Sample Form – ITP-Schools

Personal Data

Title*

Prof

First Name*

First

Last Name*

Last

Email*

Date of birth*

Gender*

Male

Female

Nationality*

Country of residence*

Photo

Upload your photo (.jpg)*

Accepted file types: jpg, jpeg, Max. file size: 32 MB.

Present Employment

Position*

Subject Area (Field)*

Institution Name*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone*

Work Email*

Admission

What are your three most important specific objectives in attending this programme?

Part 1 (Specific Objective)*

Part 2 (Specific Objective)*

Part 3 (Specific Objective)*

How do you allocate your work among the following activities? (total = 100%)*

Teaching %

Please enter a number from 0 to 100.

Research %

Please enter a number from 0 to 100.

Consultancy %

Please enter a number from 0 to 100.

Administration %

Please enter a number from 0 to 100.

Total %*

How many years have you been teaching?*

Please enter a number from 0 to 100.

At what level? (Check all that apply)*

Bachelor

Master

MBA

PhD

Executive Education

Custom Programmes

Open Enrolment Programmes with degree (e.g. EMBA)

Open Enrolment Programmes without degree

Please, list your recent teaching activities, choose the level, and indicate group size*

Description

Level

Group Size

Please, list your recent programme direction or coordination, choose the level, and indicate group size*

Description

Level

Group Size

Roughly, what percentage of your teaching uses the following methods?*

Lecture %

Please enter a number from 0 to 100.

Lecture/Discussion %

Please enter a number from 0 to 100.

Case method %

Please enter a number from 0 to 100.

Experiential exercises %

Please enter a number from 0 to 100.

Tutorial %

Please enter a number from 0 to 100.

Projects %

Please enter a number from 0 to 100.

Distance Learning %

Please enter a number from 0 to 100.

Simulation %

Please enter a number from 0 to 100.

Other %

Please enter a number from 0 to 100.

Total %*

Roughly, what percentage of your teaching is in English versus other languages?*

English %*

Please enter a number from 0 to 100.

Other Languages (specify below) %

Please enter a number from 0 to 100.

Other Languages (if multiple, comma separated)

Education*

University/Institution

Date attended from

Date attended to

Major Field

Degree

Please, list your areas of research interest*

Please, describe in a concise manner why you have chosen this career, and how you wish to develop your professional experience in the coming 5 to 10 years.*

Invoicing

Name*

First Last

Title*

Prof

Telephone*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email*

Submit

Please provide details about how you heard about the International Teachers Programme

I am aware of the conditions of admission and participation in the programme as set out in the brochure and on the website. I understand that proficiency in English is a requirement, and I commit to fully participate in all the activities of the programme.*

I accept these terms

For Cancellation terms please select ‘Admissions’ tab on the programme page here

To facilitate networking opportunities, Vlerick Business School will distribute a list containing contact information of this session's participants to each attendee. If you prefer to have your phone number and email address withheld from the participant list, please check this box.

I wish to hide my phone number and email address

Hidden

Scholarship

Online ITP Application Form

Personal Data

Photo

Present Employment

Admission

Emergency Contact

Scholarships

Invoicing

Submit

To find out more or connect with the ITP, please feel free to