Russian Company Profile

Please fill in the form on computer in English

1. Candidate's Name __________________________________________________

2. Full Name of the Company __________________________________________

3. Address _________________________________________________________

4. Contact Telephone (country code + city code + number) ___________________

5. Fax __________________________E-mail _____________________________

6. Name of CEO _____________________________________________________

7. Telephone/fax of CEO_______________________________________________

8. Description of the Company

8.1. Form of Ownership (please circle)

· state company

· private company

· joint stock company

· company with limited liabilities

· holding

· joint venture

8.2. Year of Foundation _________________________

8.3. Company Profile (please circle)

Manufacturing

· Mining

· Energy

· Construction

· Machine-building

· Computers

· Food Processing

· Other (please indicate)

Services

· Trade/Commerce

· Finance

· Leasing

· Tourism

· Transportation

· Telecommunications

· Media

· Other (please indicate)

8.4. Products/Services and their percentage of the annual output

·

·

8.5. Profile of your Department/Division

8.6. Annual Turnover (approximately, in US dollars)

8.7. Number of Employees

· In your company

Year 1994 1995 1996 1997 1998

· In your department/division ________________

8.8. How successful is your company? (Please circle)

· Very successful

· Rather successful

· There are some difficulties

· There are serious problems

8.9. What are the key challenges facing your company?

8.10. Other Information (Please describe any changes which have taken place in your company in the last 5 years. If there is any foreign investment in your company, indicate the percentage).

9. International Contacts

9.1. Long Term Foreign Partners (company full name, country, address, phone, fax, e-mail, contact person and his position, the exact nature of relationship between the companies)

9.2. Export as % of Annual Output _______________________

9.3. Foreign Markets and Countries _______________________

9.4. Has your company participated in any international programs or received help from international programs?._____________

10. Profile of the western company your enterprise is interested in establishing contacts with

11. If your enterprise has established business links with a foreign partner which is ready to host the candidate please indicate:

· company name

· country

· address

· phone/fax

· e-mail

· contact person/position

12. Company Priorities for Training of the Candidate

12.1. Do you have a specific development or restructuring project in mind which you wish this candidate to implement after their return from the Internship?______________

12.2. If not yet, are you prepared to commit resource and support for opportunities for the candidate to implement their learning?__________

If your enterprise has a company brochure please attach

CEO Signature ____________________________ Date _________________________