STANFORD GRADUATE SCHOOL OF BUSINESS

518 Memorial Way, Stanford, CA 94305-5015

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 2011
All supporting documents must be received by December 1, 2010. 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
Female Other Last Name Preferred First Name

Current Mailing Address Telephone Numbers / Email Address

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Home _______________________________

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Mobile _______________________________

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Valid Until __________ Email _______________________________

Permanent Mailing Address Permanent Telephone Number

Home _______________________________

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Date of Birth mm/dd/yyyy Social Security Number Citizenship Status

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Country of Citizenship

If you are already in the United States but are not a U.S. citizen, what type of visa do you hold?
City & State / Country of Birth
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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.)
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Application Information
Field of Specialization Interdisciplinary choices (if applicable)
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First choice

Second choice

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

If yes, give date of application _______________________.

Have you ever applied to any Stanford University program, e.g. undergraduate, graduate, transfer, or summer? Yes No
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If yes, give year of application _______________________.

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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: GMAT Test Date: TOEFL Test Date:

Verbal Rank %

Verbal Rank % Quantitative Rank %

Quantitative Rank % Total Rank %

Analytical Writing Rank % Analytical Writing Rank % Total

Expected GRE Test Date: Expected GMAT Test Date: 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 Dates Majors Self Reported Degree or Diploma Date Received
(List schools chronologically) (Month & Year) GPA’s Name or Expected
From To (Month & Year)

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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
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If not, please give details:

Please tell us how you learned about our program:

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Major Honor / Award, if Any

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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 2009 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 2008.) Attach additional sheets as needed.
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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

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Most Advanced Statistics/Econometrics Courses Completed

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Institution & Department Year Course Title Total # Course Two of the Major Topics Covered
Taken Classroom Grade
Hours

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Most Advanced Coursework Completed in Relevant Field of Study That You Plan To Build Upon (Not Previously Listed)
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Institution & Department Year Course Title Total # Course Two of the Major Topics Covered
Taken Classroom Grade
Hours
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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?

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2. Have you ever been enrolled in a Ph.D. program? Yes No

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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?

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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

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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
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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
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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 ____________________________________

PHD PROGRAM
STANFORD GRADUATE SCHOOL OF BUSINESS
518 Memorial Way, Stanford, CA 94305-5015