PAGE—PAGE1—上海交通大學(xué)-法國馬賽商學(xué)院雙學(xué)位高級管理人員工商管理碩士報(bào)名表ShanghaiJiaoTongUniversity–EuromedManagementEcoledeMarseilleDualDegreeExecutiveMBAApplicationForm目錄CONTENTSP1.目錄和填表須知ContentsandInstructionsP3.報(bào)名表ApplicationFormP9.付款方式PaymentP10.準(zhǔn)考證AdmissionCardP12.問答題及自命題論文EssaysandThesisP14.直接領(lǐng)導(dǎo)推薦信RecommendationFormCompletedbyImmediateSupervisoroftheApplicationP18.權(quán)威人士推薦信RecommendationFormCompletedbyanAuthoritativeFigure填表須知INSTRUCTIONS為了使您的報(bào)名有效，請您按期提交完整的報(bào)名表及所需材料。我們承諾對您所提交的信息嚴(yán)格保密。Applicationswillonlybereviewedwhentheyarecompleteplusallthenecessarymaterial.Theinformationyouprovideinthisapplicationformwillbetreatedasstrictlyconfidential.本報(bào)名表分中、英文兩種語言，請選擇其中一種語言填寫即可。交大—馬賽雙學(xué)位EMBA項(xiàng)目申請者，至少需用英文填寫。Theapplicationformhastwolanguages(ChineseandEnglish).Pleasechooseanykindoflanguagetofill.EnglishapplicationformiscompulsoryforapplicantsofDual-degreeAEMBAProgramwithEuromedManagementEcoledeMarseille.報(bào)名表請?jiān)趨⒓虞o導(dǎo)或考試當(dāng)天提交(包含問答題及自命題論文、直接領(lǐng)導(dǎo)推薦信、權(quán)威人士推薦信)，同時請附學(xué)歷/學(xué)位證書及身份證復(fù)印件。Pleasesendtheapplicationformontheexaminationday(includingquestionanswers,thesis,recommendationformofimmediatesupervisor,andrecommendationformofauthoritativefigure.)andprovidecopiesofdegreecertificateordiplomasandIDcard.

上海交通大學(xué)-法國馬賽商學(xué)院雙學(xué)位高級管理人員工商管理碩士報(bào)名表ShanghaiJiaoTongUniversity–EuromedManagementEcoledeMarseilleDualDegreeExecutiveMBAApplicationForm請貼上清晰的身份證復(fù)印件PleaseattachaclearcopyofyourIDcard請附上名片正面Pleaseattachyourbusinesscard(front)請附上名片反面Pleaseattachyourbusinesscard(back)您最早是從哪個渠道了解到雙學(xué)位EMBA項(xiàng)目的？Fromwhichsourcedidyouhearaboutthedual-degreeEMBAprogram?FORMCHECKBOX報(bào)紙雜志和網(wǎng)上廣告（請列出名稱）：Newspaperandmagazine,pleasespecifythename:FORMCHECKBOX宣傳資料BrochureofEMBAFORMCHECKBOX本公司人力資源部HRdepartmentofyourcompanyFORMCHECKBOX校友AlumniofEuromedManagementorShanghaiJiaoTongUniversityFORMCHECKBOX同事或朋友ColleaguesorFriendsFORMCHECKBOX其他（請注明）Othersource,pleasespecify報(bào)名表個人信息姓名中文名性別FORMCHECKBOX男FORMCHECKBOX女國籍(或地區(qū))請?zhí)粡堃淮缑夤诮沼⑽拿矸葑C（或護(hù)照）號籍貫政治面貌出生日期民族婚姻狀況最高學(xué)歷畢業(yè)學(xué)校畢業(yè)時間年月專業(yè)已獲最高學(xué)歷FORMCHECKBOX大專FORMCHECKBOX本科FORMCHECKBOX碩士FORMCHECKBOX博士有無學(xué)位FORMCHECKBOX有FORMCHECKBOX無畢業(yè)證書編號目前工作單位（附英文名稱）經(jīng)營范圍職務(wù)注：1工作年數(shù)注：2管理工作年數(shù)家庭住址郵政編碼家庭電話手機(jī)電子郵箱單位住址郵政編碼單位電話單位傳真您的人生座右銘緊急聯(lián)系人姓名手機(jī)電話希望信件寄達(dá)地址FORMCHECKBOX家