About Us · Global Sasin · Faculty · Research · Consulting · Facilities · Library · Career Services · News · Alumni · Contact · FAQ · Home Intranet

Application for ASEP Admission

Applicant Information

Title: Mr. Ms.
Name (English): (First)	(Middle Initial) (Last)
Name (Thai): (First)	(Last)
Nationality:	Date of Birth (Month/Date/Year)
Position (English):	(Thai)
Company Name (English):	(Thai)
Company Address:
Country:
Company Website:
Telephone:	Fax:
Email:	Mobile Phone:
Home Address:
Telephone:	Fax:
List language other than English in which you are fluent:

Personal Information

Please describe any health condition that requires special attention
In case of emergency, contact (Name, Address and Phone Number)

Education

Institutions Attended:	Degree:	Major:	Year Received:




Please list any university executive education programs you have previously attended.
Institutions Attended:	Program Name:	Dates Attended:

Organization Information

Name of Organization:
Sales Per Year:	Net Assets:
Number of Employees:	Number of Products/Services:

Sector

Private Sector

State Enterprise

Government Sector

Type of Organization:
Investment Banking	Insurance and Diversified Financials	Service Industry
Energy	Commerce and Real Estate	Agro Industry
Manufacturing Industry	Other (Please specify):

Areas of Management

Please check your current function (Check one only):
Accounting Control	Engineering	Finance	Fundraising
General Management	Human Resources	Information Services	Law
Logistics	Manufacturing/Operations	Marketing	Medicine
Planning	Product Development	Project Management	Public Relations
Purchasing	Research and Development	Teaching	Other

Salary

Monthly salary, including bonus:

Experience

Describe your career chronologically. Include positions held with organizations other than current employer.
(Experience = years)
Name of Company	Title or Position	From Month/Year	To Month/Year

Information about Current Position

Describe the unit for which you are responsible; list the number of employees under your supervision and your present responsibilities. Please include a copy of your position description (if available).

Describe your position as it relates to the total organization, including your reporting responsibilities and the number of levels between your position and that of the organization's top management. Please include an organization chart.*

*please mail or fax to Executive Education Office

Expectations

What do you expect to accomplish by completing the Advanced Senior Executive Program? What learning experiences do you expect, and how would you apply them? What specific benefits do you anticipate?

Sponsor's Information

As a sponsor, you may add any information you deem relevant to action on this application, using another page if necessary; however, no statement or endorsement is required.

Sponsor's Name:

Title:

Company:

Address:

City:

Country:

Telephone:

Tuition, Fees and Residence

The fee for tuition, accommodation, meals and health insurance in the United States and all materials including cases and readings is Baht 395,000* per applicant. The registration fee must accompany the application and is nonrefundable; however, if the application is not accepted, the check will be returned.

It is understood that during attendance at the Advanced Senior Executive Program, the participant will be free of other duties and will not leave except in emergency situations.

* All payment should be made in BAHT, payable to Sasin Graduate Institute of Business Administration

Supplementary Documents

These documents should be sent to Sasin by fax or mail:
- First and second pages of my passport (hard copies)
- The US entry visa page from my passport

Payment and Cancellation Policies

(Applicants must read this section before submitting their application)

Payment:
Please make all checks payabale to Sasin Graduate Institute of Business Administration of Chulalongkorn University. Places will not be guaranteed until payment is received.

Cancellations:
When a cancellation is received, the application will be deferred to the next program only. All cancellations must be received in writing from the sponsor.

Sasin Graduate Institute of Business Administration of Chulalongkorn University and Kellogg School of Management, Northwestern University reserve the right to change without notice any statement in the publication concerning, but not limited to, rules, policies, tuition, fees, curricula, and courses.

PLEASE CHECK THE FOLLOWING

	A crossed check payable to Sasin is enclosed.
	I shall make full payment of registration fee before January 15, 2008. I understand that a confirmed reservation cannot be guaranteed prior to payment.
	Vegetarian meals are preferred.

This Application Form should be completed and submitted online, with attachments sent via fax or mail to:

Advanced Senior Executive Program
Sasin Graduate Institute of Business Administration of Chulalongkorn University
Executive Education
Sasa Patasala Building
Phyathai Road, Bangkok 10330, Thailand.

Tel: (66) 0 2218 4004-8 Ext. 164-167
Fax: (66) 0 2216 1314

E-mail: ExecEd@sasin.edu

Applying to Sasin

MBA Application Details

EMBA Application Details

HRM Application Details

ASEP Application Details

SEP Application Details

Executive Seminars Application Details

Management Communication Certificate Courses Application Details

Ellis Multimedia Self Study Program Application Details

Top