IMTA

International Management Teachers Academy

Faculty Development Program

12-23 June 2016

Bled, Slovenia

Application Form

Please complete this form in English and send it in MS Word format to

Name of the applicant:
During the second week of IMTA, participants will be divided into 3 or 4 parallel tracks (depending on demand) to allow a more personalized approach in Week 2 with practical application of teaching and learning methodologies, including those related to specific management disciplines and topics. Please mark your preferences for disciplinary tracks during Week 2 of the Program, with 1 being the most interesting track for you to 3 as your least preferred discipline track.
___ Business in Society
___ Customers and Markets
___ Financial Management / ___ Leading Change
___ Strategic and International Management
___Other (please specify ______)

Please submit the following documents in order for your application to be accepted:

1.  Completed application form

2.  Good-quality photo, preferably in jpg format (either inserted at the top of this application or attached separately)

3.  Letter of recommendation

4.  CV (or résumé)

5.  A detailed course outline for a course that you have developed or teach including sequencing of topics and, if available, stated learning outcome objectives

6.  Optional: a case study which you have worked on developing and, if available, the case teaching note

A working knowledge of English and at least two years of relevant teaching experience are the minimum requirements for applying to the Program. The short-listed applicants will be invited for an interview (in English) with IMTA Management. The application process is complete only after receiving the letter of acceptance.

Should you have any questions, please do not hesitate contacting us at

, Tel +386 4 57 92 570; Fax +386 4 57 92 501

More information about IMTA-related programs and other CEEMAN activities is available at www.ceeman.org

CEEMAN International Management Teachers Academy 2016

Application form – Page 1

1. PERSONAL INFORMATION

Name / Surname
Position / Title: Mr / Ms / Mrs / Prof / Dr
Other:
Institution
Mailing address
Invoicing address
and VAT number
Home address
Phone / Mobile phone
Main contact e-mail / Alternative e-mail
Skype / Date of birth (dd/mm/yyyy)

2. EDUCATION BACKGROUND

Degree education (please start with your most recent degree):

Institution / Country / Dates attended / Degree obtained

Professional trainings:

Program title / Institution / Country / Dates attended


Languages:

Language / Level of proficiency
□ fluent □ working knowledge □ basic
□ fluent □ working knowledge □ basic
□ fluent □ working knowledge □ basic
□ fluent □ working knowledge □ basic
3. HOW RELEVANT OR IMPORTANT IS FURTHER DEVELOPMENT OF THE FOLLOWING SKILLS OR CAPABILITIES FOR YOU PERSONALLY?
(Please mark from 1-5 where 1 is most relevant for you and 5 is least relevant. Tied rankings are acceptable.)
Skills and Capabilities / Relevance / Skills and Capabilities / Relevance
Course Design / Engaging and/or Motivating Students
Optimizing a Mix of Learning Methodologies / Assessing Student Performance
Using Technology to Support Learning Objectives / Providing Student Feedback
Setting Course or Session Learning Objectives / Networking with Peers
Teaching With Cases / Case Writing
Indicate other skills or capabilities you would like to develop further:
4. EXPERIENCE
a)  Total years of teaching experience: ______
What is your main area of teaching expertise?
b)  Approach to teaching:
Yes / No
Do you uses cases in your teaching?
Do you have experience in writing cases?
If not, would you like to write cases in the future?
Do you have experience using games, simulations, or social media platforms in your teaching?
Do you use technology in other ways in your teaching? If so, can you describe what you are doing?
c)  Research experience:
What are your key areas of interest in research?
d)  Other experiences:
Yes / No
Do you have experience as a program director?
Have you had other administrative responsibilities in an academic institution?
Have you been or are you now a business owner?
Have you provided consulting services to businesses or other organizations?
5. HOW CAN YOU CONTRIBUTE MOST TO THE PROGRAM AND TO OTHER PROGRAM PARTICIPANTS?

6. EMPLOYMENT HISTORY

Institution / Dates / Position held
Total years of working experience:
7. DESCRIBE YOUR MOST SUBSTANTIAL ACCOMPLISHMENT TO DATE

8. WHAT DO YOU EXPECT FROM IMTA?

9. ASIDE FROM WORK, WHAT ARE YOUR MAIN INTERESTS?

10. HOW DID YOU LEARN ABOUT IMTA?

IMTA 2016 FEES

Institutional members of CEEMAN / Individual or exchange members of CEEMAN / Non-members / IMTA alumni (Week 2 only)
Applications received until 13 March 2016 / EUR 2,900 / EUR 3,900 / EUR 4,900 / EUR 1,300
Applications received after 13 March 2016 / EUR 3,200 / EUR 4,200 / EUR 5,200 / EUR 1,450

In some cases, 22% VAT might apply depending on the legal status of the applicant's institution

Program fee is covering all materials, coffee breaks and 1 dinner. Please note that the fee does not include lunches and dinners, nor travel or accommodation expenses.

Cancellation fee of 10 % of the program fee will be charged for any cancellations received after the formal admission. For cancellations received within 2 weeks before the program starts will be charged 30 % of the program fee.

Please contact us if you have not received application confirmation and invoice for participation within two weeks after submitting your application form.

By submitting this application form, I confirm that the information submitted is correct and I guarantee the payment of participation fee. I have taken notice of the cancellation terms.

Date: Signature:

CEEMAN International Management Teachers Academy 2016

Application form - Page 5