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International Applicants
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You will receive an invitation
letter to assist with your travel to the United States. To
expedite this process, please provide the following information: |
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Country: |
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Passport ID # (if applicable): |
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Passport #: |
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Passport Issue Date: |
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Passport Expiration Date: |
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The Guest Program: If you plan to bring a guest who requires a VISA letter, please provide the
guest’s name and passport information in the space below. |
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| Guest: |
Mr.,
Mrs.,
Ms.,
Dr. |
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First Name: |
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M.I. |
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Surname: |
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Shirt Size: |
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Country (guest’s passport issued): |
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Passport ID # (if applicable): |
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Passport #: |
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Passport Issue Date: |
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Passport Expiration Date: |
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Organization
Data
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Name of Your Organization:
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Industry:
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Your Title/Position:
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Name of Parent Organization (if
applicable):
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Industry of Parent Organization:
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Education
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University/College |
Major
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Degree |
Year |
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Executive Education Programs Attended
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Last 5 Years (include company programs)
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University or Organization
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Name of Program
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Year Attended
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Employment History -
Last 10 Years (List the most recent first)
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Organization |
Title/Position |
Year(s) |
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List Your Areas of Expertise
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1.
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2.
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3.
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4.
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Job Responsibilities
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1. Describe your
present
duties and responsibilities. Include the number
of people, amount of sales revenue, total assets under your
managerial responsibility, the length of time you have held your
present position, and your reporting responsibilities within the
organization.
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2. What do you
find are the most challenging aspects of your job?
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3. What do you see
next in your career?
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Program Expectations
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1. What specific
objectives do you have for attending The Executive Program
(TEP)?
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2. In what ways do
you believe you will enhance the learning experience of the
other TEP participants?
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Additional Information
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A fee of
$36,700 for The Executive Program—which includes tuition,
lodging, most meals, teaching materials, and certificate of
participation—is due and payable upon acceptance of the
participant. |
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Person to whom the
invoice should be mailed: |
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Name:
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Title:
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Mailing Address:
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City/State/Zip:
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Country:
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Cancellation/Transfer Policy
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Cancellations after April 17, 2009, are subject to
an $18,350 fee.
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Cancellations after May 15, 2009, are assessed
the entire program fee. If necessary, the sponsoring company
may, by agreement with the Director of Executive Education,
substitute a replacement prior to May 8, 2009.
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All
transfers will incur a $5,505 transfer fee. One transfer per
accepted applicant to the next subsequent offering is allowed.
Transfer requests received less than 30 days before the start
date will incur a $9,175 fee. A transfer request followed by a
subsequent cancellation will be subject to the applicable
cancellation fees noted above.
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All cancellations and
transfers must be received in writing and sent to:
Nancy Stahon,
Director of Finance Darden Executive Education P.O. Box 7186 Charlottesville, VA 22906-7186
StahonN@darden.virginia.edu
Email address of person
recommending you:
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A user-friendly, self-paced
computer
software package on the
fundamentals of financial accounting and reporting is
available. If you believe you could benefit from a review of
balance sheets, income statements, cash-flow statements,
financial ratios, and present-value analysis, please check the
box below.
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Yes, please send me the software package on the fundamentals
of financial accounting and reporting (Available only in CD-Rom format). |