庭FORMCHECKBOX單位單位性質(zhì)FORMCHECKBOX國有或國有控股FORMCHECKBOX外資控股FORMCHECKBOX民營或私人控股FORMCHECKBOX政府部門和事業(yè)單位FORMCHECKBOX其他（請注明）單位行業(yè)信息業(yè)：FORMCHECKBOX軟件FORMCHECKBOX通信業(yè)FORMCHECKBOX傳媒醫(yī)藥業(yè)：FORMCHECKBOX化學(xué)藥FORMCHECKBOX生物制藥FORMCHECKBOX中藥生產(chǎn)制造：FORMCHECKBOX消費(fèi)品（服裝紡織、汽車、消費(fèi)電子、食品飲料等）FORMCHECKBOX工業(yè)材料（化工、建材等）FORMCHECKBOX基礎(chǔ)材料（原油、煤炭、礦石等）FORMCHECKBOX能源和公用事業(yè)服務(wù)業(yè)：FORMCHECKBOX醫(yī)療保健FORMCHECKBOX消費(fèi)者服務(wù)（零售、教育培訓(xùn)、旅游、餐飲、休閑娛樂等）FORMCHECKBOX商業(yè)貿(mào)易及服務(wù)（批發(fā)、交通、物流、廣告、中介、咨詢、設(shè)計(jì)等）FORMCHECKBOX金融服務(wù)（銀行、保險(xiǎn)、證券、基金、信托、典當(dāng)、投資等）房地產(chǎn)：FORMCHECKBOX房地產(chǎn)開發(fā)FORMCHECKBOX建筑施工單位員工數(shù)是否為上市公司FORMCHECKBOX是（上市代碼：）FORMCHECKBOX否公司總資產(chǎn)萬元（人民幣）公司年銷售額萬元（人民幣）您掌管經(jīng)費(fèi)額度萬元（人民幣）您下屬員工數(shù)您的學(xué)費(fèi)來源FORMCHECKBOX單位全額支付FORMCHECKBOX單位部分支付FORMCHECKBOX自付FORMCHECKBOX其他（請注明）注：1.工作年數(shù)指截止入學(xué)前EMBA考生的累計(jì)工作年限，未滿整年的工作時間不計(jì)。2.管理工作年數(shù)指入學(xué)前EMBA考生從事管理工作的年數(shù)，未滿整年的工作時間不計(jì)。APPLICATIONFORMPersonalDate報(bào)名表NameChineseGenderFORMCHECKBOXMaleFORMCHECKBOXFemaleCountryofCitizenshipPleaseattach1”photowithoutcapEnglishNumberofIDcardorpassportPlaceofBirthPoliticalIdentityDateofBirthNationMaritalstatusInstitutionGradationTimeMajorHighestDegreeFORMCHECKBOXCollegeFORMCHECKBOXBachelorFORMCHECKBOXMasterFORMCHECKBOXDoctorHaveDegreeornotFORMCHECKBOXYesFORMCHECKBOXNoCertificateNumberCompanyBusinessFieldPositionFullTimeWorkingExperienceLengthofTimeofManagementExperienceHomeAddressPostCodeFamilyPhoneMobileE-mailAddressCompanyAddressPostCodeCompanyPhoneCompanyFaxYourMottoWhenIamnotavailable,pleasecontact(Mr./Ms.)MobilePhonePleasesendallfurtherinformationtoFORMCHECKBOXHomeAddressFORMCHECKBOXCompanyorOrganizationAddressCompanyorOrganizationCategory(Pleasereferto)FORMCHECKBOXForeignownedFORMCHECKBOXPrivatelyownedFORMCHECKBOXStateownedFORMCHECKBOXGovernmentandcommunityunitFORMCHECKBOXOthers(Pleasespecify):CompanyorOrganizationIndustry(Pleasereferto)FORMCHECKBOXFinance/ConsultingFORMCHECKBOXTelecommunication/InformationIndustryFORMCHECKBOXBusinessConsultingFORMCHECKBOXManufactureFORMCHECKBOXArchitecture/RealEstateFORMCHECKBOXTradeFORMCHECKBOXMedical/BiologyengineeringFORMCHECKBOXEducation/PE/Media/ExhibitionFORMCHECKBOXTransportation/LogisticsFORMCHECKBOXGovernmentmanagementFORMCHECKBOXEntertainment/ServiceFORMCHECKBOXOthers(Pleasespecify):NumberofemployeesintheCompanyListedstockcompanyFORMCHECKBOXYes(Code:)FORMCHECKBOXNoTotalAssetsoftheCurrentBusinessRMBAnnualSalesoftheCurrentBusinessRMBBudgetunderYourControlRMBNumberofPeopleUnderYourSupervisionSourceofFinanceFORMCHECKBOXEmployerFullSponsorshipFORMCHECKBOXEmployerPartSponsorshipFORMCHECKBOXSelf-SupportFORMCHECKBOXOthers,pleasespecify

