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  MEC CENTER® Application Form
  


The completion and submission of this application form does not guarantee admission to the MEC CENTER® program. Each submission is evaluated on the basis of geographic and infrastructural criteria.

Fields marked with an (*) must be filled in.

 Company Details

iQcenter User ID*
Name*
Position
E-mail*
Office Ph. Number*
Company Name*
Address*
Address (con’t)
Country*
Select the province
City*
Postal/Zip code
Company Ph. Number
Fax
Toll Free Number
Home page
VAT Number
Bank
Branch no. of 
Account Number
ABI
CAB
Company Foundation Date  
What year did the company begin doing business from these premises?

Details regarding staff members

Indicate the number of staff per area:

1. Administration

2. Business (Training)

3. Course Management and Organization

4. Teaching

5. Total (including areas not mentioned above)

Business Turnover 2001

Business Turnover 2002
What percentage of your turnover was due to training last year?

Describe your Company

Indicate if your company participates in other certification programs.
ECDL
CISCO
VUE
SYLVAN PROMETRIC
Indicate if the company is part of any other channel programs:
Microsoft Certified Partner
Microsoft Certified Technical Education Center
Lotus Authorized Education Centers
Novell Authorized Education Center
Altri Programmi di Canale
Specify which ones
Specify any other programs the company is part of:
- franchising
- network
- other
Specify the number of iQcenters the company has:
How many training courses did the company run in 2001?
How many course participants did the company have in 2001?
How many participants were there for Microsoft® Office training courses in 2001?

Trainers

Please supply the following information about your trainers:
How many trainers are currently employed at this training center?
How many trainers are employed full time?
How many are employed as external consultants?
How many trainers have Microsoft Office Specialist MI certification?
How many of these trainers do you think will become Microsoft Office Specialist MI certified?
How many of these trainers have other qualifications and what are they?

Training room and hardware requirements for the MEC CENTER® program. If you wish to take part in the MEC ENTER® program, TESI Automazione s.r.l requires you to have the infrastructure and hardware listed below.

Premises that are suitable for training and that guarantee a quiet, comfortable, well-lit and soundproof environment with the minimum requirements specified by TESI. (see www.moscert.com , click on Testing Center and select Minimum Requirements)

Indicate the number of training rooms that meet the pre-requisites mentioned above:

Training Room 1 – Total Number of Computers
Training Room 2 – Total Number of Computers
Training Room 3 – Total Number of Computers
Training Room 4 – Total Number of Computers

Consent to law No.  675/96
In accordance with law no. 675/96 (protection of personal data), Certiport Inc. and TESI Automazione srl. guarantee that data will be treated with the maximum discretion and attention. The data will be entered into only into their databases and will not be made available to others. In accordance with article 13 of said law, you may access your information at any time, ask for changes, ask for the deletion of the information or oppose its use by writing to TESI Automazione srl. Via Tarelli, 3 - 95022 Aci Catena
TESI Automazione is the sole distributor of the Microsoft Office Specialist Program for Italy, Europe, the Middle East and Africa.