APPLICATION FOR ADMISSION Executive MBA in Business Renewal

APPLICATION FOR ADMISSION
Executive MBA in Business Renewal
PERSONAL DETAILS
Family name
/Surname
First name(s)
Date of birth
Place of birth
Nationality
Native language(s)
Present country of
residence
Home address
Postal code
City
Country
Telephone
E-mail
Preferred mailing
address
Home
Work
1
The closing date for application is May 8, 2015.
JOB DESCRIPTION
Current employer
(company or organization)
Current job title
Department (if
applicable)
Date of appointment
to present position
Number of people
you supervise
Please describe your main /current responsibilities:
EDUCATIONAL BACKGROUND
Please give below the details of your highest OR the most relevant degree you have taken.
Degree
Major subject
University or
institution
Country
Year of graduation
2
The closing date for application is May 8, 2015.
ENGLISH LANGUAGE PROFICIENCY
Please tick the appropriate:
Native
Fluent
Good
Basic
YOUR AMBITIONS AND MOTIVATION
Please state your objectives in attending this program.
What can you contribute to this EMBA program?
How much time do you have for your EMBA studies considering your schedules at work as well
as commitments in your personal life?
3
The closing date for application is May 8, 2015.
EMBA THESIS
Please give a preliminary topic for your EMBA thesis:
REFERENCES
Please provide a list of references from persons who know you professionally. Please specify the
name, job title or position and company/organization of the person in question.
ENDORSEMENT BY THE EMPLOYER
My employer is willing to support my EMBA studies by:
Paying for the whole program
Paying for the part of the program
Time commitment
If your employer is paying for the whole program or a part of it, a representative of
the company should sign below:
Name and signature of authorising superior including job title and position in the company
/organization.
Date and place
Signature
Name
Job title /position
Company
/organization
4
The closing date for application is May 8, 2015.
How did you find out about the EMBA in Business Renewal program?
Contact from TUT
From my company /organization (my superior, HR, colleague etc.)
Executive MBA Tampere website
Personal contact; please specify who:_______________________________________
Advertisement; please specify which publication, website etc.
______________________________________________________________________
Other; please specify:____________________________________________________
TERMS OF PAYMENT
The tuition fee for the Program 2015-2016 is € 31 200 + VAT 24%. The fee is payable in four (4)
installments as follows:
1st installment
2nd installment
3rd installment
4th installment
€
€
€
€
6
9
9
7
000,00
000,00
000,00
200,00
+
+
+
+
VAT
VAT
VAT
VAT
24%
24%
24%
24%
in
in
in
in
June 2015
November 2015
March 2016
September 2016
Kindly note! The fee does not include costs for the elective studies (20 ECTS). Participants are responsible for their own
travel, meal and accommodation costs in the Orientation and Immersion Module in Finland and the international Module
to Switzerland.
CANCELLATION TERMS
Registration for the EMBA program is a binding agreement. After the acceptance to the EMBA
program a training program agreement is drawn up with the participant and participant’s employer
(if applicable).
In case participation is cancelled when the program has already started, the current year’s
installments will be charged in full. The possible remaining installments will be charged with a rate
of 50 %.
5
The closing date for application is May 8, 2015.
STATEMENT OF INTEGRITY
I hereby certify that I have provided accurate information in this application form and that I am the
only author of the information in this application form. I authorize Executive MBA in Business
Renewal program responsible organization to verify the information. I understand that any
information that is not correct in my application may lead to cancellation of admission or withdrawal
from the Executive MBA in Business Renewal program.
Date and place
Signature
Name
ENCLOSURE
Curriculum Vitae in English
RETURN ADDRESS FOR SIGNED APPLICATION AND CV
TUT /Edutech
Heini Ala-Vannesluoma
P.O. Box 589
FI-33101 Tampere
Finland
Kindly note! The deadline for submitting the application form and required enclosure is May 8, 2015.
You will receive an acknowledgement that your application and the enclosures have been received by Edutech.
FURTHER INFORMATION
Contact person:
Heini Ala-Vannesluoma, Program Manager at Edutech
Tel. +358 40 771 0005
[email protected]
6
The closing date for application is May 8, 2015.