Shared Value Programme Application Form

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Current Positions
Please detail your current responsibilities in the organisation to which you devote most of your time.
Name of Organization*
Current Title*
Email (Office)
Main Field of Activity
Annual Turnover
Number of Employees
To who do you report
Number of People Managed

CHALLENGES
Current Business and Maanagement Challenges*
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*
Production and Operations*
Information Systems*
Finance*
Learning Experience
In what way do you think you can contribute to the education of your fellow participants in the programme?
Please indicate where you learnt about the programme*
Do you have any dietary concerns that we should consider? e.g. Diabetic, Vegetarian etc.

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