APPLICATION for ACE Board Training for Women

                                       Presented by ACE LLC -- Ashby Consulting Enterprises LLC -- Denver, CO

          FALL sessions will be held in denver, co AND TORONTO, ON

                  for QUALIFIED professional women

PLEASE print and use this printable pdf application, cOMPLETE and RETURN to:

EMAIL: Michele@ACELLC.Consulting

BY MAIL:    c/o Michele Ashby, ACE Board Training for Women, 2635 Madison St., Denver, CO 80205

Questions?  Call 720-635-1005


 

      below please find the text of the application contained in the pdf link

I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

 SIGNATURE OF APPLICANT: _______________________________________________________________________DATE:_______________

PERSONAL INFORMATION

NAME: Last  __________________________________________First ___________________________________________Middle Initial______

FAMILIAR NAME FOR NAME BADGE: __________________________________________________________________________________

YOUR HOME ADDRESS: ______________________________________________________________________________________________

______________________________________________________________________________________________ Street, City, State, Zip Code

HOME TELEPHONE: _______________________________________MOBILE TELEPHONE: ______________________________________

EMAIL ADDRESS:______________________________________________DATE OF BIRTH: Month/Day/Year _______/_______/__________

WORK INFORMATION

TITLE OR POSITION: _________________________ COMPANY/ORGANIZATION NAME: ______________________________________

COMPANY/ORGANIZATION ADDRESS: _________________________________________________________________________________

_________________________________________________________________________________________ Street, City, State, Country, Zip Code

COMPANY TELEPHONE: _____________________________COMPANY WEBSITE: ___________________________________________

 PREFERRED MAILING ADDRESS:         □ BUSINESS ADDRESS             □ HOME ADDRESS

YOUR PARENT COMPANY_____________________________YOUR COMPANY/DIVISION Products/Services_____________________

Number of Employees: Company; ___________Division;_________How many reporting levels are above you? _____________________________

What is the title of the person to whom you report? ____________________________________________________________________________

Please describe your organizational hierarchy or provide an organizational chart.

 WHAT FUNCTION BEST DESCRIBES YOUR POSITION? (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 □ Religion □ Research & Development □ Sales □ Teaching

□ Other specify: ____________________

PLEASE CHECK YOUR CURRENT INDUSTRY (check one only):

□ Agriculture □ Apparel □ Banking □ Biotechnology □ Chemicals □ Communications □ Construction □ Consulting □ Consumer Products           □ Education □ Electronics □ Energy □ Engineering □ Oil & Gas  □ Professional Services □ Raw Materials □ Resources □ Real Estate    □ Recreation □ Retail □ Shipping □ Technology □ Telecommunications □ Transportation   □ Utilities □ Entertainment □ Environmental □ Finance □ Food & Beverage   □ Government □ Health Care □ Hospitality □ Insurance □ Machinery □ Manufacturing □ Media □ Not For Profit □ Pharmaceuticals

□ Other specify: ____________________

WORK EXPERIENCE

Please attach your resume and cv.

How many total years’ experience do you have? ________

 EDUCATION

DEGREE (check only highest level High School □ Two-Year College □ BS/BA □ MS/MA □ MBA □ JD/Law □ PhD □ MD □ Foreign Diploma                                                                                          

AVE YOU ATTENDED OTHER BOARD TRAINING PROGRAMS? If yes,

PROGRAM NAME ____________________________________DATE ______________

 REASONS FOR YOUR APPLYING

What are you passionate about? This can be personally, with your community or business, or world wise.

 What changes in the world would you like to see?

 Please explain your objectives and goals as they relate to attending this program.

 CANCELLATION POLICY

After admission notification, we will send you an invoice via email and payment is due upon receipt of the invoice. Payment is required prior to the program start date. Payment plans are available, but must be approved in advance. It is important that you contact us in a timely manner if you must cancel or defer your attendance. If you need to cancel or defer participation, you must submit your request in writing more than 30 days before the start of the program to defer to another session or nominate an acceptable substitute in your place.  Program fees are non-refundable, but attendees may defer to another session or nominate an acceptable substitute within the next year.

I have read the cancellation policy and agree to the terms stated. (please initial here)_______

PLEASE PRINT and use this printable pdf application, COMPLETE and RETURN to:

EMAIL: Michele@ACELLC.Consulting   

BY MAIL:    c/o Michele Ashby, ACE Board Training for Women, 2635 Madison St., Denver, CO 80205

Questions?  Call 720-635-1005