Home|Login|Register|Feedback|Help  
Select a Location / Language
English
 
NETWORKING ACADEMY
Program Overview
Academy
Commitment
Application Form
Student
Career Connection

Graphic Title Name
Application Form
Academy Application Form

Please complete this form to apply to become a Cisco Networking Academy in Asia Pacific.
Fields marked * are mandatory
Title: *
First name: *
Last name: *
Job title: *
Institution name: *
Address 1: *
Address 2:
Postal code:
Location: *
Phone no.: *
Fax no.: *
E-mail address: *
Institution website URL:
Type of institution:





If Other, please specify:
Are you a government/public/non-profit education institution? Yes No *
What is the total student population in your institution? *
How many students are in IT/Engineering/Computer related programs? *
Does your institution have any experience in teaching networking? Yes No *
What is your intended delivery plan for this curriculum? 6 Months
1 Year
2 Years
Other

If Other, please explain:
When do you expect to start teaching this curriculum? *
Do you currently run IT courses? Yes No *

If Yes, please give details:
Do you currently have any partnerships with any other educational institutions? Yes No *

If Yes, please give details:
Do you have any partnerships with any other commercial companies? Yes No *

If Yes, please give details:
Would you run this program in conjunction with an existing course? Yes No *

If Yes, please give details:
What is your available budget for IT education programs? Less than US $5,000
US $5,000 - US $10,000
More than US $10,000 *
Are there at least 85 m2 / 900 ft2 for use as a network classroom and laboratory? Yes No *

If not, will you be able to allocate this amount of space within the next 6 months? 		Yes No
Can you assign a teacher to teach and actively participate in this program? Yes No *
Does your institution have a minimum 256 Kbps dedicated (non dial-up) Internet connection? Yes No *

If not, will you be able to install one in the next 6 months? 		Yes No *
Are you a Cisco customer? Yes No *
Do you have any relationships with other service providers? eg Microsoft, MCSE Yes No *

If Yes, please give details:
How did you hear about the Cisco Networking Academy Program?





If Other, please specify:

Search:




Academy Users
Login
Logout
Academy Locator
Find an Academy near you.
Related Links
INDUSTRY SOLUTIONS | NETWORKING SOLUTIONS | PRODUCTS & SERVICES | ORDERING | TECHNICAL SUPPORT & DOCUMENTATION | LEARNING & EVENTS | PARTNERS & RESELLERS | ABOUT CISCO
 Home | Log In | Register | Contacts & Feedback | Help | Site Map
 © 1992-2004 Cisco Systems, Inc. All rights reserved. Terms and Conditions, Privacy Statement, Cookie Policy and Trademarks of Cisco Systems, Inc.