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Leading and Building A Culture of Innovation: Personal Data

This document is an application for an executive education program focused on leading and building a culture of innovation. It requests personal and professional details from the applicant, including name, contact information, education history, work experience, and objectives. It also requests nominating and invoicing information.

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Salama Mustafa
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0% found this document useful (0 votes)
63 views

Leading and Building A Culture of Innovation: Personal Data

This document is an application for an executive education program focused on leading and building a culture of innovation. It requests personal and professional details from the applicant, including name, contact information, education history, work experience, and objectives. It also requests nominating and invoicing information.

Uploaded by

Salama Mustafa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LEADING AND BUILDING A CULTURE OF INNOVATION

Iteration Dates: 05–10 Dec 2021


Application FOR
Sherif Desouky
[email protected]

Personal Data
     

NOTE: If you are completing an application on someone else's behalf, you must be logged-in as that person. If you are not
the person specified above or below, please follow this link to logout.
  denotes a required field.

First Name: Middle Initial: Last Name:


Sherif Desouky

Prefix (Mr., Ms.): Suffix (Jr., II): Nickname/Familiar Name for Badge:
Mr. Sherif

Gender: Country of Citizenship: Date of Birth (MM/DD/YYYY):


Male Egypt 7/1/1970

US CITIZENS: As an education provider we are asked by many groups, including our own leadership, executive education
guides, and the press, to describe the ethnic/racial backgrounds of our participants and employees. In order to respond to these
requests, we ask US citizens to answer the following two questions.
View Definitions

Are you Hispanic or Latinx?  

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself
to be a member:

American Indian or Alaska Native:   Asian:   Black or African American:  

Native Hawaiian or Other Pacific Islander: White:  


 

We understand that your racial, ethnic, and cultural background may not be fully captured by the above options. Please feel free
to use the space below to share more about your racial, ethnicity, or cultural identity.
Arab

Email:
[email protected]

Statement of Truth
     

It is the applicant’s responsibility to notify Harvard Business School of any change in employment status that occurs between the
time this application is submitted and the start of the program.
By checking this box, I certify that all the information and accompanying material provided in connection with this application are
authentic and accurate.

Contact Data
Company/Organization Address
     

Title or Position: Division (if applicable):


Executive Chairman

Ultimate Parent Company / Organization


Company / Organization Name: Name (if different from Company /
GP Green Power Holding Organization Name):

Street (P.O. box accepted outside U.S.): Street (Line 2):


Barbaros Mah Mor Sümbül Sok, Varyap Meridian
Business I Blok K:9 D:124
City: State:
Istanbul  

Country: Zip/Postal Code (if none, enter 00000):


Turkey 34746

Telephone (e.g., +1 617-496-1731):


+90 850 511 13 03

Company / Organization Website:


https://gpholding.com.tr/

Home Address
     

Street (P.O. box accepted outside U.S.): Street (Line 2):

City: State:
 

Country: Zip/Postal Code (if none, enter 00000):


 

Telephone (e.g., +1 617-496-1731): Mobile (e.g., +1 617-496-1731):

Preferred Mailing Address


     

Business

Organizational Data
     

CONFIDENTIAL: The information you provide below is for use by the Admissions Committee only.

Your Ultimate Parent Company


     

Products/Services:
Annual Sales Volume (in USD): Number of Employees:
   

Your Company/Division
     

Products/Services:
Managing a portfolio of investments in clean tech ventures, Real Estate, Trading and
Services
Annual Sales Volume (in USD): Number of Employees:
$1 - $4.9 million 100 - 499

How many reporting levels are above you, including the chief executive officer of the parent company?
0

What is the title of the person to whom you report?


None

Please describe your organizational hierarchy.


