Application Form


MSC IN MANAGEMENT PRACTICE


SURNAME JOB TITLE


EMAIL YOUR RESPONSIBILITIES YOUR JOB RELATIONSHIPS


FIRST NAME DATE OF BIRTH ■ MR ■ MS


(A) TO WHOM DO YOU REPORT? (B) HOW MANY PEOPLE REPORT TO YOU?


PRIMARY DEGREE: UNIVERSITY


CLASS (Please tick) ■ FIRST


MAIN FIELD OF STUDY OTHER FIELDS OF STUDY


OTHER DEGREES: PROFESSIONAL AND OTHER QUALIFICATIONS INSTITUTION


■ UPPER SECOND


(C) HOW MANY COLLEAGUES AT SAME LEVEL AS YOURSELF? DATE STARTED ■ LOWER SECOND ■ THIRD ■ PASS


DATE GRADUATED ■ OTHER


FROM


TO


QUALIFICATION


PREVIOUS EMPLOYMENT STARTING WITH YOUR CURRENT POSITION ORGANISATION


FROM


TO


POSITION


I apply for admission to the MSc in Management Practice SIGNATURE COMPANY ADDRESS MAIN PHONE


NATURE OF PRODUCT OR SERVICE IN YOUR COMPANY


Irish Management Institute Sandyford Road Dublin 16 Ireland


Tel 353 1 207 8471 FreeFone 1800 22 33 88 eMail denise.connor@imi.ie www.imi.ie


MOBILE PHONE


NUMBER OF EMPLOYEES


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