CSR: Application Form

Tuition Fee

$7200 (if paid in one installment)
May also be paid in two installments of $3800.
Includes course material, refreshments breaks and meals on campus.
Class Size is limited to 20 Students per year.

Program Dates 2012-2013

MODULE 1	MODULE 2	MODULE 3
October 24-26, 2012	May 6-10 2013	November 2013

Your Contact Information Mr Mrs Ms Dr Other Indicate other salutation

First Name Last Name

Home Address Home Phone E-mail Address

Title / Position

Company Name Office Address Office Phone

To Whom Do You Report? Title / Position

Responsibilities: Briefly describe your range of responsibilities, including approximate number of staff under your supervision and those activities, or operations for which you are directly responsible
You may prefer to write this offline first as a backup and then copy/paste into this input box

Educational Background 1) Name of College, University, or Professional Institution: Dates Attended:

2) Name of College, University, or Professional Institution: Dates Attended:

3) Name of College, University, or Professional Institution: Dates Attended:

Personal Statement Personal Statement: Please identify two significant CSR challenges that you have encountered. Briefly indicate what you hope to achieve by completing the Certificate program in CSR:
You may prefer to write this offline first as a backup and then copy/paste into this input box

If you have any questions, please contact our office at ce.stmikes@utoronto.ca

St. Michael's College, U of T

CSR Quicklinks

CSR: Application Form

Tuition Fee

October 24-26, 2012

May 6-10 2013

November 2013

CSR Program Partners: