Working Languages Registration

First Name Last Name Last 4 digits of SS# Title Institution/Affiliation Street Address City State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code Address Above is: Home Work Work Phone (format: ###-###-####) Home Phone (format: ###-###-####) Fax (format: ###-###-####) Email Instructor led workshops are typically held in the University of North Carolina – Chapel Hill, Kenan-Flagler Business School (McColl Bldg.) Instructor led workshop dates and times are indicated below. Small-group, native-speaker led conversation hours are typically face-to-face, but may be conducted using a web-based, voice “meeting” software. The days/times for the conversation hours will determined based upon student needs/constraints during the first week of classes. 2008 Dates for WORKINGSpanish for Executive MBAs (EMBAs) and Working Executives The Executive Working Spanish course begins on January 11, with an online orientation. The first in-person workshop is on Friday, January 18th from 6:00 – 8:30 pm. The course ends on May 30th. There are deliverables due over the Internet every week, as well as weekly conversation hours which will begin the week of January 28 (days and times TBA). January 18 February 1, 15 & 29 March 14, 28 April 11, 25 May 16, & 30 Immersion to Costa Rica occurs from May 2 - 11th UNC KFBS Executive MBAs contact Miranda Kelly or by telephone 919.962.3122 All other interested participants, register online. 2008 Dates for WORKINGMandarin for Executive MBAs and Working Executives The Executive Working Mandarin course begins January 11 with an online orientation. The first in-person workshop will be held on Friday, January 18th from 6:00 – 8:30 pm. This course includes an immersion to China from May 13-27, and ends on May 30th. There are deliverables due every week, as well as weekly conversation hours which will begin the week of January 28th (days and times TBA). January 18 February 1, 15, & 29 March 14 & 28 April 11 & 25 May 30 Immersion occurs May 13-27 UNC KFBS Executive MBAs contact Miranda Kelly or by telephone 919.962.3122 All other interested participants, register online. 2008 Dates for WORKINGPortuguese (MBA 874 - 001) Open to all – daytime, Executive MBAs and all other interested executive participants - begins January 10th with an online orientation. The first in-person workshop is on Thursday, January 17th, 6:00 – 7:15 pm and has an immersion from May 13 – 24th. For the day time students, the course continues in the fall semester. Special arrangements have been made for Executive MBAs to complete Part A of the course and the immersion for a total of 4 credits. There are deliverables due every week, as well as weekly conversation hours which will begin the week of January 28th (days and times TBA). January 17, 24, & 31 February 7, 14, 21, & 28 March 13, 20 & 27 April 3, 10, 17 Mini-immersion on April 10th and Exam on April 17 UNC KFBS Executive MBAs contact Miranda Kelly or by telephone 919.962.3122 All other interested participants, register online. Please explain your interest in learning the language you have selected: Please describe when and where you have had previous instruction or experience with your selected foreign language: Please describe any instruction or experience you have with other languages:   Payment Options: To pay by check, make your check payable to Kenan-Flagler Business School and send to Marybeth Lavrakas, Administrative Manager – Center for International Business Education and Research (CIBER), CB 3440, UNC Kenan-Flagler Business School, Chapel Hill, NC 27599-3440 To charge to VISA or MasterCard, please call Marybeth Lavrakas at 919-962-7843 and provide credit card information via the phone. To send via US Postal Service via credit card, print this form, write the name as it appears on your card, card number, expiration date and zip code below and send to Marybeth Lavrakas, Administrative Manager - Center for International Business Education and Research (CIBER), CB 3440, UNC Kenan-Flagler Business School, Chapel Hill, NC 27599-3440 Type of card: ___________ #: _____________________________ Exp. Date:____________ Name as it appears on your card: ________________________________zip code ________     If you have any comments or questions about submission of this form please contact the .