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STANFORD GRADUATE SCHOOL OF BUSINESS 655 Knight Way, Stanford, CA 94305 WEB: EMAIL: PHONE: FAX:
STANFORD GRADUATE SCHOOL OF BUSINESS 655 Knight Way, Stanford, CA 94305 WEB: EMAIL: PHONE: FAX:

STANFORD GRADUATE SCHOOL OF BUSINESS 655 Knight Way, Stanford, CA 94305

WEB:

EMAIL:

PHONE:

FAX:

www.gsb.stanford.edu/phd

phd_program@gsb.stanford.edu

+1.650.723.2831

+1.650.725.7462

Application for Admission

for Academic Year Beginning September 2013

All supporting documents must be received by December 1, 2012. We cannot guarantee review of any applications if supporting documents are received after this date. Please read the application instructions carefully before submitting this form.

Biographical Information

Gender

Last Name

First

Middle

Male 

 

FemaleOther Last Name Preferred First Name

Other Last Name

Preferred First Name

Current Mailing Address

 

Telephone Numbers / Email Address

 

Home

Mobile

Valid Until

Email

Permanent Mailing Address

 

Permanent Telephone Number

 

Home

Date of Birth

Social Security Number

Citizenship Status

Country of Citizenship

 

City & State / Country of Birth

If you are already in the United States but are not a U.S. citizen, what type of visa do you hold?

U.S. Alien Registration Number

U.S. Alien Registration Number

 

In order to register as students, the University requires that all those who are not U.S. Citizens or U.S. Permanent Residents obtain and maintain an appropriate visa status

for their stay in the United States.

 

U.S. Citizens or permanent residents only, please indicate your ethnic origin.

 

(Although self-identification is entirely voluntary, the U.S. Department of Education requires Stanford to report on the composition of its student enrollment.)

Application Information

Field of Specialization

Interdisciplinary choices (if applicable)

 

First choice

 

Second choice

Have you previously applied to the Stanford Graduate School of Business Ph.D. Program?

Have you previously applied to the Stanford Graduate School of Business Ph.D. Program? Yes No

Yes

Have you previously applied to the Stanford Graduate School of Business Ph.D. Program? Yes No

No

If yes, give date of application

Have you ever applied to any Stanford University program, e.g. undergraduate, graduate, transfer, or summer?

Have you ever applied to any Stanford University program, e.g. undergraduate, graduate, transfer, or summer? Yes

Yes

Have you ever applied to any Stanford University program, e.g. undergraduate, graduate, transfer, or summer? Yes

No

If yes, give year of application

The GRE is required for Organizational Behavior and Political Economics applicants. The GMAT or GRE is required and accepted for

Marketing applicants. The GRE is preferred by all other fields of study, although the GMAT will be accepted. Official scores must be received

from the appropriate testing agency.

GRE Test Date:

Verbal Reasoning

Quantitative Reasoning

Analytical Writing

Former

Current

 

Former

Current

     

Verb

V Scaled

Quan

Q Scaled

AnWr

Score

Score

Verb %

Score

Score

Quan %

Score

AnWr %

Expected GRE Test Date:

GMAT Test Date:

     

Analytical

Integrated

Verbal

Quantitative

Total

Writing

Reasoning

Score

V%

Score

Q%

Score

T%

Score

AW%

Score

IR%

Expected GMAT Test Date:

TOEFL Test Date:

Total
Total

Expected TOEFL Test Date:

Academic Background

List every college and university you have attended full-time for one academic year or more, and any degree program in which you are currently enrolled. List schools chronologically, starting with your undergraduate degree first.

