Personal information
 
 
Salutation*
 
 
Title
 
 
 
Initials*
 
 
First name*
 
 
Last name*
 
 
Nationality*
 
 
Date of birth dd/mm/yyyy*
 
 
 
Street
 
 
Postcode / ZIP code
 
 
City
 
 
Country*
 
 
 
 
Phone number
 
 
Mobile phone number*
 
 
 
Email address*
 
 
Twitter
 
 
LinkedIn
 
 
 
 
 
Professional information
 
 
Current employer*
 
 
Department
 
 
 
Job title*
 
 
Job function
 
 
 
Street or P.O. Box*
 
 
Postcode / ZIP code*
 
 
City*
 
 
Country*
 
 
 
 
Business phone number
 
 
 
 
 
 


   
 
 
Educational background
 
What is your highest level of educational achievement?*
 
 
 
 
Educational field*
 
 
 
 
Have you ever attended a programme at RSM or the Erasmus University before?*
 
 
 
 
Which programme did you attend? Please include dates.
 
 
 
 
 
 
 
Learning objectives
 
What are you hoping to learn during this programme?*
 
 
 
 
 
 
 
Invoicing details
 
 
The invoice will be dealt with by:*
 
 
 
 
Name of company to send invoice to*
 
 
Attention
 
 
 
Street or P.O. Box*
 
 
 
 
Postcode / ZIP code*
 
 
City*
 
 
 
Country*
 
 
 
 
Invoice email address
 
 
 
 
When your invoice is paid for by a company located outside of the Netherlands and in the European Union, please provide your company’s VAT number:
 
 
 
 
Purchase order number or your reference*
 
 
 
 
 
 
 
Lead information
 
 
How did you find us?*
 
 
 
 
 
 
 
By checking the box below, you state that you accept the general terms of RSM Open Programmes  
Signature checkbox*
 
 
 
 
 
 
 
Questions
 
 
Please enter your questions or comments below.
 
 
 
 
 
 
 
Within a few minutes you will receive a confirmation of your registration.
If not please contact us at +31 10 408 24 40. 
 
 
 
Data protection
By completing this form, you consent to Rotterdam School of Management, Erasmus University storing and processing the personal data you have provided. We will use this information to keep you updated about the products and services requested for administration and sales analysis. We will not pass your details to third parties to use. You may opt out at any time by emailing openprogrammes@rsm.nl.