Excellence in Administration Program - Application
* Required Fields
Contact Information
Salutation:
Dr.
Mrs.
Ms.
First Name: *
Preferred Name:
Last Name: *
Work Email: *
Personal Email: *
Employment Information
Employer: *
Industry: *
--SELECT INDUSTRY--
Aerospace
Agriculture / Natural Resources
Associations / Not-For-Profits
Consumer Goods / Retail
Education
Financial Services
Government / Public Services
Health Care / Pharmaceutical
Hospitality / Food Service / Travel
Independent Consultant
Insurance
IT / Telecommunications
Legal Service
Manufacturing / Engineering / Chemical
Media / Publishing / Entertainment
Police
Power / Energy / Utilities
Professional Services
Real Estate / Construction
Restaurant
Retired
Transportation / Distribution
Address 1: *
Address 2:
City: *
Province: *
AB
Alabama
Arizona
Auckland
BC
Boychuk
California
Campbell
Carreiro
Caslin
Chaoyang District
Cheshire
Colorado
Connecticut
Conneticut
D.C.
Delaware
Dhaka
Distrito Federal
Edo. de Mexico
Fernandez
Florida
Georgia
GT
Hampshire
Hawaii
Heslop
Hidalgo
Hong Kong
Hudson
Illinois
Indiana
Iowa
Istanbul
Lagos
Lima
Louisiana
Maharashtra
Manila
Maranhao
Maryland
Massachusetts
Matthews
MB
McHardy
McRae
Michigan
Middlesex
Middlesex
Minnesota
Mississippi
Missouri
Morsley
Mumbai
N/A
NB
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New South Wales
New York
NF
NL
None
North Carolina
North Dakota
NS
NT
NU
Nuevo Leon
Ohio
Oklahoma
ON
Oregon
Oxfordshire
Paris
Pasig
PE
Pennsylvania
Pokfulam
Poulos
Punjab
QC
Quartermain
Queensland
Rhode Island
Rio de Janeiro
Salzburg
Sao Paulo
Shandong
Shanghai
Sichuan
SK
South Australia
South Carolina
SP
St. Michael
St. Peter
Surrey
Swansea
Taiwan
Tennessee
Texas
Utah
Vazquez Arredondo
Vermont
Virginia
Washington
West
Wisconsin
Wuhan
Wyoming
YT
Postal Code: *
Country: *
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr
British Virgin Islands
British West Indies
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Colombia
Comoros
Congo
Congo, Dem. Republic
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jamaica West Indies
Japan
Jordan
Kazakstan
Kenya
Kiribati
Korea
Korea, DPR
Kosovo
Kuwait
Kyrgyzstan
Laos PDF
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre And Miquelon
Saint Vincent
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone: *
Job Information
# years of work experience: *
--SELECT--
Less than 3 years
3 to 8 years
8 or more years
Current Job Title: *
# years in current position: *
--SELECT--
Less than 3 years
3 to 8 years
8 or more years
Main job responsibility #1: *
Main job responsibility #2: *
Main job responsibility #3:
Do you manage staff?: *
--SELECT--
No
Yes - Less than 10
Yes - 11 to 20 staff
Yes - More than 20 staff
Do you have budgetary responsibility?: *
--SELECT--
No
Yes - Under $1 million
Yes - $1 to $5 million
Yes - Over $5 million
Are you a Rotman alumni? *
--SELECT--
Yes
No
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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