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  Application for Admission

Both this Application for Admission and the Sponsor Agreement Form must be fully completed before the Admissions Committee reviews them.

Please answer all questions. All information will be kept confidential and is used for admission purposes only.

1. GENERAL INFORMATION

Name:
Title:
Company Name:
Division (if applicable):
Business Address:
Mail Stop:
City:
State:
Postal Code:
   
Business Phone:
Fax:
   
Email:
 

2. CURRENT LEVEL OF SERVICES MARKETING EXPERTISE

I currently perform Services Marketing at Level (check one):

Level 1 Entry level to Services Marketing profession. Assumes college exposure to business and marketing courses and a number of years of actual business experience in another discipline.
Level 2 Working knowledge of Services Marketing framework. Actual experience performing certain Services Marketing tasks.
Level 3 Functionally competent in complete process of one or more marketing disciplines, e.g., building market awareness and preference (marcom), etc. Able to conceive, develop, execute and manage an entire program, including budget, through to completion.
Level 4 In-depth experience (4-7 years) in one or more marketing disciplines. Demonstrated ability to achieve strong business results time and time again. Judged to be in top quartile of peers based upon quality of work, business results and ability to contribute to corporate objectives.
Level 5 A real master of the craft. Continually demonstrated by actual performance the ability to achieve superior business results in one or more marketing disciplines. Able to teach an advanced course in the discipline.

3. ABOUT YOUR COMPANY/DIVISION

Briefly describe your company market or industry focus:

Briefly describe your service organization mission:

4. YOUR EXPERIENCE

Describe your current responsibilities and where you fit in the organization:

Please list your last three positions (in reverse chronological order).
If all are in the same company, please give major promotional sequence.

Company Title or Position From
MM/YY		 To
MM/YY

5. EDUCATION

University Degree Year

6. ABOUT SMPP

What are your personal objectives for participating in this development program?

How will you determine whether or not this program has been successful for you?

Which ITSMA courses or workshops have you attended?

Course/Workshop Name

Date

How did you hear about ITSMA's publications?
    If other, please specify:


 
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