Training, Facilitation & Consulting Certificate Application Form
Please complete this form and submit the $25 application fee. The application fee is nonrefundable. You can submit the application fee via our payment portal: www.marlboro.edu/cnl/payment
Email address *
CONTACT INFORMATION
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Town/City *
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State *
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Zip code *
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Email Address *
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Best contact phone number *
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APPLICANT INFO
Tell us about your current, or your most relevant professional experience. What is/was your role? What is the focus of your organization or business? *
Your answer
Have you had previous leadership or facilitation training? *
If yes, please list the training(s) you've attended.
Your answer
Tell us a little about yourself as a learner. What kinds of environments and learning situations have been most effective for you? *
Your answer
What skills, knowledge, and abilities are you most interested in acquiring or expanding through your participation in this program? *
Your answer
How and where do you hope to apply these in the future? *
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What would you like to achieve two to three years from now that could be supported by your enrollment in this program? *
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What interests you most about this program? *
Your answer
MARKETING INFORMATION
How did you hear about the Certificate in Training, Facilitation and Consulting Program? (check all that apply) *
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