Kellogg-Recanati International Executive MBA Program ...

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Kellogg-Recanati International Executive MBA Program Leon Recanati Graduate School of Business Administration, Coller School of Management Tel Aviv University, Tel Aviv 6997801, Israel, Tel. 972-3-6409955/6312 | Fax. 972-3- 6407803 E-mail: [email protected] | Web: en-coller.tau.ac.il/kr-emba Title Company Name Describe the organizational unit for which you are responsible and relate it to the total organization in terms of size, scope, and autonomy of responsibility. What human resources, budget and capital investment are you responsible for? To what position(s) do you report? Please enclose description of your position. Kellogg-Recanati International Executive MBA Program - KR26 Application for Admission - Work Data and Expectations Position Data and Work Experience Name: Computer Background Students enrolling in the program are expected to have working familiarity with word processing and spreadsheet analysis Do you have such proficiency? Yes No If not, will you have proficiency by the program’s start date? Yes No Low Moderate High Low Moderate High Accounting Finance General Management/Policy Formulation Production & Operations Marketing Organization Behavior Quantitative Skills Manpower/Industrial Relations Managerial Economics Other Expertise Areas of Management Area of expertise Please assess your proficiency in the following areas of management. This information is used to form study groups.

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Kellogg-Recanati International Executive MBA ProgramLeon Recanati Graduate School of Business Administration, Coller School of ManagementTel Aviv University, Tel Aviv 6997801, Israel, Tel. 972-3-6409955/6312 | Fax. 972-3- 6407803E-mail: [email protected] | Web: en-coller.tau.ac.il/kr-emba

Title Company Name

Describe the organizational unit for which you are responsible and relate it to the total organization in terms of size, scope, and autonomy of responsibility. What human resources, budget and capital investment are you responsible for? To what position(s) do you report? Please enclose description of your position.

Kellogg-Recanati International Executive MBA Program - KR2 6 Application for Admission - Work Data and ExpectationsPosition Data and Work Experience

Name:

Computer Background

Students enrolling in the program are expected to have working familiarity with word processing and spreadsheet analysis

Do you have such proficiency? Yes NoIf not, will you have proficiency by the program’s start date? Yes No

Low Moderate High Low Moderate High

Accounting

Finance

General Management/Policy Formulation

Production & Operations

Marketing

Organization Behavior

Quantitative Skills

Manpower/Industrial Relations

Managerial Economics

Other Expertise

Areas of Management

Area of expertise

Please assess your proficiency in the following areas of management. This information is used to form study groups.

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ExpectationsWhat do you expect to accomplish through this executive program? What learning experiences do you expect, and how would you apply them?

What specific benefits do you anticipate? (use separate page if necessary).

Experience

1.

Describe your management career, chronologically. (An up-to-date resume should be submitted).

2.Describe any major reports, instructional materials, or manuals that you have prepared or any research, inventions or othercreative work. (use separate page if necessary).

3.Please list the business / professional / community organizations in which you are active.

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Recommendations

Letters of recommendation from (name, title, and company).

1.

2.

Declaration

It is understood that during participation in the Kellogg-Recanati International Executive MBA Program, I will be free of other duties on class days and will not be absent for any reason other than an emergency.

I certify that all statements made in this application for admission to the Kellogg-Recanati International Executive MBA Programare correct, and that my responses are my own.

The personal details I have provided will be used to send information and notices on behalf of the university.

Signature of the applicant Date

Sponsorship

Does your employer provide any form of sponsorship towards your Executive MBA studies?

Full Financial Sponsorship Partial Financial Sponsorship Time-away Sponsorship

Please fill in the sponsor information:

Company / Organization Contact Name

Job Title Address

Email Phone Number

I consent to the use of my photos, taken during the course of my studies, for marketing purposes, social media, and general use.

Kellogg-Recanati International Executive MBA ProgramLeon Recanati Graduate School of Business Administration, Coller School of ManagementTel Aviv University, Tel Aviv 6997801, Israel, Tel. 972-3-6409955/6312 | Fax. 972-3- 6407803E-mail: [email protected] | Web: en-coller.tau.ac.il/kr-emba