| Name |
|
|
|
| |
First |
Middle |
Family |
| Preferred first name |
|
|
Male
Female |
| |
| COMPANY
INFORMATION |
Name and address
of Company (or division)
which employs you directly |
Name and address
of parent Company if relevant
|
|
|
| Telephone
|
Fax
|
| E-mail
|
| |
| WORK
EXPERIENCE |
| Present title
or position
|
| Division (if
any)
|
| No. of years
in current position
|
No. of personnel
in area you manage
|
| |
| Please
describe the responsibilities and activities
in your current job: |
|
| |
| Previous
employment record |
| Company |
Title or Position |
Dates |
|
| |
| EDUCATION |
| Name of college or University |
Degree Received |
Dates
Attended |
|
| |
| PERSONAL
INFORMATION |
| Home Address |
|
| Home telephone
|
Home fax
|
| Home e-mail
|
| Date of birth
|
| Nationality
|
| |
| I confirm
the above details, plus any attached details,
are correct (Please print your name).
|
| Date
|
| |
| N.B.:
In addition to returning this form, please
make sure that: |
- you also send a curriculum vitae if
you have left the work and education experience
areas blank on this form
- you send
3 colour passport-size photos or email
a digital one
- you enclose or email a copy of your business
card
- your company sponsor has signed below
|
| |
| MASTERS
DEGREE REQUIREMENTS |
Candidates
are invited to register for the Masters
Degree. All activities and requirements
will be identical for degree and non-degree
participants, except that degree candidates
will submit a major paper after the fifth
module. The fee for the degree portion
of the Program is US$ 6,750, due on October
1, 2009.
Masters degrees will be offered from
either Lancaster University (MA in Practicing
Management) or McGill University (Masters
in Management). The degree requirements
at both universities will be identical.
Full degree registration material will
be mailed after receipt of this reply form.
Yes, I would like to register for the
Masters Degree. Please send me more information
|
| |
| SPONSORING
EXECUTIVE |
| By completing the section
below, the sponsoring executive confirms
that the applicant has a working knowledge
of English, and that the Company will pay
the applicant's tuition fee, room, board,
transport and travel expenses. |
| Date
|
|
| Name
|
Job Title
|
| |
| Address |
|
| Telephone
|
Fax
|
| E-Mail
|
| |
| Please indicate
to whom invoices should be sent |
| |
| Name
|
Job Title
|
| |
| Address |
|
| Telephone
|
Fax
|
| E-mail
|
| |
|
|
