العربية

Application Form

*Program:


Complete List of Programs

Fields marked with an asterisk * are mandatory and are required for the completion of this application.
Please write N/A for information that is not available.

Personal Information
* Full Name in English:
* Full Name in Arabic:
* Gender:  
* Date of Birth:
* Nationality: * Country of Residence:
* City:
* Mobile No.: * Personal Email:
Home Address: Home Phone:

Professional Information
* Current Occupation:
* Institution:
Address: Work Phone:
Website: Institution Email:

In the case of being a member of an NGO please fill out the following
NGO Name:
Role in NGO:
Date of joining NGO:
NGO Website: NGO Email:
Phone: Fax:

Educational Background
* Degree: (Check only highest level attained)
* University: * Faculty:
* Graduation Year:
* English Language Proficiency:
Comprehension:
Spoken:
Reading:
* Arabic Language Proficiency:
Comprehension:
Spoken:
Reading:
* Short Resume (250 words maximum)
Have you attended a similar Executive Education program?
(If yes, please specify program name, institution responsible of its implementation, duration and date)
* What are your expectations from this program?
* What are your expectations on the outcome of this program in regards to impacting your personal level of performance?
How did you hear about this training?
 
* I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.
GAPP Executive Education
School of Global Affairs and Public Policy
American University in Cairo
Telephone: +202 2615 3315 / 2708
Fax: +202 2615 4574
gappexeced@aucegypt.edu