Program Information

Selected Program of Interest:

Desired Start Date:

Personal Information

Legal First Name:

Legal Last Name:

Preferred First Name:

Email:

Phone:

Coupon Code:

You will receive 30% off your program fees!

SFU Computing ID:

Date of Birth:

YYYY-MM-DD

I identify as a:

If other please specify:

SIN #

Your SIN is securely collected and stored in compliance with FIPPA regulations for the purposes of issuing tax receipts for eligible programs.

Gender:

Gender Pronoun(s):

Linkedin Profile Link:

If you do not have a LinkedIn profile, please enter N/A

Address Information

Mailing Address:

Please note, your mailing address will be used for distributing tax forms at the end of the year.

Mailing City:

Postal Code:

Country of Residence:

Province:

State:

Employment Details

Organization Name:

Please provide last place of employment/education

Industry:

Job Title:

Do you currently work in this role?

YesNo

Supervisor Title:

Total Years of Work Experience:

Your Budget Responsibility:

How many individuals are reporting to you directly or indirectly?

Total Years of People Management Experience:

Education Details

Highest Level of Education Obtained:

Please provide more details:

Professional Designations Held:

How did you hear about the program?

How did you hear about the program? (Other)

Who Referred you?

The information in this webform is collected under the general authority of the University Act (R.S.B.C. 1979, c.419). It is related directly to and needed by program administrators. The information will be used to communicate with applicants. The personal information collected and disclosed is stored on servers located in Canada. If you have any questions about the collection and use of this information please contact the program coordinator, Executive Education, Beedie School of Business, at execed@sfu.ca

I agree

HIDDEN SYSTEM FIELDS

Program Offering Record ID

Parent Term Record ID

Exec Ed Program Record ID

Payment Method

B2B Opportunity ID

Program Code

Individual Application Price ID

Payment Description

Application Fee: $75.00

Total Due: $75.00

Contact Information

Legal First Name

Legal Last Name

Payment Information

Cardholder Name

Card Number

CVV

Billing Information

Address Line 1

Address Line 2

City

Province

Postal Code

Country

(2 Letters i.e. Canada CA)

Hidden Fields

Application Fee Price

Charge Description