CANDIDATE APPLICATION - RIMS SHADOW (APPRENTICE) PROGRAM

This information will assist us in matching you with a risk management professional.

The form below may be completed "online" and forwarded by hitting the SUBMIT button below. Please PRINT a copy for yourself, before clicking the button, so that you have a copy for your records.

Step One - please provide the following information about yourself.
Application Date: (mm/dd/yyyy)   Local telephone number:    
UT EID:   Email address:
Full Name:   Date of Birth: (mm/dd/yyyy)
Local Address:   City, State, ZIP:
Step Two - answer each of the questions below, then proceed to Step Three:  

Have you completed at least two of the three undergraduate level Risk Management courses (RM 357e, 369k, and/or 377) at the University of Texas at Austin, McCombs School of Business?

Select a risk management industry segment in which you're most interested:

Education:

Major:
Classification: (Fresh/Grad., et al.)
Expected Date of Graduation: (mm/dd/yyyy)
Grade point Average  - University of Texas only (A = 4.0)
Overall:
Risk Management & Insurance Course(s):
Last 60 Hours: 
No. of Hours Completed at UT Austin:
No. of Hours transferred in:
Other colleges and Universities attended - enter the following details below:
Institution: 
Major:
Dates: 
Degree:
GPA:
Institution: 
Major:
Dates: 
Degree:
GPA:
Institution: 
Major:
Dates: 
Degree:
GPA:
Risk Management and Insurance Courses taken or currently enrolled in:
Course:  Grade:
Course:  Grade:
Course:  Grade:
Academic and other honors received and/or professional exams passed:
Name & date:
Name & date:
Name & date:
Extracurricular Activities (list most important first)
Organization:
Responsibilities:
Dates:
Organization:
Responsibilities:
Dates:
Organization:
Responsibilities:
Dates:
Work Experience:
Company:
Position:
Dates:
Company:
Position:
Dates:
Company:
Position:
Dates:
Step Three - Type below all additional information you would like to provide.

This is an important area where you can express your interests. In particular, please discuss your interests in Risk Management and  Insurance and how Risk Management fits into your ultimate career interests.  Remember this opportunity is intended to further the selected student's interest and studies in Risk Management, so be as specific as possible.

Step Four - PRINT this page if you want to keep a copy, then proceed to click "submit" below. You are finished!

ONLINE: to submit online, you must press "SUBMIT" above.

TO SUBMIT A PAPER APPLICATION : Please fill out the form, print it out, and put it in Pat Arnold's mailbox which is at the IROM department office of CBA 5.202 (the office facing the 5th floor elevator) or  Fax the form to Pat Arnold, at 512-471-0587. Please be sure to make the subject title 'RIMS Shadow Day Program Application' with the 'field name' and the ' year '...for example, Subject: 'RIMS Shadow Day Application form 2007'