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Program Interest Form

Please complete this form to express your interest in the Schulich Executive Strategy and Leadership Program for government officials, business leaders and executives in the private sector.

A member of our team will contact you shortly to discuss further details and answer any questions.

Full Name

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Job Title

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Organization/Agency Name

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Email

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Phone Number

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Program Interest

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Program Interest

3-Day Certificate Program

3-Day Tour Across Canadian Cities (Toronto, Kingston, Montreal, Quebec, Thousand Islands)

Both

Areas of Interest (select all that apply)

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Areas of Interest (select all that apply)

Leadership Skills Development

Strategic Planning

Policy Design and Implementation

Stakeholder Engagement

Innovation in Public Administration

Program Preferences

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Program Preferences

I am interested in program details that include all travel arrangements.

Untitled checkboxes field

I prefer to manage my own travel and lodging arrangements.

I would like more information on both options.

What country are you currently living in?

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In one paragraph explain why you are a fit for this program.

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Are you able to pay the Schulich program fees and other required fees yourself without using a sponsor? (If you answered "No" to the previous question).

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Are you able to pay the Schulich program fees and other required fees yourself without using a sponsor? (If you answered "No" to the previous question).

A

Yes

B

Will be using a sponsor