Strategic Leadership in Wine and Hospitality Application Form

ABOUT THE APPLICANT

Title

First Name

Last Name

Known as

Emergency contact and phone number

Dietary requirements or access needs

Gender

Nationality

APPLICANT CONTACT DETAILS

Mobile

Telephone

2nd Email (or Assistant)

Street

City

Country

Zip / Post Code

APPLICANT'S CAREER DETAILS

Job Title

Company

Company size (number of employees)

Sector / industry

Years of experience

If 'other', please specify

Describe your responsibilities within the organisation

Describe your learning objectives

INVOICING

If you are offered a place on the programme, an invoice will be issued once you have accepted our offer.

If you wish this invoice to be addressed and sent to someone other than yourself (e.g. your Finance department, HR manager etc.), please complete the information below. Alternatively, you can pay online in the City St George's, University of London E-store.

Please select your payment method:

Send an invoice to me personally at the address provided in this application

Send an invoice to another person as specified below (please provide correct email address)I prefer to pay online using the E-store

Name of contact

Purchase order number

VAT number (EU only)

Company

Street

Town/City

County/State

Postcode/Zip

Country

Notes (E.g. any discount eligibility details)

CONTACT PREFERENCES

In processing your personal data to respond to and follow up on your enquiry, we will do this securely and only use the information for your chosen purposes. We will never sell, rent or lease it to 3rd parties. Please read our full privacy notice here. To talk to us about how we use your information or report a concern please email dataprotection@city.ac.uk

Please complete the details below to confirm your consent for us to contact you

By selecting this option, you consent to join our mailing list. We’ll keep you updated with relevant news, events and information about your chosen programme to support your application and decision-making. You can unsubscribe at any time.By selecting this option, you are choosing to remain unsubscribed from our mailing list.

TERMS AND CONDITIONS

Please note that the programme will only proceed if the minimum number of participants is met. In the unlikely event that it does not run, all deposits will be fully refunded, or you may choose to transfer your place to the next available programme once the dates are confirmed. We will notify you accordingly to confirm your preference.

By ticking this box, I confirm that I have read, and agree to the terms and conditions above.

I agree

Contact Information