Omnium | Admissions and Fees | Pre-Application Form

How To Apply

EDT

English Proficiency Test

Fees

Scholarships

Pre-Application Form

PERSONAL INFORMATION

Salutation	Mr. Ms. Dr.
Surname
Given Names (in full)
Preferred First Name
Birth Date (mm/dd/yyyy)	/ /

CONTACT INFORMATION

Home Address
City / Province	/
Country
Postal Code
Home Phone / Fax	/
Email

EMPLOYMENT INFORMATION

Title or Position
Company
Business Address
City / Province	/
Country
Postal Code
Bus. Phone / Fax	/
Email
Provide a brief description of your present responsibilities:
Describe the nature of your company's business:

Number of people reporting to you
Number of years work experience
Number of years you have held a management position

EDUCATION

List, in chronological order, all universities, colleges, and other institutions attended since secondary school, including professional and non-degree programs.

Name/Location of Institute:	Degree/Program	Dates of Attendance (from/to):	Average grade Final year:	Degree Conferred?
				Y N
				Y N
				Y N

GRADUATE ADMISSIONS TEST (GMAT)

Candidates without an undergraduate degree must write the Graduate Management Admission Test (GMAT) and achieve a minimum score of 500.

Have you taken the GMAT?	Yes No
If No, please indicate the date you are planning to write the test:
If Yes, please indicate the date you completed the test:
Total Score
Quantitative
Verbal
Analytical

YOUR RESUME

If you wish to include your resume please copy and paste it into the field below.

ACTIVITIES

List, in order of importance to you, memberships in professional and civic organizations, hobbies, recreational activities, and clubs.

Please specify how you first learned about the Omnium Global Executive MBA Program.

CONFIRM & SEND PRE-APPLICATION

I understand that this is a preliminary application and that a final admissions decision will be based on the information provided in a completed application package.

The Omnium Executive MBA
is a joint program of: