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Chartered Management Institute

Full Name *

First

Middle

Last

Email *

Date of Birth *

Phone *

Gender *

Male
Female

Nationality *

Contact Address *

Current Employer / Organization *

Job Title / Role *

Years of Professional Experience *

SECTION B : CAREER SUMMARY

In about 250 words, summarize your career journey, highlighting your leadership responsibilities and professional growth. *

SECTION C: KEY PROFESSIONAL ACHIEVEMENTS

Highlight your key professional achievements in the fields below

1. Achievement *

1. Year *

1. Organization *

1. Impact / Result *

Highlight any additional key professional achievements in the fields below

2. Achievement

2. Year

2. Organization

2. Impact / Result

SECTION D : LEADERSHIP COMPETENCE STATEMENTS

Provide short write-ups (150–200 words each) using the examples as a guide.

1. Leading People *

Describe how you have inspired, developed, or motivated your team.

2. Managing Performance *

Explain how you’ve ensured accountability and results.

4. Stakeholder Engagement *

Explain how you’ve built productive relationships with key partners, clients, or staff.

5. Ethical Leadership and Professionalism *

Describe how you’ve demonstrated integrity and responsibility in your leadership role.

SECTION E : EDUCATIONAL QUALIFICATIONS

Highest Qualification *

Institution / Awarding Body *

Year Completed *

Class / Grade (if applicable) *

SECTION F: EMPLOYMENT RECORD

Organization *

Position Held *

Start Date *

Is this your current job? *

Key Responsibilities / Achievements *

SECTION G: REFLECTIVE STATEMENT – MY LEADERSHIP IMPACT

In about 300–400 words, describe how your leadership has created positive change within your organization or community. *

SECTION H: REFERENCES

Name and Contact Details of Two Referees

Full Name (of 1st Referee) *

Job Position (of 1st Referee) *

Organization (of 1st Referee) *

Email Address (of 1st Referee) *

Phone Number (of 1st Referee) *

Full Name (of 2nd Referee) *

Job Position (of 2nd Referee) *

Organization (of 2nd Referee) *

SECTION I : DECLARATION

Agreement *

I declare that the information provided in this application is true and complete to the best of my knowledge.

Programmes Catalogue:

MBA Programmes :

12 Month Generic MBA

12 Month Wrexham MBA

Specialized MBAs:

MSc Programmes :

MSc. Public Affairs

MSc. International Relations

MSc. Accounting and Finance

MSc. Human Resource Management

MSc. Marketing and Communications

MSc. International Law, Diplomacy and Security

Contact Information

University of Gold Coast,

Spintex-RD, Christ Square.

+(233) 263-888-555.

info@ugc.edu.gh

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SECTION B : CAREER SUMMARY

SECTION C: KEY PROFESSIONAL ACHIEVEMENTS

SECTION D : LEADERSHIP COMPETENCE STATEMENTS

SECTION E : EDUCATIONAL QUALIFICATIONS

SECTION F: EMPLOYMENT RECORD

SECTION G: REFLECTIVE STATEMENT – MY LEADERSHIP IMPACT

SECTION H: REFERENCES

SECTION I : DECLARATION

Programmes Catalogue:

MBA Programmes :

MSc Programmes :

LLM Programmes :

M.A Programmes :

Professional Programmes :

Contact Information

Working Hours:

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