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Application form for MIC

Admission to the Online or On Campus Program
for applicants from
USA, Canada and Western Europe

There is no Scholarship for this Application
 

Complete all portions of the application. Please use "N/A" in any fields that do not apply to you.
*
 Indicates a required field. 


Name of the Program* : Online or On Campus Program

 
                   

Starting Date Preferred
*

The starting date requested by applicants is only tentative. However, the applicant’s preference will be taken into account by the MIC management while establishing her/his schedule.

Personal Information

Name*- Surname  Name    

Date of Birth
*
 //                Place of Birth

Country of Citizenship   
 

Mailing Address

Line 1*   

Line 2     

 City*                   Country*  

 State/Province                Zip

 

Contact information

E-mail Address*   

Phone  --                  Fax --

 

Educational Background

Undergraduate Study: list only your last university degrees
 

Institution Location Dates of Graduation Degree obtained

 

Employment History

Current Employer*                         

Since  (mm/yyyy)  - 

Address

 Line 1*             

 Line 2   

 City*         Country*   

 State/Province              Zip

 Position                                               Working status  


Please indicate addresses of 2 previous employers
 

Position *                         

Since  (mm/yyyy)  - 

 

Will your employer reimburse you for tuition?              Yes No            What percentage?   


Tuition fees


R
egular tuition fee for
the Online MBA and MPA Programs, for applicants from Canada, the United States and Western Europe is $ 10,000 US.
 

 

All tuition fees for Onsite Programs are to be paid in 3 or 4 times.

If you are from an Overseas country and wish to study an Online Program, please go to the following link to see the list of countries that qualify to apply for a Scholarships: MCPOP Program.
 

Application Form for MIC Scholarship (Only For Overseas Countries)

 

 

 

I certify that the statements in this application are correct to the best of my knowledge. I further authorize Management Institute of Canada (MIC) to make appropriate inquiries when necessary to certify the accuracy of my records. I understand that failure to answer any questions on this form truthfully and accurately might make me ineligible for admission to Management Institute of Canada or may result in my dismissal from Management Institute of Canada.
 

 

 
 

 

 

Management Institut of Canada,

MIC in Montreal
Mailing permanent address in Montreal:

Management Institute of Canada
1250 Rue University, PO Box 71, Maison de la Poste,
Montreal, Quebec, H3B 3J5, CANADA

MIC in Paris
Mailing permanent address in Paris:

Management Institute of Canada
6, Rue Jarente
B.P. 4232

75162 Paris, Cedex 04, FRANCE

www.micanada.org info@micanada.org

 

 

 

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