EFMD Executive Academy: Application for Admission

Name *

First

Middle

Last

Title/Position *

Country of citizenship *

Institution *

Institution address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email address *

English proficiency *

PROFESSIONAL WORK EXPERIENCE (IN YEARS) *

# OF YEARS IN THE CURRENT POSITION *

PAST PROFESSIONAL POSITIONS IN REVERSE CHRONOLOGICAL ORDER *

# OF EMPLOYEES (FACULTY & STAFF) IN YOUR INSTITUTION *

DESCRIBE WHO IS REPORTING TO YOU *

TITLE OF PERSON YOU ARE REPORTING TO *

# OF REPORTING LAYERS ABOVE YOU *

WHAT FUNCTIONS DESCRIBE YOUR PROFESSIONAL ROLE (PLEASE SELECT AS YOU CONSIDER APPROPRIATE) *

Please specify *

DESCRIBE YOUR PROFESSIONAL ACHIEVEMENTS THAT YOU ARE MOST PROUD OF (CONCENTRATE ON THE MOST IMPORTANT ONES, MAXIMUM 3) *

PLEASE EXPLAIN WHY YOU ARE APPLYING TO THE EXECUTIVE ACADEMY *

PLEASE EXPLAIN HOW THE EXECUTIVE ACADEMY (IN YOUR OPINION) CAN CONTRIBUTE TO YOUR PROFESSIONAL DEVELOPMENT *

HOW CAN THE EXECUTIVE ACADEMY CONTRIBUTE TO THE DEVELOPMENT OF YOUR INSTITUTION *

WHAT DOES LEADERSHIP MEAN IN YOUR CURRENT PROFESSIONAL CONTEXT *

PLEASE DESCRIBE YOUR MAIN LEADERSHIP CHALLENGES RELATED TO YOUR CURRENT PROFESSIONAL ROLE *

PLEASE BRIEFLY SUMMARISE YOUR VISION OF BUSINESS/MANAGEMENT EDUCATION *

How did you learn about the Executive Academy?

I hereby apply for admission to the Executive Academy and confirm that all information provided with this application is accurate and complete. *

RESUME *

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