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Corporate Partner for Executive Programs

Interested in the Graduate or Executive Program?

I’m interested in
Contact Info
1. Name
2. Email
3. Citizenship
4. Mailing Address
5. Tel # (optional)
6. Website (optional)
Academic Info
1. List Completed Degrees: Schools/Degrees/Year of Graduation
2. List Current Degree Program (if applicable): Where are you in school now? What degree Program? What year of the program?
Programs & Tracks of Interest
1. Will you need scholarship support to attend the GSP?
2. Which of the 10 Tracks do you consider yourself to be most expert?
3. Which of the 10 Tracks, other than that Track listed above would you desire to learn most about?
4. Tell us your background, any leadership experience and how you'd like to apply new ideas and technologies to address grand challenges (Limit to 300 words)
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Contact Info
1. Name
2. Title
3. Company
4. Citizenship
5. Email
6. Website (optional)
7. Phone (optional)
Background Info
1. Biographic Sketch: Please briefly describe yourself and your background (Limit to 400 words)
2. Area of Expertise
3. Industry: Describe your primary profession industry (e.g. Aviation, Agriculture, Manufacturing, etc.) (Limit to 100 words)
4. What are you specifically interested in getting out of the SU/EP (Limit to 200 words)
5. How did you hear about SU? (Limit to 100 words)
6. Payment: who will be paying the full tuition for your program?
7. Personal/I will be paying My company will be paying
References
1. References: Please provide us with two references who know you and your work
2. Reference #1
3. Name
4. Title
5. Company
6. Email
7. Phone
8. Reference #2
9. Name
10. Title
11. Company
12. Email
13. Phone
Referral Code
1. If you were referred to SU's Executive Program by another organization and were given a Referral Code, please enter it below.
2. Referral Code
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Contact Info
1. Name
2. Email
3. Company/Organization
4. Website (optional)
5. Your Title
6. Address
Partnership/Sponsorship
1. How would your company or organization most like to become involved with Singularity University?
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Corporate Partner for Executive Programs

Interested in the Graduate or Executive Program?