UBC Executive Certificate in Health Administration
UBC医疗健康高级管理证书课程

Application Form (2017 Cohort) 项目申请表 (2017年）

Question Title

* First Name 名（英文）

Question Title

* Last Name 姓（英文）

Question Title

* 姓名（中文）

Question Title

* Company Name 公司名（中文）

Question Title

* Job Title 职务

Question Title

* Date of Birth 生日

Question Title

* Dietary Restrictions 食物忌讳 - Meals are included in the program. Please list any dietary restrictions (e.g.allergies, lactose intolerance, vegetarian meals, religious restrictions 课程中包括食物。请列举出任何食物忌讳（如：过敏，乳糖耐受性，素食者，宗教食物禁忌）

Question Title

* Size of your team 您的团队规模

Question Title

* Size of your organization 您的组织规模

Question Title

* Role and responsibility in your organization 您在组织中的角色和职责

Question Title

* Email 电子邮箱

Question Title

* Phone number 电话号码

Question Title

* Address 地址（请写明详细邮寄地址）

Question Title

* Mailing City 城市

Question Title

* Province/State 省

Question Title

* Country 国家

Question Title

* Postal Code 邮编

Question Title

* Where did you FIRST hear about this program 您从哪里第一次获得该项目信息?

Direct from Maggie Wu (武艳辉)

UBC-UFH seminars on March 1 (Beijing) 北京国际医院管理研讨会

UBC-UFH seminars on March 3 (Shanghai) 上海国际医院管理研讨会

Coworker/Friend 同事/朋友

Boss/HR 公司领导/人力资源

Direct from other UBC staff UBC的员工

Referred by UBC alumni UBC校友

UBC mass emails UBC邮件群发

WeChat promotion 微信

Sauder Website 尚德商学院网站

Other (please specify person name, organization, external websites, magazine or newspaper name) 其他（请注明推荐人名、单位名、外部网站名、杂志名或报纸）

Question Title

* First Name 名（英文）

Question Title

* Last Name 姓（英文）

Question Title

* 姓名（中文）

Question Title

* Company Name 公司名（中文）

Question Title

* Job Title 职务

Question Title

* Date of Birth 生日

Question Title

Question Title

* Size of your team 您的团队规模

Question Title

* Size of your organization 您的组织规模

Question Title

* Role and responsibility in your organization 您在组织中的角色和职责

Question Title

* Email 电子邮箱

Question Title

* Phone number 电话号码

Question Title

* Address 地址（请写明详细邮寄地址）

Question Title

* Mailing City 城市

Question Title

* Province/State 省

Question Title

* Country 国家

Question Title

* Postal Code 邮编

Question Title

* Where did you FIRST hear about this program 您从哪里第一次获得该项目信息?

Question Title

* What associations are you a member of ? 属于哪个职业协会会员？