2023 Application Form

Program Participants leaving the Harvard Faculty Class after the journey. Harvard Yard, Cambridge, MA.

Welcome to the RCC at Harvard Executive Program Application for 2023!

In this Application form, we will require some information related to your professional profile, your interests, and objectives as a potential participant, in order to get to know you better and so that you can also see if this Program suits you.

Looking forward to meeting you in Harvard!

CANCELLATION POLICY

Due to program demand and the volume of program preparation, cancellations or deferrals will affect the refund of the price fee. We will inform you of all the details via email when the application is received. Thank You!

Full Name

Email

Full Address (St, No, Zip Code, City, Country, details..)

Phone number

Nationality

Are You willing to apply for a partial scholarship for this program's participation? Are You willing to apply for a partial scholarship for this program's participation? Yes No

How long have you been in your current position?

Company

Your Company Position

Business Sector/Area

Where did you hear about the Executive Program?

What areas are you seeking to develop through this Executive Program? What areas are you seeking to develop through this Executive Program? Leadership Skills/Managing People and Change (Organizational Behaviour) Profitability/ROE (Financial Management/Accounting) Building Business (Marketing/Sales) Leveraging Information (Information Technology) Manufacturing Performance (Operations) Competitive Advantage (Strategy) Globalization (International Business) Integrating All Business Aspects (General Management)

Are these issues particular to you as an individual, or do they affect your company on a larger scale? Are these issues particular to you as an individual, or do they affect your company on a larger scale? They are a personal development opportunity for me They affect my organization and company performance as a whole Both: They are a personal development opportunity for me and affect my company performance as a whole

What are your primary objectives / expectations for attending the Program this year?

Does your company provide a structured management development program including recommended education courses? Does your company provide a structured management development program including recommended education courses? Yes No

Education Level

Degrees and Programs Attended

TRAVEL & MEDICAL INSURANCE

Program Participants are responsible for securing their own personal traveler’s insurance and medical insurance to cover them during their travel and four-day stay during the Executive Program. The Executive Program and its organizers will not be held responsible for any incidents during participants’ travel or participation in the Program. This questionnaire will allow us to correctly identify the profile and interests of the applicants.

All of the information provided will be held confidential and will only be used to facilitate and achieve the expectations of our participants.