A traditional holding organizational hierarchy: A central corporate entity (GP Green Power Holding) that manages various corporate
companies in diverse industries with different levels of managerial involvement.
Please select your current industry: Specify Other:
Technology

What function best describes your


position: Specify Other:
General Management

Annual Compensation (including bonus) in USD:


$201,000 - $300,000

Professional Data
Work Experience
     

Please list your three most recent positions in reverse chronological order, starting with your current, or most recent one. If all
positions are in the same company, please give the major promotional sequence.
1. Name of Company: Title or Position:

From (MM/YYYY): To (MM/YYYY or CURRENT if employed):

2. Name of Company: Title or Position:

From: To:

3. Name of Company: Title or Position:

From: To:

     

Please estimate total number of years of professional experience:

Please describe your current responsibilities including your level in the organization.
Please write an executive summary, describing the innovation-related challenges confronting your organization.

Education
     

University: Year: Degree (highest level attained):


 

If you have attended other Harvard Business School programs, please list them below.
1. Program: Date (MM/YYYY):

2. Program: Date (MM/YYYY):

Objectives
     

Please explain your learning objective and describe what you think other participants will learn from you.

     

How did you learn about this program? Specify Other:


 

What factor had the most influence on


your decision to apply to this program? Specify Other:
 

If a previous participant/alumnus of an HBS program, please specify:


Participant Name: Program/Year:

If you saw a print advertisement, please


specify where: Specify Other:
 

If you saw a digital advertisement, please


specify where: Specify Other:
 

Nominating & Invoicing


Nominating Information
     

Please provide the nominating executive’s contact information. The nominating executive may be a senior executive or board
member within the organization, or a Harvard Business School alumni member familiar with the candidate. Please note that the
nominating executive must be someone other than the applicant. HBS may contact the nominating executive as part of the
application review process.
First Name: Middle Initial: Last Name:

Prefix (Mr., Ms.): Suffix (Jr., II):


 

Nominating Executive Company / Organization Name:


Title or Position: Email:

Street (P.O. box accepted outside U.S.): Street (Line 2):

City: State:
 

Country: Zip/Postal Code (if none, enter 00000):


 

Telephone (e.g., +1 617-496-1731):

Invoicing Information
     

An invoice will be emailed to the individual indicated below.


First Name: Middle Initial: Last Name:

Prefix (Mr., Ms.): Suffix (Jr., II):


 

Title or Position: Email:

Company / Organization Name:

Street (P.O. box accepted outside U.S.): Street (Line 2):

City: State:
 

Country: Zip/Postal Code (if none, enter 00000):


 

Telephone (e.g., +1 617-496-1731):

Terms & Conditions


Language Proficiency
     

Proficiency in spoken and written English is essential for participation in Harvard Business School Executive Education programs.

Cancellation
     

Payment is due within 30 days of the invoice date. Cancellations or deferrals must be submitted in writing more than 30 days
before the start of the program to receive a full refund. Due to program demand and the volume of preprogram preparation,
cancellations or deferrals received 14–30 days prior to the start of the program are subject to a fee of one-half of the program fee.
Requests received within 14 days are subject to full payment.
I have read the cancellation policy and agree to the terms stated: (please initial here)

Payment Terms
     
Upon acceptance, payment is required prior to program start date.

Community Values Statement


     

Harvard Business School (HBS) is governed by a set of community values that foster honesty, respect for others, and
accountability for one’s actions. HBS considers these values essential for a safe and productive learning environment for all.
Harvard Business School reserves the right to withdraw an offer of admission in the event that any part of your application contains
misrepresentations, or if you engage in, or have engaged in, behavior that violates HBS Community Values.

Discrimination Policy
     

In accordance with Harvard University policy, Harvard Business School does not discriminate against any person on the basis of
race, color, sex or sexual orientation, gender identity, religion, age, national or ethnic origin, political beliefs, veteran status, or
disability in admission to, access to, treatment in, or employment in its programs and activities.

Click Submit to Send Your Application


     

The Admissions Committee will email a receipt of your completed application immediately by email. If you do not receive an email
acknowledgement within 30 minutes of submission, it is likely that your application was not received. Please contact us by email (
[email protected]) or phone (+1 617-495-6226) in this instance.

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