個人履歷全日制高等教育（從最高學(xué)位填起）學(xué)校名稱起止日期專業(yè)學(xué)位學(xué)歷業(yè)余教育和在職培訓(xùn)學(xué)?；蚪逃龣C(jī)構(gòu)名稱起止日期專業(yè)證書工作經(jīng)歷（從最近填起）工作單位部門職務(wù)起止日期工作簡介APPLICATIONFORMPersonalExperienceFullTimePost-SecondaryEducation(Startingformthehighestdegree):SchoolFrom(yy/mm/)To(yy/mm/)MajorDegreeCertificateAdditionalcoursestakenand/oron-jobtraining:NameoftheSchoolorEducationInstituteFrom(yy/mm/)To(yy/mm/)MajorCertificateWorkingExperience(Startingformthemostrecent):CompanyDepartmentPositionTimePeriod(yy/mm/)JobDescription報(bào)名表專業(yè)特長（請自我評價您在以下領(lǐng)域的能力和知識，這一信息將有助于分組學(xué)習(xí)）弱一般強(qiáng)弱一般強(qiáng)財(cái)務(wù)會計(jì)FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX信息技術(shù)FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX市場銷售FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX項(xiàng)目管理FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX金融投資FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX供應(yīng)鏈管理FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX生產(chǎn)運(yùn)營FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX辦公軟件技能FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX組織行為FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX定量分析技能FORMCHECKBOXFORMCHECKBOXFORMCHECKBOX業(yè)余愛好（這一信息將有助于我們組織課余活動）項(xiàng)目參與頻率(次/月)喜好程度排序項(xiàng)目參與頻率(次/月)喜好程度排序高爾夫球籃球保齡球排球網(wǎng)球足球羽毛球登山乒乓球游泳音樂會棋牌國際舞其他本人鄭重聲明:我保證所提交的上述資料真實(shí)可靠，若因資料不實(shí)導(dǎo)致申請失敗或?qū)W籍被取消等后果本人愿承擔(dān)全部責(zé)任。申請人簽名：日期：（以下內(nèi)容由招生單位填寫）考試成績資格審查資格審查筆試（25%）面試（45%）論文（30%）總成績錄取意見錄取小組意見：負(fù)責(zé)人簽名：年月日學(xué)校審查意見：負(fù)責(zé)人簽名：年月日APPLICATIONFORMSpecialties(Pleaseevaluateyourselfinfollowingareas,thisinformationwillbehelpfultoformstudygroup).WeakAverageStrongWeakAverageStrongFinance/AccountingMarketing/salesFinancialInvestmentOperationOrganizationBehaviorFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXInformationTechnologyProjectManagementSupplyChainManagementOfficesoftwareskillQuantityanalyticalskillFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOXFORMCHECKBOX付款方式PAYMENTToassistusorganizingextra-curriculumactivities,pleaseprovidethefollowinginformationaboutyourhobbies.ActivitiesParticipatingFrequency(times/month)RankingActivitiesParticipatingFrequency(times/month)RankingGolfingBasketballBowingVolleyballTennisFootballTennisMountainClimbingTableTennisSwimmingConcertChess/Card-playingBallroomDancingOthersDeclaration:Iherebyaffirmthatalltheaboveinformationsubmittedaretruthfulandreliable,andIamwillingtotakealltheconsequencesincludingthefailureofapplicationandcancellationofenrollmentforanyfalseinformationprovidedherein.Signatureoftheapplicant:Date:(Thefollowingformisfilledbyadmissionsoffice)ExaminationGradeCheckupWritten(25%)Interview(45%)Thesis(30%)TotalGradeAdmissionDecisionsAdmissionCommitteeComment:Signature:SchoolComment:Signature報(bào)名費(fèi)及付款方式：PaymentforApplicationFee報(bào)名費(fèi)：人民幣1500元ApplicationFee:1500RMB付款方式：Payment現(xiàn)金：Cash地址：上海市法華鎮(zhèn)路535號上海交通大學(xué)安泰經(jīng)濟(jì)與管理學(xué)院Address:AntaiCollegeofEconomics&Management,ShanghaiJiaoTongUniversity,535FaHuaZhenRoad,Shanghai,China銀行轉(zhuǎn)帳：BankTransfer帳戶名：上海交通大學(xué)安泰經(jīng)濟(jì)與管理學(xué)院AccountName:AntaiCollegeofEconomics&Management,ShanghaiJiaoTongUniversity開戶行：工行徐家匯支行帳號：1001172919114404094BankofAccount:IndustrialandCommercialBankofChina(ShanghaiXujiahuiSub-Branch)AccountNumber:1001172919114404094請?jiān)阢y行轉(zhuǎn)帳備注欄中注明“EMBA報(bào)名費(fèi)（申請人姓名）”。Pleasenote“EMBAApplicationFee”(applicant’sname)ontheSender’sRemarks.注：報(bào)名費(fèi)不予退還。Note:Theapplicationfeeisnon-refundable.清單ChecklistEMBA申請者需要提交完整的報(bào)名材料，我們將根據(jù)下列選項(xiàng)核查所寄回材料是否齊全。TheapplicantsofEMBAshouldsubmitcompleteapplicationmaterials,whichwillbecheckedbyustomakesurewhetheryourapplicationpackageiscompleteornot.以下由EMBA辦公室填寫CheckmarkbyEMBAadmissionofficeFORMCHECKBOX正式報(bào)名表FORMCHECKBOXFormalapplicationformFORMCHECKBOX一寸照片2張F(tuán)ORMCHECKBOXTwo1-inchphotographsFORMCHECKBOX名片2張F(tuán)ORMCHECKBOXTwobusinesscardsFORMCHECKBOX準(zhǔn)考證FORMCHECKBOXAdmissioncardFORMCHECKBOX學(xué)歷學(xué)位證書復(fù)印件FORMCHECKBOXCopyofDegreeCertificates/DiplomasFORMCHECKBOX身份證復(fù)印件FORMCHECKBOXCopyofIDcardFORMCHECKBOX直接領(lǐng)導(dǎo)推薦信FORMCHECKBOXRecommendationformofimmediatesupervisorFORMCHECKBOX權(quán)威人士推薦信FORMCHECKBOXRecommendationformofauthoritativefigureFORMCHECKBOX問答題及自命題論文FORMCHECKBOXEssaysandself-assignedthesisFORMCHECKBOX報(bào)名費(fèi)FORMCHECKBOXApplicationfee準(zhǔn)考證報(bào)考上海交通大學(xué)–法國馬賽商學(xué)院雙學(xué)位EMBA專業(yè)學(xué)位準(zhǔn)考證請貼一張一寸免冠近照姓名工作單位身份證號（招生單位蓋章有效）考試日程表(由招生單位粘貼)考生須知1.