Owner Manager Program Application

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PART B: ORGANIZATION/ COMPANY PROFILE
Please give us details of your organization/ company in the spaces below. If multiple, please indicate on point 1, the organization to which you devote most of your time.
ORGANISATION 1
Name of Organization
Title
Physical Address
City
Postal Address
Country
Phone
Mobile Phone
Fax Office
Email Office*
Company Web Address*
Main Field of Activity*
Annual Sales*
No. of Employees*
No. of People Managed*
Phase of Business (growing, mature, plateau or declining)
To whom you report*

Complementary Informantion
Higher education (University or graduate school). Starting with the most recent, please complete the table below.
Institution*
Location*
Degree*
Graduation Year*
Institution
Location
Degree
Graduation Year
Institution
Location
Degree
Graduation Year
Have you attended any professional programs? Starting with the most recent please complete the table below:
Institution*
Location*
Award*
Graduation Year*
Institution
Location
Award
Graduation Year
Institution
Location
Award
Graduation Year
On a scale of 1 - 10 please indicate in which of the following areas you feel you are most proficient (10 points) or at least (1 point).
Administration
Human Factor and Personnel
Marketing and Sales
Product & Operations
Information Systems
Finance
In what way do you think you can contribute to the education of your fellow participants in the program?
*
Please indicate where you learnt about the program
*
- Alumnus of Strathmore
- Direct Mail
- Internet
- Advert. Please indicate Media
- Others
If others please specify
Do you have any dietary concerns that we consider? e.g. Diabetic, Vegetarian etc.

PART C: BILLING DETAILS
Payment is due notification of admission. Please indicate the details that should appear on the invoice for this application. All payments should be made to Strathmore business School.
Name of participant*
Invoice to*
Person in charge of invoicing (if different form above)*
Billing address*
City*
Town*
Postal code*
Country*
Phone*
Mobile Phone*
Date*
Company Web Address*
Cancellation Policy
All cancellations must be made in writing. Cancellations made less than a month to the program date are subject to a penalty of 25% of total program fee
Date*