You can always press Enter⏎ to continue
VOMI Executive-In-Residence 
VOMI Executive-In-Residence 
PROGRAM APPLICATION
26Questions
VOMI Executive-In-Residence Program Application
Language
  • English (US)
  • 1
    Press
    Enter
  • 2
    Your full legal name.
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    No calls will be placed. For cybersecurity reasons and text messaging of emergency notifications.
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Press
    Enter
  • 14
    Put a check mark in this box in order to confirm the authorization information you have just provided.
    Press
    Enter
  • 15

    PROGRAM ENROLLMENT INFORMATION


    Press
    Enter
  • 16
    • 30-DAY PROGRAM - USD $15,000.00
    • 90-DAY PROGRAM - USD $45,000.00
    • 180-DAY PROGRAM - USD $90,000.00
    • 1-YEAR PROGRAM - USD $150,000.00
    Press
    Enter
  • 17
    If you need more space and prefer to attach a document, input SEE ATTACHED DOCUMENT in the space provided below and proceed to the next page.
    Press
    Enter
  • 18
    You may submit more than one document and any other document. The size of each document has a limit of 10 MB.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.0MB
    Cancelof
    Press
    Enter
  • 19
    Cybersecurity measure designed to prevent identity fraud and confirm your online identity for videoconferencing purposes. Must be a clearly visible "headshot" photo. NO dark sunglasses, hat, head or face coverings, icons, logos, spouse or friend or girlfriend or children or pets, or scenic places in photo.
    Drag and drop files here
    Select files to upload
    Max. file size: 20.0MB
    Cancelof
    Press
    Enter
  • 20
    Press
    Enter
  • 21
    Input N/A in the space provided if you have no need for special and REASONABLE online accommodations.
    Press
    Enter
  • 22
    • A Fellow Executive-In-Residence
    • A VOMI Executive
    • An Official Global Ambassador of VOMI Global Think Tank
    • VOMI Email Promotion
    • LinkedIn
    • XING
    • Google
    • Yahoo
    • Bing
    • Other Search Engine
    • Word of Mouth
    • Other
    Press
    Enter
  • 23
    Press
    Enter
  • 24

    Electronic Invoice Information: An electronic invoice and copy will be sent to the e-mail address of the Order Requester and the Authorizing Officer along with the VOMI Executive-In-Residence Agreement to be duly executed by the parties. Payment is due immediately upon execution of the VOMI Executive-In-Residence Agreement and in accordance with the terms of the electronic invoice.

    Press
    Enter
  • 25
    Press
    Enter
  • 26
    Drag and drop files here
    Select files to upload
    Max. file size: 10.0MB
    Cancelof
    Press
    Enter
  • 27

    Terms of Agreement


    By submitting this form, I agree to the following terms of agreement.

    Press
    Enter
  • 28
    Press
    Enter
  • Should be Empty:
Question Label
1 of 28See AllGo Back
close