LSE - Peking University Summer School 2009 Application Form Section 1: PERSONAL DETAILS Family Name/Last Name: This is the name under which your file will be registered. Given Names/First Names: Title Male/Female Date of Nationality Birth Day Month Year Correspondence Address: E-Mail address: Please print clearly Telephone number: Home/Mobile With international code Fax number (with international code): Telephone number: Work With international code Occupation (if a full-time student, please state your academic institution here): Section 2: COURSES Applicants may study only one course. However, it will be helpful if you also indicate a second choice, which can be taken into account in the unlikely event that a course in cancelled. CSS- AF207 Multinational Business Finance CSS- EC203 China’s Economic Development CSS-EC204 The Global Economy CSS- IR201 Towards a New World Order: America, Asia, Europe CSS- IR202 China and the World: Chinese Foreign Policy Since 1949 CSS- LL202 WTO Law and China CSS- MG102 Management, Entrepreneurship and Global Leadership 1st Choice 2nd Choice SECTION 3: QUALIFICATIONS AND GENERAL EDUCATIONAL BACKGROUND University Degree Subject Result Date Type awarded or expected UNDERGRADUATE: POSTGRADUATE: For Introductory (100) level courses applicants from the UK will require 3 satisfactory passes at GCE A level standard. Applicants from other countries should possess an equivalent level of qualification e.g. the International Baccalaureate. The Intermediate (200) level courses may have prerequisites (read the course outlines in the brochure with care – these specify the prerequisites). Please list the prerequisites in the box below in as much detail as possible, showing how you meet the course requirements and enclose a copy of your degree/academic transcripts. Prerequisite Course Year Main Text Books Used Grade Studied 3.1 English Proficiency: If English is not your first language have you taken any test (e.g. IELTS or TOEFL, Cambridge First Certificate). Please give details including score/grades and date of test. If you have already received university-level instruction given in English, please give details here. 3.2 Academic Referee: Please give details of a person whom we may contact concerning your application. Name: Address: Occupation: E-mail: Fax No: Telephone No: 3.3 Have you ever studied at LSE before or applied to study at LSE? (Applicants should answer Yes even if study was not completed.) YES/NO If YES Which year? Which course? SECTION 4: PAYMENT DETAILS Will you be paying for the course yourself? YES NO If NO, give us full contact details of your sponsor, including any reference code your sponsor may require. It is your responsibility to ensure that the fees are paid in full by the correct date. 4.1 Sponsor Details Name: Address: Reference Code: Contact Telephone No: Contact e-mail: Contact Fax No: SECTION 5: SOURCE Where did you learn about the LSE-PKU Summer School? Please help us by giving as much detail as possible: Internet (please specify LSE website or any other website) University Friends/Previous student/Colleagues Employer British Council Advertisement Other I declare that the information supplied in this form is true to the best of my knowledge and belief. I have understood and accept the terms and conditions outlined in the brochure concerning the LSE-PKU Summer School. Signature:…………………………………………………………………………………. Date:……………………………….. Disclaimer: Although all possible care has been taken in the preparation of this form, no responsibility can be taken for any errors or omissions, however caused. Should a course need to be cancelled due to unforeseen circumstances, the applicant will be offered an alternative course or a full refund of tuition fees and accommodation deposit.