Please provide accurate details as they appear on your official documents.First NameMiddle NameLast NameDate of birthGenderGenderMaleFemalNon-BinaryPrefer not to sayNationalityNationalityAmericanFrenchCountry of CitizenshipCountry of Citizenship:USAFranceGermanyMexicoPassport NumberIf applicableSocial Security NumberIf applicablePermanent AddressMailing AddressIf different from permanent addressPhone NumberHome phone numberMobile phone numberEmail AddressEmergency Contact InformationNameRelationshipPhone numberEmail AddressPlease provide accurate details as they appear on your official documents.Undergraduate DegreeInstitution NameDegree EarnedField of Study/MajorYear of GraduationCumulative GPAPostgraduate Degree(s)If applicableInstitution NameDegree EarnedField of Study/MajorYear of GraduationCumulative GPAOther Relevant Education or CertificationsInstitution NameCourse/CertificationYear CompletedPlease provide accurate details as they appear on your official documents.Employer/OrganizationJob TitleLocationEmployment DurationFromToSupervisor NameSupervisor ContactBrief Description of ResponsibilitiesMax 200 wordsAdditional Work ExperienceIf applicableEmployer/OrganizationJob TitleEmployment DurationFromToBrief Description of ResponsibilitiesAttach a 500-750 word essay addressing the following points: Why are you interested in the Master of Dispute Resolution program? How does this program align with your career aspirations? What prior experiences or academic background prepare you for this program? Describe a challenge you faced related to conflict resolution and how you addressed it. Upload "Statement of Purpose file"Choose FileNo file chosenDelete uploaded fileI have attached my Statement of Purpose to this application.Two letters of recommendation are required. List the referees below.First RefereeNameTitle/PositionInstitution/OrganizationEmail AddressPhone numberRelationship to ApplicantSecond RefereeNameTitle/PositionInstitution/OrganizationEmail AddressPhone numberRelationship to ApplicantI have requested both referees to submit letters of recommendation directly to the Admissions Office.If Required by InstitutionProvide test scores if applicable.GRE ScoreGRE ScoreVerbalQuantitativeWritingGMAT ScoreGMAT ScoreVerbalQuantitativeWritingTOEFL/IELTS ScoreIf applicableI have attached my test scores to this application.Answer the following questions briefly.Have you taken any prior courses in dispute resolution, mediation, or negotiation?YesNoIf yes, please list them:Do you have any professional certifications in mediation, arbitration, or conflict resolution?YesNoIf yes, please provide details:Have you previously applied to this program?YesNoHave you ever been subject to academic probation, dismissal, or disciplinary action?YesNoIf yes, please explain:I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that misrepresentation or omission of facts may result in denial of admission or dismissal from the program if discovered after enrollment.Applicant’s SignatureChoose FileNo file chosenDelete uploaded fileDateSend Message