準(zhǔn)考證經(jīng)我校審查后，蓋章方為有效。2.憑準(zhǔn)考證、身份證（或護(hù)照）于考試前15分鐘進(jìn)入考場。3.對號入座，入座后將準(zhǔn)考證和身份證放在座位的左上角，以便查對。4.遲到30分鐘不得入場，考試開始30分鐘后才準(zhǔn)交卷出場。5.仔細(xì)閱讀《考場規(guī)則》，遵守考場紀(jì)律。ADMISSIONCARDAdmissionExaminationofDualDegreeEMBAofShanghaiJiaoTongUniversity–EuromedManagementEcoledeMarseilleAdmissionCardPleaseattach1”photowithoutcapNameCompanyIDCardNO.（validitysealedbyadmissionsoffice）ExaminationSchedule(EMBAOfficeUseOnly)Notice1.Theadmissionisn’tavailableuntilitischeckedandsealedbyShanghaiJiaoTongUniversity.2.Pleaseentertheexaminationroomaheadof15minuteswithyouradmissioncardandIDcard(orpassport).3.Pleasesitaccordingtoyouradmissionnumber,andputtheadmissioncardandIDcard(orpassport)onthefront-leftcornerofthedeskforourcheckup.4.Pleasesitaccordingtoyouradmissionnumber,andputtheadmissioncardandIDcard(orpassport)onthefront-leftcornerofthedeskforourcheckup.5.Pleasereadcarefullythe“RuleofExam”andabidebythedisciplineofexam.問答題及自命題論文陳述與論述為了更好更全面地了解您,請另行附頁陳述或論述下列問題。您的答案將作為我們是否錄取您的重要參考。格式要求：問答題和論文必須為打印稿（A4紙），1.5倍行距，左右各留2.5厘米邊距；問答題題目和論述標(biāo)題請用小三號黑體加粗，問答題答案和論文正文請用小四號宋體；論文必須為文章形式，含標(biāo)題、作者、中英文摘要、關(guān)鍵詞、引言、正文、結(jié)束語、參考文獻(xiàn)可適當(dāng)附加圖表；頁眉上請注明“上海交通大學(xué)EMBA問答題及自命題論文”，并在頁腳注明頁數(shù)。一、問答題簡述本人攻讀EMBA的主要動機(jī)，以及對未來的規(guī)劃、目標(biāo)及期望。請以圖表的形式介紹貴單位的組織結(jié)構(gòu)。您認(rèn)為自己主要的興趣、天賦、技能、才干是什么？到目前為止，在您的職業(yè)生涯中取得的主要成就和成功事例是什么？在您的工作中您所遇到過的最具挑戰(zhàn)性的管理難題是什么？經(jīng)歷的主要困難、挫折、失敗是什么？您是如何解決的？您要花大量的時間和精力在EMBA項(xiàng)目，您打算怎樣處理學(xué)習(xí)和工作的關(guān)系？為完成學(xué)業(yè)您預(yù)計(jì)將遇到哪些困難？如何克服？二、論文請結(jié)合本單位實(shí)際情況，提交一篇對（企業(yè)）管理問題的自命題論文。（3500～6000字）ESSAYSANDTHESISEssaysandThesisPleaseanswerthefollowingquestionsindetailforustogetabetterandmorecomprehensiveunderstandingofyou.Theadditionalpaperispermitted.Yourresponsetothequestionswillserveasanimportantreferenceinmakingourdecisionofadmissions.RequiredFormatfortheAssignment:Thepresentationshouldbetyped(A4),1.5space,25mm-leftmarginand25mmrightmargin.Thesubjecttitlesshouldbetypedinbolded14TimesNewRoman,andassignmentsshouldbetypedin12TimesNewRoman.Theassignmentshouldbeintheformofanessay,includingtitle,author,abstract,thekeywords,foreword,text,concludingremarksandreference.Sometimesgraphicsandtablesarenecessary.Pleaseindicate“TheessayandthesisofShanghaiJiaoTongUniversityEMBA”onthepagehearder,andindicatepagenumberatthebottomofpage.A、EssayQuestionsStateyourmainreasonsfortakingpartinanEMBAprogram,aswellasyourfutureplans,objectives,andexpectations.Pleasedrawachartdescribingyourcompany’sorganizationalstructure.Inyouropinion,whatareyourinterests,talents,andskills?Whatareyourmajorprofessionalaccomplishmentsinyourcareer?Whatisthemostchallengingmanagerialproblemthatyouhaveencountered?Whatarethemajordifficulties/frustrations/failures?Howdidyousolveit?TheEMBAprogrameisamajorcommitmentintermsofyourtime.Howdoyouplantofittheprogramintoyourschedule?Doyouanticipateanyproblemsmeetingthisschedule?Howdoyouplantoresolvetheproblems?B、Self-assignedThesisTheapplicantshouldhandinself-assignedthesisinvolvingthe(enterprise)managementproblemsaboutthefactualsituationofhiscorporation(3500~6000Words).推薦信攻讀上海交通大學(xué)–法國馬賽商學(xué)院雙學(xué)位EMBA專業(yè)學(xué)位推薦信（請申請人的直接領(lǐng)導(dǎo)填寫）攻讀EMBA專業(yè)學(xué)位可能每月需占用兩天工作時間，我們希望得到單位的許可，并在可能的條件下對學(xué)員提供財(cái)務(wù)支持。請對申請人的相關(guān)情況做真實(shí)的表述，您的意見及權(quán)威性是我們選擇學(xué)員的重要參考。此表填完后需放入所附專用信封封口后，在封口處簽名并交還給申請人，由申請人將推薦信和報(bào)名表一起寄回。我們會對您提供的信息嚴(yán)格保密，謝謝合作。推薦人姓名先生/女士職務(wù)電話推薦人工作單位推薦人通訊地址郵編被推薦人姓名職務(wù)級別請給出您對被推薦人的總體評價：FORMCHECKBOX優(yōu)秀FORMCHECKBOX良好FORMCHECKBOX中等FORMCHECKBOX較差FORMCHECKBOX無法評價您對被推薦人的具體評價（請?jiān)诒韮?nèi)所選項(xiàng)下打√）突出極好好平均低于平均無法判斷領(lǐng)導(dǎo)能力數(shù)量分析能力計(jì)算機(jī)應(yīng)用能力解決問題能力創(chuàng)新能力人際關(guān)系正直、誠實(shí)自我激勵英語水平管理潛能學(xué)習(xí)潛能RECOMMENDATIOMFORM申請人現(xiàn)在的工作職責(zé)是什么？您認(rèn)為申請人有哪些突出優(yōu)點(diǎn)及特點(diǎn)，在哪些方面需要進(jìn)一步提高？在您看來，申請人的人際交往與團(tuán)隊(duì)工作能力如何（包括申請人與上級、同級和下級的合作能力）？申請人完成EMBA學(xué)習(xí)后，貴單位對其今后的發(fā)展有何計(jì)劃？為全面正確評價申請人，您還有何意見可供我們參考？在您工作時間，我們可否就申請人情況與您聯(lián)系？FORMCHECKBOX可以FORMCHECKBOX不可以請附上推薦人名片（反面）請附上推薦人名片（正面）推薦人簽名請附上推薦人名片（反面）請附上推薦人名片（正面）我們的聯(lián)系方式：上海交通大學(xué)-法國馬賽商學(xué)院AEMBA辦公室（國際雙學(xué)位EMBA項(xiàng)目）地址：中國上海市法華鎮(zhèn)路535號南樓103室郵編：200052RecommendationForm(Tobecompletedbyimmediatesupervisoroftheapplicant)Theopinionsandauthorityoftherefereesareofcrucialimportanceinourevaluationoftheapplicant.Youareexpectedtoprovideanobjectiveandtruthfuldescriptionoftheapplicant.Onceadmitted,theapplicantwilltake2daysoffpermonthtofinishcourserequirements.Theinformationyouprovidewillbekeptstrictlyconfidentialandyouhavenoobligationtoreleasetheinformationcontainedinthisrecommendationtotheapplicant.Pleasesignyournameacrossthesealontheenvelopeflapandreturnittotheapplicant.Itistheapplicant’sresponsibilitytoencloseitinthecompleteapplicationpackageandsentittoEMBAAdmissionOffice,AntaiCollegeofEconomics&Management,ShanghaiJiaoTongUniversity.Wegreatlyappreciateyourtimeandeffortincompletingthisform.Referee'sName(Mr.Ms.)PositionTelephoneReferee'sCompanyReferee'sAddressPostCodeApplicant'sNamePositionLevelYourintegratedevaluationontheapplication:FORMCHECKBOXExcellentFORMCHECKBOXGoodFORMCHECKBOXAverageFORMCHECKBOXBelowaverageFORMCHECKBOXHardtodetermineYourevaluationontheapplicant(Pleasecheckeachofthefollowingitems)OutstandingExcellentGoodAverageBelowaverageHardtodetermineLeadershipQuantitativeAnalysisComputerManipulationProblemSolvingInnovativenessInterpersonalSkillsIntegritySelf-MotivationEnglishProficiencyPotentialManagementSkillsPotentialLearningAbilitiesWhataretheapplicant’scurrentjobresponsibilities?Whatarethestrengthsorcharacteristicsoftheapplicant?Whichareascantheapplicantimproveupon?Evaluatetheapplicant’sinterpersonalandteamworkskills,includingtheabilitytoworkwithcolleagues,subordinates,andsupervisors.Whatareyourcompany’splansfortheapplicantafterhis/hercompletionoftheEMBAprogram?Doyouhaveanyadditionalcommentsregardingtheapplicantthatyoufeelrelevanttoourevaluationoftheapplicant?Maywecallyouatworkregardingthisapplicant?FORMCHECKBOXYesFORMCHECKBOXNoSignatureDateOurcontactaddress:DualDegreeEMBAOffice(AEMBA)Address:AntaiCollegeofEconomics&Management,ShanghaiJiaoTongUniversity,Room103,SouthBuilding,535FaHuaZhenRoad,Shanghai,China,200052RECOMMENDATIOMFORM

攻讀上海交通大學(xué)–法國馬賽商學(xué)院雙學(xué)位EMBA專業(yè)學(xué)位（請了解申請人學(xué)術(shù)與工作背景的權(quán)威人士填寫）請對申請人的相關(guān)情況做真實(shí)的表述，您的意見及權(quán)威性是我們選擇學(xué)員的重要參考。此表填完后需放入所附專用信封封口后，在封口處簽名并交還給申請人，由申請人將推薦信和報(bào)名表一起寄回。我們會對您提供的信息嚴(yán)格保密，謝謝合作。推薦人姓名先生/女士職務(wù)電話推薦人工作單位推薦人通訊地址郵編被推薦人姓名職務(wù)級別請給出您對被推薦人的總體評價：FORMCHECKBOX優(yōu)秀FORMCHECKBOX良好FORMCHECKBOX中等FORMCHECKBOX較差FORMCHECKBOX無法評價您對被推薦人的具體評價（請?jiān)诒韮?nèi)所選項(xiàng)下打√）突出極好好平均低于平均無法判斷領(lǐng)導(dǎo)能力數(shù)量分析能力計(jì)算機(jī)應(yīng)用能力解決問題能力創(chuàng)新能力人際關(guān)系正直、誠實(shí)自我激勵英語水平管理潛能學(xué)習(xí)潛能您認(rèn)為申請人有哪些突出優(yōu)點(diǎn)及特點(diǎn)，在哪些方面需要進(jìn)一步提高？您對申請人在其工作領(lǐng)域的勝任程度及其領(lǐng)導(dǎo)潛能如何評價？為全面正確評價申請人，您還有何其他意見可供我們參考？在您工作時間，我們可否就申請人情況與您聯(lián)系？FORMCHECKBOX可以FORMCHECKBOX不可以請附上推薦人名片（正面）推薦人簽名日期請附上推薦人名片（正面）請附上推薦人名片請附上推薦人名片（反面）RecommendationForm(Tobecompletedbyanauthoritativefigurewhoknowstheapplicantwell)Theopinionsandauthorityoftherefereesareofcrucialimportanceinourevaluationoftheappli