application
Completing the Application Form
As a broad guide for completing the application form, applicants should tend to provide more rather than less
information. Admission decisions depend heavily upon details supplied in the application. From the application form,
academic transcripts and reports from referees, the aim is to construct a complete picture of the applicants' academic
and work background together with future goals and motivation. This application form should be completed in block
letters using black pen or typewriter. Please complete all sections. If space is insufficient, additional sheets may be
attached.
Part 1
Last name First name(s)
Date of birth Nationality/Nationalities
Home address Correspondence address (if different)
Street Street
City/Town City/Town
Home Telephone Telephone
E-mail E-mail
Employment Attach CV
Current or most recent title/position Employer
Nature of business National International
Work Address
Size (turnover in EURO/US$) Street
Number of employees in organisation City/Town
Your main responsibilities
Education Attach Transcripts
Primary degree University
Overall degree result Date of award of degree
Indicate any Prizes or Scholarships received
Postgraduate degree(s) University
Overall degree result(s) Date of award of degree(s)
Professional Qualifications
Institution Qualification
Date of award of qualification Years of post-qualification experience
Language
First language
Knowledge of other languages and proficiency in each.
Please tick the boxes’ below (good / fair / poor)
Language (Please list) Reading Writing Spoken
Good Good Good
Fair Fair Fair
Poor Poor Poor
Good Good Good
Fair Fair Fair
Poor Poor Poor
Good Good Good
Fair Fair Fair
Poor Poor Poor
Good Good Good
Fair Fair Fair
Poor Poor Poor
Please explain
(a) Why now is the right time for you to do an M.Sc. (Technology Management)?
(b) What an M.Sc. will do for your career plans?
(c) Why you want to attend the UCD M.Sc. programme?
(d) Why you should be selected for the UCD M.Sc. over other applicants?
Describe what you consider to be your most significant professional achievement to date
Referees
The Personal Recommendation Forms (Part 2) should be sent to those named below
Name Name
Title Title
Organisation Organisation
Address Address
Street Street
City/Town City/Town
Country Country
Notes on Application Package
This application package includes:
Application form (Part 1): Please read these notes and the brochure before completing.
Two personal recommendation forms (Part 2): Applicants must fill in both these forms as indicated
before requesting referees to complete and forward.
Checklist
A completed application form includes the following: (please tick)
Completed application form (Part 1)
Copy of applicant's Curriculum Vitae:
Official transcript of degree and/or Professional Qualification:
Application fee of EURO 30 (payable to UCD)
Two passport photographs taken against a white background and attached to
application form (Part 1)
Submit completed applications to:
Course Director
M.Sc. (Technology Management),
National Institute of Technology Management
University College Dublin
Blackrock
Co. Dublin
Please read the following before signing your application:
I certify that the information on this application is complete and accurate.
Signature of applicant Date
Part 2
Personal Recommendation:
University College Dublin
M.Sc. (Technology Management)
Applicant: Complete section 1 and request Course Director
referee to complete remainder and forward to: M.Sc. (Technology Management)
Michael Smurfit Graduate School of Business,
University College Dublin,
Blackrock, Co Dublin.
Section 1
Confidential
Applicant’s name Home address
Street
City/Town
Section 2
Referee
The above named person has applied for admission to the M.Sc. (Technology Management) programme
at University College Dublin and has nominated you as a referee.
The purpose of the programme is to provide an opportunity for students to develop knowledge, abilities,
attitudes, and understanding which will constitute a foundation for their growth into competent and
responsible managers of the technological innovation process. It would be of assistance to the University
if you would give us your confidential assessment of the applicant. The questions posed below suggest
the kind of information which the University finds useful, but this form is provided for your convenience
only and we would welcome your comments in whatever format you think suitable. Any information you
provide will naturally be considered strictly confidential. Your assistance in giving this appraisal is
appreciated.
Please return your report to the Course Director, M.Sc. (Technology Management)
Michael Smurfit Graduate School of Business, University College Dublin, Blackrock, Co Dublin.
How long have you known the applicant and in what connection?
Please rate the applicant on the following characteristics (tick appropriate box)
Rating Excellent Very Good Good Average Fair Poor Lower Unknown
Top 5% Top 15% Top 30% Mid 30% Lower 15% 5%
Drive to
Succeed
Self
Confidence
Ability to
work with
others
Initiative
Senior
Executive
potential
What are the applicants' outstanding strengths?
What are the applicants' weaknesses?
Do you have any reservations about the applicants'
(1) capacity (2) motivation or (3) time for undertaking a demanding M.Sc. programme?
(1)
(2)
(3)
Name of Referee: Position or Title
Organisation Phone No
Address
Street City/Town
Signature Date
The remainder of this form may be used for additional comment, if you wish.
Part 2
Personal Recommendation:
University College Dublin
M.Sc. (Technology Management)
Applicant: Complete section 1 and request Course Director
referee to complete remainder and forward to: M.Sc. (Technology Management)
Michael Smurfit Graduate School of Business,
University College Dublin,
Blackrock, Co Dublin.
Section 1
Confidential
Applicant’s name Home address
Street
City/Town
Section 2
Referee
The above named person has applied for admission to the M.Sc. (Technology Management) programme
at University College Dublin and has nominated you as a referee.
The purpose of the programme is to provide an opportunity for students to develop knowledge, abilities,
attitudes, and understanding which will constitute a foundation for their growth into competent and
responsible managers of the technological innovation process. It would be of assistance to the University
if you would give us your confidential assessment of the applicant. The questions posed below suggest
the kind of information which the University finds useful, but this form is provided for your convenience
only and we would welcome your comments in whatever format you think suitable. Any information you
provide will naturally be considered strictly confidential. Your assistance in giving this appraisal is
appreciated.
Please return your report to the Course Director, M.Sc. (Technology Management)
Michael Smurfit Graduate School of Business, University College Dublin, Blackrock, Co Dublin.
How long have you known the applicant and in what connection?
Please rate the applicant on the following characteristics (tick appropriate box)
Rating Excellent Very Good Good Average Fair Poor Lower Unknown
Top 5% Top 15% Top 30% Mid 30% Lower 15% 5%
Drive to
Succeed
Self
Confidence
Ability to
work with
others
Initiative
Senior
Executive
potential
What are the applicants' outstanding strengths?
What are the applicants' weaknesses?
Do you have any reservations about the applicants'
(1) capacity (2) motivation or (3) time for undertaking a demanding M.Sc. programme?
(1)
(2)
(3)
Name of Referee: Position or Title
Organisation Phone No
Address
Street City/Town
Signature Date
The remainder of this form may be used for additional comment, if you wish.