University of Rochester
Simon Business School
Executive MBA Program
Sponsorship Approval Form
Name of Applicant: _________________________________________________________________________________
First
Middle Initial
Last
____________________________________________________________________________________________________________
Title
Company
To the Sponsor
This form should be completed by a representative of your organization qualified to grant sponsorship to the individual named
above. The Executive MBA Program is a partnership between the Simon School, the participant and the participant’s sponsor.
Organizational support for the duration of the Program is an integral part of the applicant’s success.
Sponsorship Statement
We recognize that the Executive MBA Program is a 22-month intensive MBA program. Class typically meets one Friday and two
Saturdays per month and for three days in September 2015. We grant the applicant work-release time to attend classes for the
duration of the Program beginning in September 2015.
____________________________________________________________________________________________________________
Name of Authorized Representative
Title
____________________________________________________________________________________________________________
Signature of Authorized Representative
Please return this form to:
Lee Shannon
Associate Director
Executive Programs
Simon Business School
University of Rochester
204 Schlegel Hall - Box 270107
Rochester, NY 14627-0107
Phone: (585) 275-3439
Fax: (585) 244-3612
E-mail: lee.shannon@simon.rochester.edu
Web site: www.simon.rochester.edu/emba
Date