Initiative for Women in Business | Excellence in Administration

Excellence in Administration Program - Application

* Required Fields
Contact Information
Salutation:
First Name: *
Preferred Name:
Last Name: *
Work Email: *
Personal Email: *
Employment Information
Employer: *
Industry: *
Address 1: *
Address 2:
City: *		Province: *
Postal Code: *		Country: *
Phone: *
Job Information
# years of work experience: *
Current Job Title: *
# years in current position: *
Main job responsibility #1: *
Main job responsibility #2: *
Main job responsibility #3:
Do you manage staff?: *
Do you have budgetary responsibility?: *
Are you a Rotman alumni? *	If yes, which program:

How did you first hear about this program? *
LinkedIn Advertising Twitter From a program graduate From my employer Correspondence from Rotman School Correspondence from Professional Association - Which one? Online Search - Which one? Other - Please specify:
Tax Information
For tax purposes, an important step in the application process is to identify the source of payment for the program fees. Please choose one of the following: *
I will pay 100% of the program fees My employer will pay 100% of the program fees My employer will pay a portion of the program fees and I will pay the balance

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Excellence in Administration Program - Application