The Hubler Institute - APPLICATION

Intensive Post-Graduate Training Program in
Family Business Consulting, 2006-2007

Tuition - $7,000*

1. Complete this application OR print the pdf application form and submit with the $100 non-refundable application fee to Hubler Institute.

2. Payment Options

Mail a check to Hubler Institute, 222 South Ninth Street, Suite 2930 - Campbell Mithun Tower, Minneapolis, MN 55402
To pay by Visa or MasterCard, call 612-375-0640
If a payment plan is desired, you may pay $2,500 upon acceptance and two installments of $2,250 due on May 1, 2007 and October 1, 2007

3. Apply by December 1, 2006

*If tuition is paid in full by December 1, 2006, it is subject to a $1,000 professional courtesy discount (making the amount due $6,000).

Name:

Company:

Address:

Home Business

City:

State:

Zip:

Country:

Phone:

Email:

Background Information

How did you hear about the program?

List most relevant college/advanced training beginning with the most recent:
Please include... Training, Dates, Focus of Learning, Certificates/Degree

Describe your current work and title:

List relevant work experience beginning with your present position:
Please include... Dates, Company, Industry, Position/Responsibilities

What activities or events in your life have helped to prepare you for family business consulting?

How would you describe your personal qualities that support your study of family business consulting at this time?

List your particular interests in family business consulting and how you see yourself working as a family business consultant:

List 3 professional references who are familiar with your work:

Any special comments:

The Hubler Institute - APPLICATION

Intensive Post-Graduate Training Program inFamily Business Consulting, 2006-2007

Intensive Post-Graduate Training Program in
Family Business Consulting, 2006-2007