Enrolment Application Form
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FutureLead Consulting School 19-21 March 2009
School applicants are requested to complete and submit the following enrolment application form as well as to submit their CV’s electronically to the email address listed below.
Application closing date: Friday 6 March 2009.
I wish to apply for registration for the FutureLead Consulting School being held on 19-21 March 2009 at the Breakwater Lodge, Victoria & Alfred Waterfront, Cape Town.
Applicant details
Full Names and Surname:
Postal Address:
Tel nr:
Cell nr:
Email address:
Gender:
Identity nr:
Nationality:
Academic qualifications:
Years work experience:
Current occupation:
Applicant statement: By signing and submitting this application, I acknowledge that my application will be considered along with others for a limited number of course places. I understand that the course administrators will select course participants from among the applications with a view to a balanced course group not exceeding 25 in number. I accept that the course administrators are not obliged to provide reasons for not accepting any individual application while they will advise me of future similar course opportunities, should my application not be successful. I have submitted my curriculum vitae electronically to office@futurelead.co.za.
Signed by Applicant: Date:
Registration Applications to be faxed to (021) 975-8492
or emailed to office@futurelead.co.za.
