Enrollment form CMA program 2020 – 2021 You can fill out the form below, or download the forms in Dutch or English. 1Undersigned2Employer3Enrollment4Invoicing5Signing UndersignedName (surname)* First names* Given name* Gender*MaleFemaleAddress* Zip code* City* Telephone Mobile telephone* Personal email* Date of birth Day Month Year Country and city of birth Highest degree and University EmployerName of the organisation Address Zip code City Telephone Business emailaddress Current position EnrollmentStudent wishes to enroll for:* Certified Management Accountant (CMA) Program offered by the Staan Academy Is this your first enrollment af Staan Academy? Yes No In case of first time enrollment, please include: - a copy of a valid passport or ID card - a copy of your highest degree - a copy of your and gradelistUpload scan id or passportAccepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.Maximum file size: 2 MB.Upload copy higest degreeAccepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.Maximum file size: 2 MB.Upload copy gradelistAccepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.Maximum file size: 2 MB.How did you hear about Staan Academy?GoogleSocial MediaAdvertisementNewsletterWebinarColleagueStaanOtherPlease specifiy Preferred language Dutch English InvoicingThe invoice needs to be sent to** Student Employer * Student declares to fulfill all financial obligations and payments in accordance with payment terms of the Staan Academy* Authorization EmployerUndersigned agrees on behalf of the employer to pay te tuition according to the payments terms below to the Staan Academy (part of Staan Finance & Consultancy BV).Name Position Place Date Day Month Year SignatureInvoice details employerName employer Invoice address Zip code City Please select what is applicable cost center po number Cost center number PO number Business e-mailaddress for invoice Terms and undersigning Payment oblications Via enrollment you are obligating yourself (or your employer) to the payment of the full tuition of €2.850,- (excl. 21% VAT). At enrollment €500,- (excl. 21% VAT) will be invoiced (for the remainder a seperate invoice will be sent). The program will start if sufficient enrollments have been received. Cancellation is only possible 2 weeks (or sooner) before the start of the course. In case of cancellation you are obligated to pay the cancellation fee of €500,- (excl. 21% VAT). Place* Date* Day Month Year Signature*CommentsThis field is for validation purposes and should be left unchanged.