AMP - Application form

Name:*

Organisation*

Job Title

Format and dates

Please indicate your choice of 3 individual or continuous weeks by selecting the appropriate dates in the drop down boxes.

Week 1*

Week 2*

Week 3*

Family name*

First name*

Name by which you are known

Title*

*Other (title)

Gender*

Male
Female

Business address

*

Telephone number*

Email*

Home address

*

Telephone number*

Date of birth:*
(dd/mm/yyyy)

Nationality:*

First language:*

Level of competence in English, if not first language:

Nominating organisation

Company name (if different from above)

Address (if different from above):

Telephone number(if different from above)

If your company is a subsidiary, please give the name and address of the parent company:

Send invoice to: (if different from above)*

Who made the decision for you to attend the programme?*

Name of nominator:*

Job title:

Email:

Telephone number:

Current employment

Length of time in job?*

In which industry or sector do you work?*

What is the job title of the person to whom you report?*

Current responsibilities

How many managers report to you?*

*

How many employees are you ultimately responsible for?*

What is the size of the annual budget that you control?*

Description of responsibilities*:

*

Summary of employment record:
(position/job title/ dates/ organisation/sector)*

Professional development & training:
(principal qualifications/ dates/ institution/specialism)

Objectives for attending the Advanced Management Programme

Personal objectives*:

*

In what way do you believe you can contribute to this programme:*

Why have you have chosen Henley:

Other (Please specify):

Do you use other business schools?

Yes
No

If so, which ones:

How did you hear about the programme?

If accepted, I understand that I must be completely free of professional duties while attending this programme and will be required to attend all regularly scheduled sessions and activities:

Do you agree?*

Yes
No

Date:*
(dd/mm/yyyy)

Terms and Conditions

Payment
The fee should be paid 6 weeks prior to commencement of the programme.
Fees include all accommodation, meals, programme materials, tuition and travel associated with the international business consultancy exercise. Henley's Executive Development Programmes are provided by Henley Business School, University of Reading.

All cancellations, postponements or transfers must be received in writing.
Relevant materials, joining arrangements and invoices will be sent when an applicant has been accepted onto the programme as a member. It is in the programme member's interests that these materials are received around 6 weeks before the start of the programme.

Cancellation and Transfer of Bookings

Cancellation
Prior to the sending of joining instructions a 50% cancellation fee will be charged. After joining instructions have been sent - around 6 weeks before the programme starts - a 100% cancellation fee will be charged.

Transfer

A request for transfer to a later programme prior to the joining instructions being sent out will incur an administration charge of £500
A request for transfer after joining instructions are sent out, will incur a transfer fee of 50%
If a programme participant transfers and subsequently cancels, normal cancellation charges will apply.
We are normally happy to accept a suitable substitute participant - subject to normal entry criteria and sufficient time being available to complete any necessary pre-programme preparation.
Programme members will be expected to complete the programme within a one-year period.

Data Protection Act 1998
Please note that information supplied in connection with your application may be stored on our computer system. We undertake not to supply your details to any third party. For more information please see our data protection policy.

University of Reading

The Henley Business School

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