Student Information Form

Please complete the form below regarding the Summer 2013 International Business Plan.

*Please submit by Friday, April 12, 2013.

First Name: *

Last Name: *

Gender: *

Female

Male

Nationality (please specify): *

Program: *

Expected Graduation Date: *

Skill Area of Interest:

If more than one area of interest, please prioritize your first, second and third choice below.

Option 1: *

Option 2:

Option 3:

Native Language: *

Language of Study at MIIS: *

Other Language Proficiency: *

Country or Regional Expertise: *

Prior Experience (Industry, job function, regional area, technological skills, etc.) : *

Please upload your most recent Resume or Curriculum Vitae: *

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