To Enroll Stanford Advance Project Management - OoCities

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					                   STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
                                 APPLICATION FORM




Please complete all sections of the application in full. Only COMPLETE applications will be reviewed .

General Information

Please check one             Mr.           Ms.        Mrs.          Dr.
(optional):

Name:                     (First, Middle, Last)

Company:

Title:

Company Address:          (No P.O. boxes please – street address)

City/State/Zip:

Country:

Business Telephone:

Fax:

Business Email:

Personal Information

Home Address:             (No P.O. boxes please – street address)

City/State/Zip:

Country:

Home Telephone:

Personal Email:

Preferred address            Business              Home
for receiving course
materials:

Organization Information

Company/Organization
Web Address:
Principal activity/
product/service of
your work unit:

How many people                                               …on projects or programs you
report to you directly?                                       manage?
                     STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
                                   APPLICATION FORM
Responsibilities and Experience
Please describe your current duties and responsibilities, particularly as they relate to project management, program management, or
project portfolio management in your organization.




Length of time in position:                                 Total no. years of management experience:


Please summarize any project, program, or project portfolio management experience you gained in previous positions – including
experience as a project team member, project sponsor, or executive with project management oversight.




(NOTE: If you wish, you may also e-mail a current resume or position description along with completing this portion of the
application.)


Education & Professional Development

College/University                                               Degree                                               Year




Project Management Professional (PMP) Certification

   Yes - Number/Year                        No

Other Project Management Training/Education                      Organization/Institution



Other Professional Development/Certificates                      Organization/Institution




Objectives

What do you hope to achieve through your participation in the Stanford Advanced Project Management Program?




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                  STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
                                APPLICATION FORM
What function best describes your responsibilities?

   Accounting / Control                    Information Services                         Product Development
   Consulting                              Legal / Regulatory                           Project Management
   Engineering                             Logistics                                    Program Management
   Finance                                 Manufacturing                                Portfolio Management
   General Management                      Operations                                   Project Office Management
   Human Resources                         Planning                                     Research and Development
   Other

Industry (check the most appropriate box)

   Business Services/Consulting            Financial Services/Banking/Acctg             Pharmaceuticals
   Computer/IT                             Government                                   Telecommunications
   Construction                            Health Care/Medical                          Transportation
   Defense                                 Insurance                                    Utilities
   Education                               Manufacturing                                Other




Please indicate how you heard about this program. (Indicate all that apply)

REFERRAL FROM:
Previous Participant:                (insert name)
IPSolutions Representative:          (insert name)
Human Resources Director:            (insert name)
Other:                               (insert name)

RECEIVED MAILER:
   Brochure               Postcard             Letter                 Other (specify)



INTERNET:
   Initially performed own Web search                Saw ad or other marketing materials and went to Web site



E-MAIL FROM:
   (specify) _____________



ADVERTISEMENT IN:
   (specify) ______________


ATTENDED:
Other Stanford Center for Professional
                                            (specify program / year)
Development program:

Other IPSolutions program:                  (specify)

Trade Show/Conference:                      (specify)

Other:                                      (specify)




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                 STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
                               APPLICATION FORM
  Program Fee
                                                                      Tuition
  □    Advanced Project Management Program                            US$5,200
  The fee covers the following six modules:
      Converting Strategy into Action:
      Mastering the Integrated Program:
      Mastering the Project Portfolio:
      Leveraging the Customer Relationship:
      Designing the Organization for Execution
      Leadership for Strategic Execution

  Application
  To apply, please complete and fax the registration form included in this brochure to:
  Jomie Leung
  International Marketing Consultant - Stanford Advanced Project Management
  BR Guidance
  C/O China Education (HK) Ltd
  3003, Shun Tak Center
  200 Connaught Road, Sheungwan, Hong Kong
  Tel : 852-9133 2382
  Email : jomie.leung@gmail.com

  Once you have been admitted to our program, an acknowledgement letter will be sent within two weeks.
  Application does not guarantee admission; an Admissions Committee will review all complete applications
  and confirm with the applicant within two weeks.

  REGISTRATION POLICIES
  CANCELLATIONS, SUBSTITUTIONS AND TRANSFER

  The following cancellations, substitutions and fee schedule applies to all registrations:

  # of Weeks before Program       Substitutions            Transfer Fee                Cancellation Fee
                                  Allowed
  > 4 Weeks                       Yes, if appropriate      None                        None
  3 to 4 Weeks                    Yes, if appropriate      25% of tuition              50% of tuition
  0 to 2 Weeks                    Yes, if appropriate      50% of tuition              100% of tuition

  Request to transfer or cancel must be made in writing and faxed to China Education Group at 852-
  25370549 or emailed to stanfordhk@service.chinaedugrp.com. Stanford Center for Professional
  Development and China Education Group reserve the right to accept or reject substitutes for programs
  that require minimum management levels. Confirmed participants who have not provided advance
  cancellation notice in writing to China Education Group will forfeit the entire tuition amount. All tuition,
  fees, dates, policies and programs are subject to change.
  Mail or fax completed registration form to:

  China Education (HK) Ltd
  3003, Shun Tak Center
  200 Connaught Road, Sheungwan, Hong Kong
  Phone: 852-2537 0541
  Fax: 852-2537 0549
  Email : stanfordhk@service.chinaedugrp.com

  Please note: Payment must accompany all registrations in order to reserve your seat. Please
  issue the International Bank Draft favoring to BR Guidance or make the transfer to
HSBC Hong Kong                                    DBS Bank (Hong Kong) Limited
Account no. 555 8 041 736                         Account no. 016-484-848020303
Favoring : Jomie Leung                            Favoring : BR Guidance
SWIFT HSBCHKHHHKH                                 SWIFT DHBKHKHH via Swift MT100/MT103

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                  STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
                                APPLICATION FORM
Applicant Agreement

I acknowledge that the information I have provided above is complete and truthful.

_________________________________________________________________________________________________________

Signature of Applicant                                                           Date


Print Applicant’s Name




Manager Approval

I support this applicant’s participation in the Stanford Advanced Project Management program.

_________________________________________________________________________________________________________

Signature of Applicant’s Immediate Manager                                       Date


Manager’s Name                                              Phone

Title                                                       Email




                                                                                          rev. 07/15/06 JL




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