Application for Admission
Complete this application and submit online. If your curriculum vitae provides your complete work experience and education, you may send it with the form, and leave those sections on the form blank. Alternatively, you may also complete the form in a Word version  and e-mail it to info@impm.org.
Name
  First Middle Family
Preferred first name   Male  Female
 
COMPANY INFORMATION
Name and address of Company (or division)
which employs you directly		 Name and address of parent Company if relevant
 
Telephone    Fax   
E-mail   
 
WORK EXPERIENCE
Present title or position   
Division (if any)   
No. of years in current position    No. of personnel in area you manage   
 
Please describe the responsibilities and activities in your current job:
 
Previous employment record
Company Title or Position Dates
 
EDUCATION
Name of college or University Degree Received Dates Attended
 
PERSONAL INFORMATION
Home Address
Home telephone    Home fax   
Home e-mail   
Date of birth    
Nationality    
 
I confirm the above details, plus any attached details, are correct (Please print your name).
Date    
 
N.B.: In addition to returning this form, please make sure that:

- you also send a curriculum vitae if you have left the work and education experience areas blank on this form
- you send 3 colour passport-size photos or email a digital one
- you enclose or email a copy of your business card
- your company sponsor has signed below

 
MASTERS DEGREE REQUIREMENTS

Candidates are invited to register for the Masters Degree. All activities and requirements will be identical for degree and non-degree participants, except that degree candidates will submit a major paper after the fifth module. The fee for the degree portion of the Program is US$ 6,750, due on October 1, 2009.

Masters degrees will be offered from either Lancaster University (MA in Practicing Management) or McGill University (Masters in Management). The degree requirements at both universities will be identical.

Full degree registration material will be mailed after receipt of this reply form.

Yes, I would like to register for the Masters Degree. Please send me more information   

 
SPONSORING EXECUTIVE
By completing the section below, the sponsoring executive confirms that the applicant has a working knowledge of English, and that the Company will pay the applicant's tuition fee, room, board, transport and travel expenses.
Date     
Name    Job Title   
 
Address
Telephone    Fax   
E-Mail   
 
Please indicate to whom invoices should be sent
 
Name    Job Title   
 
Address
Telephone    Fax   
E-mail