Application Form

St.Gallen Board Retreat 2025

Application Form
PERSONAL DETAILS
Salutation*
Academic Title
Name*

First NameLast Name
Nationality*
Optional: Second Nationality
Date of Birth*

DayMonthYear
Date
Optional: Link to Your LinkedIn Page or Corporate Profile

St.Gallen Board Retreat 2025

Application Form
MOST IMPORTANT CURRENT NON-EXECUTIVE BOARD MANDATE
Company*
Please only mention if company has revenues above €2bn.
Country the Company is Headquartered in*
Current Role(s) at this Board*
e.g. Chairmanship, Committee Membership etc.
Date Started at This Board*

DayMonthYear
OPTIONAL: ADDITIONAL NON-EXECUTIVE BOARD MANDATE
The Following Board Mandate is a

Current MandatePast Mandate
Company
Please only mention if company has revenues above €2bn.
Country the Company is Headquartered in
Your Role(s) at this Board
e.g. Chairmanship, Committee Membership etc.
Date Started at This Board

DayMonthYear
Date You Stepped Down from This Board

DayMonthYear
OPTIONAL: ADDITIONAL NON-EXECUTIVE BOARD MANDATE
The Following Board Mandate is a

Current MandatePast Mandate
Company
Please only mention if company has revenues above €2bn.
Country the Company is Headquartered in
Your Role(s) at this Board
e.g. Chairmanship, Committee Membership etc.
Date Started at This Board

DayMonthYear
Date You Stepped Down from This Board

DayMonthYear

St.Gallen Board Retreat 2025

Application Form
CONTACT DETAILS
Your Phone Number*

Country CodeArea CodePhone Number
Optional: Alternative Phone Number

Country CodeArea CodePhone Number
Your E-Mail Address*
I agree to receive further information on other St.Gallen Board Programmes.*

YesNo
Optional: Name of Your Personal Assistant

PrefixFirst NameLast Name
Optional: Phone Number of Your Personal Assistant

Country CodeArea CodePhone Number
Optional: E-Mail Address of your Personal Assistant
INVOICE ADDRESS
Address Line 1*
Address Line 2
Address Line 3
City*
State/Province
Postal Code*
Country*
The Address Indicated Above is*

CorporatePrivate

St.Gallen Board Retreat 2025

Application Form
Optional: Please feel free to share with us any additional comments on or expectations towards the St.Gallen Board Retreat 2025:
Should be Empty: