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* __________________________________________________
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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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)
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
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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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
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.
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)
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)
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
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
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.
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 □ □ □ □ □ □
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.
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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