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Executive Program Application: S A General Information

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EXECUTIVE PROGRAM APPLICATION

SECTION A
GENERAL INFORMATION

FIRST NAME:
SURNAME/ FAMILY NAME:
DATE OF BIRTH:
GENDER:
TITLE OR POSITION:
COMPANY/ ORGANIZATION NAME:
COMPANY/ ORGANIZATION ADDRESS:
(street, city, country, zip code)
COMPANY/ ORGANIZATION
PHONE NUMBER:
COMPANY/ ORGANIZATION WEBSITE:
EMAIL:
HOME PHONE NUMBER/
MOBILEPHONE NUMBER:

SECTION B
EDUCATION

COLLEGE/ UNIVERSITY:
OTHER DEGREE:
SEMINARS:

SECTION C
WORKING EXPERIENCE

Please list your positions in reverse


chronological order, starting with
your current one:

Please describe your current responsibilities,


including your level in the organization:

SECTION D
PROGRAMME DETAILS
TITLE OF PROGRAMME:

Programme in which you wish to enroll:


MANAGEMENT
MARKETING
FINANCE

I wish to complete modules (attend and be


assessed, thus gaining credits towards PG
Certificate/PG Diploma) *
No, I wish only to attend some modules and
not gain any credits towards any programme

* In case you wish to complete a programme you need to also fill-in a separate application
form in order to get registered as a student of the University of Sheffield International
Faculty.

SECTION E
SUPPORTING MATERIALS CHECK LIST

The following supporting materials are required with all applications. Enclosed:
Reference 1
Translated copy of undergraduate degree
A biography note (CV)
Recommendation from your supervisor or professor
English language qualification evidence
Proof of knowledge of English (TOEFL, IELST or other equivalent document).
If you do not have proof of knowledge of English, Managers Academy allows taking an English Assessment Test.

SECTION F
DECLARATION
Once you have completed this application form, please read the following statements carefully.
By signing this application form you confirm your acceptance of these statements. If you do not
sign this form, we cannot process your application.
I confirm that the information I have provided on this application form is (to the best of my
knowledge) true, accurate, current and complete; and I agree to notify the Academy promptly if
any information contained on this application form change, in order to keep it true, accurate,
current and complete.
I confirm that all supporting work submitted as part of this application is entirely my own original
work, except where clearly indicated otherwise, and does not include any plagiarised elements.

Please sign here to confirm acceptance of these statements:


SIGNATURE:
SIGNED (PLEASE PRINT NAME):
DATE:

Please return completed application form to:


MANAGERS ACADEMY
Admission Office
Prashka 23, 1000 Skopje, R. Macedonia
office@managersacademy.mk

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