Emory Goizueta Business School

Goizueta Executive Program - Online Application

By submitting an application you are committing to the dates specified on the application pending application approval. Please see our cancellation / transfer policy below. All fields marked with an asterisk (*) are required. Upon successful completion of this form, you will receive a confirmation e-mail that it has been received.

Personal Information
* Full Name:
(for roster and certificate)
* Preferred first name
(for ID badge):
* Job Title:
* Company:
* Business address:
* City/State/Zip:
Country:
* Business phone:
Business Fax:
* E-mail Address:
Birthdate:
* Gender: Male    Female
Dietary restrictions:
* Emergency Contact Name:
* Relation:
* Phone:


Organization Description
  Parent Organization Your Subsidiary/Division Your Work Unit/Department
* Name
* Products/Services
* Number of Employees
* Sales
* Assets
* Description of Current Duties
* Business Website


Employment Record
(Please be specific, confine to your last two positions, starting with the most recent one.)
* Company * Title * Dates


Education
Undergraduate School
Name
Major and Degree
Date
Graduate School
Name
Major and Degree
Date


Management Programs Attended
(For "Type" indicate whether an in-company, university or professional course).
Name of Program Type Dates


* Additional Information
The following questions provide valuable information that helps us determine whether the Goizueta Executive Program will meet the applicant’s and the organization’s needs. Code the following areas as to the degree of experience and relevance to your job: (A) Extensive (B) Moderate (C) Little or none
  Degree of Experience Relevance to Current Position Relevance to Future Positions
Strategic Management
International Business
Marketing
Operations
Information Systems
Human Resources Mgr.
Finance


Billing Information

We accept payment by wire transfer, company/personal check, MasterCard, Visa and American Express. Payment instructions are included in your welcome letter and invoice if accepted in the program. If invoicing address is different than above info please send invoice to:

Name and Title:
Company:
Address 1:
Address 2:
City/State/Zip:
Country:
Phone #
Email:


Program Fee Details
  1. Program Fee: The program fee includes
    • Tuition;
    • Educational materials and preparatory materials;
    • Certificate of completion;
    • Parking at the Goizueta Foundation Center, and
    • All meals and beverages served as part of the program events.
    All travel arrangements and accommodations must be made by the applicant and are not included as part of the program fee.
  2. Program Dates and Fees: You may request a preferred program date. If that offering is full, we will automatically move your application to the next available offering.
  3. Payment Terms: No payment is necessary until you have been accepted into an Emory Executive Education program. After admission notification, we will send you an invoice with payment due date. If admission is within 30 days before the program start date, payment is due within 5 days. Payment is required prior to the program start date.
  4. Cancellation Policy: Your application may be cancelled if payment is not received by 30 days prior to the program start date.
    • If you must cancel your participation in this program, you must do before 30 days before the program start date.
    • If the request for cancellation is received less than 30 days before the program start date, you will be subjected to a cancellation fee of 50% of the program fee.
    • Cancellations occurring on or after the program start date will result in a cancellation fee of 100% of the program fee
  5. Transfer Policy: All transfers must be requested 30 days or more before the program start date.
    • Transfer requests received less than 30 days in advance, but before the program start date, will be subject to a $500 transfer fee plus any increase in the program fee.
    • Transfer requests received on or after the program start date cannot be honored.
    • You may only transfer to the next offering of the program. You may request to transfer one time only. Subsequent requests for transfers will result in immediate cancellation of the registration.

      Reset