STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
APPLICATION FORM
Please complete all sections of the application in full. Only COMPLETE applications will be reviewed .
General Information
Please check one
(optional):
Name:
Mr.
Ms.
Mrs.
Dr.
(First, Middle, Last)
Company:
Title:
Company Address:
(No P.O. boxes please – street address)
City/State/Zip:
Country:
Business Telephone:
Fax:
Business Email:
Personal Information
Home Address:
(No P.O. boxes please – street address)
City/State/Zip:
Country:
Home Telephone:
Personal Email:
Preferred address
for receiving course
materials:
Business
Home
Organization Information
Company/Organization
Web Address:
Principal activity/
product/service of
your work unit:
How many people
report to you directly?
…on projects or programs you
manage?
STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
APPLICATION FORM
Responsibilities and Experience
Please describe your current duties and responsibilities, particularly as they relate to project management, program management, or
project portfolio management in your organization.
Length of time in position:
Total no. years of management experience:
Please summarize any project, program, or project portfolio management experience you gained in previous positions – including
experience as a project team member, project sponsor, or executive with project management oversight.
(NOTE: If you wish, you may also e-mail a current resume or position description along with completing this portion of the
application.)
Education & Professional Development
College/University
Degree
Year
Project Management Professional (PMP) Certification
Yes - Number/Year
No
Other Project Management Training/Education
Organization/Institution
Other Professional Development/Certificates
Organization/Institution
Objectives
What do you hope to achieve through your participation in the Stanford Advanced Project Management Program?
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STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
APPLICATION FORM
What function best describes your responsibilities?
Accounting / Control
Information Services
Product Development
Consulting
Legal / Regulatory
Project Management
Engineering
Logistics
Program Management
Finance
Manufacturing
Portfolio Management
General Management
Operations
Project Office Management
Human Resources
Planning
Research and Development
Other
Industry (check the most appropriate box)
Business Services/Consulting
Financial Services/Banking/Acctg
Pharmaceuticals
Computer/IT
Government
Telecommunications
Construction
Health Care/Medical
Transportation
Defense
Insurance
Utilities
Education
Manufacturing
Other
Please indicate how you heard about this program. (Indicate all that apply)
REFERRAL FROM:
Previous Participant:
(insert name)
IPSolutions Representative:
(insert name)
Human Resources Director:
(insert name)
Other:
(insert name)
RECEIVED MAILER:
Brochure
Postcard
Letter
Other (specify)
INTERNET:
Initially performed own Web search
Saw ad or other marketing materials and went to Web site
E-MAIL FROM:
(specify) _____________
ADVERTISEMENT IN:
(specify) ______________
ATTENDED:
Other Stanford Center for Professional
Development program:
(specify program / year)
Other IPSolutions program:
(specify)
Trade Show/Conference:
(specify)
Other:
(specify)
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STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
APPLICATION FORM
Program Fee
Tuition
□
Advanced Project Management Program
US$5,200
The fee covers the following six modules:

Converting Strategy into Action:

Mastering the Integrated Program:

Mastering the Project Portfolio:

Leveraging the Customer Relationship:

Designing the Organization for Execution

Leadership for Strategic Execution
Application
To apply, please complete and fax the registration form included in this brochure to:
Jomie Leung
International Marketing Consultant - Stanford Advanced Project Management
BR Guidance
C/O China Education (HK) Ltd
3003, Shun Tak Center
200 Connaught Road, Sheungwan, Hong Kong
Tel : 852-9133 2382
Email : jomie.leung@gmail.com
Once you have been admitted to our program, an acknowledgement letter will be sent within two weeks.
Application does not guarantee admission; an Admissions Committee will review all complete applications
and confirm with the applicant within two weeks.
REGISTRATION POLICIES
CANCELLATIONS, SUBSTITUTIONS AND TRANSFER
The following cancellations, substitutions and fee schedule applies to all registrations:
# of Weeks before Program
> 4 Weeks
3 to 4 Weeks
0 to 2 Weeks
Substitutions
Allowed
Yes, if appropriate
Yes, if appropriate
Yes, if appropriate
Transfer Fee
Cancellation Fee
None
25% of tuition
50% of tuition
None
50% of tuition
100% of tuition
Request to transfer or cancel must be made in writing and faxed to China Education Group at 85225370549 or emailed to stanfordhk@service.chinaedugrp.com. Stanford Center for Professional
Development and China Education Group reserve the right to accept or reject substitutes for programs
that require minimum management levels. Confirmed participants who have not provided advance
cancellation notice in writing to China Education Group will forfeit the entire tuition amount. All tuition,
fees, dates, policies and programs are subject to change.
Mail or fax completed registration form to:
China Education (HK) Ltd
3003, Shun Tak Center
200 Connaught Road, Sheungwan, Hong Kong
Phone: 852-2537 0541
Fax: 852-2537 0549
Email : stanfordhk@service.chinaedugrp.com
Please note: Payment must accompany all registrations in order to reserve your seat. Please
issue the International Bank Draft favoring to BR Guidance or make the transfer to
HSBC Hong Kong
DBS Bank (Hong Kong) Limited
Account no. 555 8 041 736
Account no. 016-484-848020303
Favoring : Jomie Leung
Favoring : BR Guidance
SWIFT HSBCHKHHHKH
SWIFT DHBKHKHH via Swift MT100/MT103
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STANFORD ADVANCED PROJECT MANAGEMENT PROGRAM
APPLICATION FORM
Applicant Agreement
I acknowledge that the information I have provided above is complete and truthful.
_________________________________________________________________________________________________________
Signature of Applicant
Date
Print Applicant’s Name
Manager Approval
I support this applicant’s participation in the Stanford Advanced Project Management program.
_________________________________________________________________________________________________________
Signature of Applicant’s Immediate Manager
Date
Manager’s Name
Phone
Title
Email
rev. 07/15/06 JL
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