Personal Application Form

Please note that only complete applications will be reviewed

by the Admissions Committee

First name(s)
Family name
Preferred name for badge
Date of birth (dd/mm/yy)
Job title
Number of direct reports
Mobile telephone
E-mail
Company name
Company’s website
Industry
Number of employees
Address
City
Country
Please give a brief history of your career to date – dates and positions held (maximum 5 lines)
Total years of experience
Please describe what you expect to get from the Program and how this can potentially benefit you in your work. (maximum 3 lines)
Also describe what you think other Program participants may learn from you (e.g., perspectives, skills, expertise).
Please list any leadership or management programs/certificates you have attended
Please indicate your level of English proficiency
Preferred Program language
How did you hear about the Program?
What factor had the most influence on your decision to apply to this Program? (maximum 3 lines)
Do you need accommodations on campus during the program/in-person module?
Who will pay for participation in the Program?
Agrowfood LP reserves the right not to deliver the Program due to insufficient enrollment which shall be a minimum of 20 Participants
Contact
Program's coordinator
Olga Safina
+380 67 400 08 22
admin@agrowfood.com
If any questions left, please write to our email
sk@agrowfood.com