DOCTORATE OF BUSINESS ADMINISTRATION

DBA IN INNOVATION, MANAGEMENT AND NEW TECHNOLOGIES


ADMISSION FORM

PERSONAL DATA

First Name*
Family Name*
Gender *
Date of birth *
Place of birth *
Country of birth *
Identification number (or passport number) *

HOME ADDRESS

Address *
City*
Country
Postal code
Your phone

CURRENT PROFESSIONAL EXPERIENCE

Full-time work experience (in years)
Current employer
Nature of employer's activity
Position held
Number of subordinates
Describe your current duties and responsibilities

PREVIOUS PROFESSIONAL EXPERIENCE

Number of years worked
Previous employer
Previous position
Nature of employer's activity
Number of subordinates
Describe your previous duties and responsibilities

ACADEMIC BACKGROUND

University
Speciality
Diploma obtained
Start date
End date

MOTIVATIONS FOR THE PROGRAM

Why do you want to do a DBA ?
What is your thesis subject ?
Why did you decide to do our DBA?