Workshop Application Please complete the following short application. Please indicate the program(s) for which you are applying * Applicant Status * 1 Unit Audit: $942 (FY 17/18) 1-Unit Academic Credit: $1,884(FY 17/18) Section 1: Applicant InformationPlease fill out the following basic applicant information. Last Name (Family Name) * First Name (Given Name) * Birth date (mm/dd/yyyy): * Citizen of the U.S. * Yes No Please indicate which country, as well as your US immigration status * Home Address Line 1 * Home Address Line 2 City, State, Zip, Country * Cellphone Business Phone * Permanent Email Address * Section 2: Applicant Position InformationPlease fill out the following information regarding your current position within your organization/company. Organization or School Job Title Section 3: Additional Attachments Please upload your CV or Resume * Please upload your CV or resume. You may also send this document by email to Carolyn Taylor Meyer at cmtaylor@miis.edu.Files must be less than 3 MB.Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml avi mov mp3 ogg. Please upload your statement of interest * Please upload a document briefly describing your background and interest in this program. You may also send this document by email to Carolyn Taylor Meyer at cmtaylor@miis.edu.Files must be less than 3 MB.Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml avi mov mp3 ogg. Please upload your Official or Unofficial Transcript Please upload an official or unofficial transcript or proof of graduation. You may also email this information to Carolyn Taylor Meyer at cmtaylor@miis.edu.Files must be less than 5 MB.Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml avi mov mp3 ogg wav. Additional Questions How did you hear about GSIPM weekend workshops? Online Ad Email distribution list Member of MIIS Faculty/Staff MIIS Website Brochure or Other Press Materials Social media Other... How did you hear about GSIPM weekend workshops? Other... Agree to PSM * Please enter your initials if you agree to the Monterey Institute's Policies and Standards Manual located at: http://www.miis.edu/offices/records/policies Leave this field blank
