Applicant

First name: Family name:

Note to applicant: Please write your name on all pages of this form, and then give the form to your employer. Ask your employer to return the completed recommendation form to CKGSB Dual EMBA Team.

Note to employer: The purpose of the CKGSB-IMD Dual Executive Master of Business Administration program is to provide - high-potential, internationally minded executives with at least 10 years’ experience - with an opportunity to master Eastern and Western business concepts and practices and to succeed in diverse and very different cultural settings. The CKGSB-IMD Dual Executive MBA Admissions Committee gives particular attention to the information given by the employer. This recommendation form should be completed and signed by an executive who personally knows the applicant and is familiar with the company’s future plans for him or her. The information you provide is strictly confidential. Please note that, according to Chinese law, there is no obligation to, nor shall we, release information contained in this recommendation to the applicant. We greatly appreciate the time and effort involved on your part in completing this form. Thank you.

Level of applicant in company: Title or position: Number of levels between applicant and senior officer in company: Number of persons supervised by applicant:

1. Please describe the applicant’s responsibilities and reporting relationships (use an organization chart, if necessary):

2. Please indicate your objectives in recommending the applicant. In what ways do you expect him or her to develop?

3. What do you consider to be the applicant’s talents or strengths?

4. What do you consider to be the applicant’s weaknesses or opportunities for improvement?

Applicant

First name: Family name:

5. Please give us your appraisal of the applicant in terms of the qualities listed below. Rate the applicant in comparison with other persons of his/her age and experience level whom you consider to have a clear potential for leadership in management.

Below average

Average Above average

Exceptional

Not observed

Business orientation

Analytical skills

Competence in his/her field

Intellectual curiosity

Vision/broad business perspective

Proven leadership

Taking initiative

Self-confidence

Maturity

Perseverance

Energy

Creativity

Teamwork

Interpersonal skills

Communication skills

English language skills

6. Please comment on the ratings you have assigned above and make any additional statement about the applicant’s record, or about potential or personal qualities that you believe would be helpful to the Admissions Committee. If possible, please describe any situations or incidents that would depict the applicant’s future potential.

Applicant

First name: Family name:

7. What are your company’s plans for the applicant after completion of the program?

8. Did you discuss with the applicant the reasons you want him/her to participate in the program? Yes No

9. I confirm that, if the applicant is accepted to the CKGSB-IMD Dual Executive MBA program, he or she will be completely free of official duties during the out-of-the-office modules and will not be asked to absent himself or herself for the duration of the program.

Sponsor’s signature: Date:

Sponsor’s full name (please print):

Job title:

Company name:

Company address:

Postal code: City: Country:

Direct telephone: Central telephone: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS

Direct fax: Central fax: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS

Mobile telephone: Website: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS

E-mail:

Your recommendation is a critical part of the candidate’s application.Thank you again for your time and insights.

Please return your completed form as soon as possible to:

Dual EMBA Team

Cheung Kong Graduate School of Business Tel: +86,10,85186799

2/F E2 New Oriental Plaza, Fax: +86,10,85186800

No 1 Changan Avenue, Beijing 100738, P.R. China Email: GlobalPrograms@ckgsb.edu.cn