Name and Location (List schools chronologically) Dates Majors Self Reported Degree or Diploma Name Date
Name and Location
(List schools chronologically)
Dates
Majors
Self Reported
Degree or Diploma
Name
Date Received
(Month & Year)
GPA’s
or Expected
From
To
(Month & Year)
1. Have you ever been suspended or dismissed from any school or college?
Yes
No
2. Have you ever been convicted of a felony?
Yes
No
If you answered yes to either of these questions, please explain on a separate sheet of paper.
3. Have you enrolled full time in consecutive terms (quarters/semesters) toward each of your academic degree programs?
Yes
No
If not, please give details:
Please tell us how you learned about our program:

Major Honor / Award, if Any

Please list honors, fellowships, non-academic distinctions you have received, if any, that reflects most clearly on your potential for doctoral

study in your chosen field. Please provide any additional information about it, such as criteria, who and how many were eligible to receive it,

and approximately how many were given the same or higher honor that year. (Example 1: One of the five students in my graduating class of

87 students majoring in Psychology in 2011 who received distinguished research awards. Example 2: One of the 167 people who graduated

magna cum laude (or with a higher honor) in my graduating class of 1337 in 2012.) Attach additional sheets as needed.

Who can we contact from the certifying organization/agency to obtain more information about your honor. Attach additional sheets as needed.

Name

Position

Telephone

Email

Employment History

Please include a short resume that summarizes your activities during the time since you graduated from high school or its equivalent.

Completed Coursework

Please list the three most advanced mathematics courses, the three most advanced statistics/econometrics courses, and the four most advanced courses you have completed, other than any already listed, that you plan to build upon in your scholarly research in your chosen field.

Most Advanced Mathematics Courses Completed

Institution & Department

Year

Course Title

Total #

Course

Two of the Major Topics Covered

Taken

Classroom

Grade

Hours

Most Advanced Statistics/Econometrics Courses Completed

 

Institution & Department

Year

Course Title

Total #

Course

Two of the Major Topics Covered

Taken

Classroom

Grade

Hours

Most Advanced Coursework Completed in Relevant Field of Study That You Plan To Build Upon (Not Previously Listed)

Institution & Department

Year

Course Title

Total #

Course

Two of the Major Topics Covered

Taken

Classroom

Grade

Hours

Please explain anything in your record as you present it above that will help us understand your readiness for doctoral study here. For example, there may be weaknesses in your academic background that you will need to address once you enroll here; the record shown above may not be indicative of your preparation in these subjects, or it may not be obvious why you plan to build upon all of the last four courses you list. Use a separate sheet if necessary.

Short Answers

1. What are your career plans after your doctoral degree completion?

2. Have you ever been enrolled in a Ph.D. program?

2. Have you ever been enrolled in a Ph.D. program? Yes No If yes, please use

Yes

2. Have you ever been enrolled in a Ph.D. program? Yes No If yes, please use

No

If yes, please use another sheet to explain why you wish to change programs or pursue another Ph.D.

3. To which other programs and institutions are you applying?

Letters of Reference

Please list the full name, address, position, field and institution of your referees. Please limit the total number of references to three.

Name

Address

Position

Field

Institution

Statement of Purpose

REQUIRED: Write a brief essay on the following subjects concerning you and your intended field of study: (1) your past work on relevant

issues, (2) what excites you most about the field, (3) possible areas of research you might pursue, (4) any research projects you have

completed with a faculty member, and (5) any other information you would like to provide to the admissions committee. (If you are

applying to Organizational Behavior, you should describe any research projects you have completed with a faculty member — especially

projects with the faculty members who are writing your letters of reference.)

While admission to the Ph.D. Program is based primarily upon superior academic achievement and potential to contribute to management

research and education, the Admissions Committee also regards the diversity of an entering class as important to the School’s educational mission.

If you would like the committee to consider how factors such as your background, life and work experiences, advanced studies,

extracurricular or community activities, culture, race, ethnicity, socioeconomic status, or sexual orientation would contribute to the diversity

of the entering class, and hence to the GSB PhD experience, please describe these factors and their relevance in a separate statement.

Certification

Your signature below represents your commitment to the spirit of the Fundamental Standard and Honor Code and signifies that all of the information that you have provided in this application is your own work and, to the best of your knowledge, complete and accurate.

If you are offered admission, Stanford reserves the right to withdraw that offer if: 1) you show a significant drop in academic performance or fail to graduate; 2) there has been a misrepresentation in the application process or a violation of any of the terms of the application process; or 3) we learn that you have engaged in behavior prior to matriculation that indicates a serious lack of judgment or integrity. Stanford further reserves the right to require you to provide additional information and/or authorization for the release of information about any such matter.

Signature

Date

additional information and/or authorization for the release of information about any such matter. Signature Date