Request edit access
WBG Basic Mediation Training Registration Form
Training Dates:
January 11-15, 2021

Training Time: 9am - 5pm

~~~ Please fill in the form below ~~~
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Preferred Name *
Pronouns *
Company Name *
Company Street Address *
City *
State / Province *
Postal / Zip code *
Country *
Job Title / Department *
Phone Number
Cancellation and Refund Policy: Per the World Bank, this training will be at no cost to you unless you cancel within 14 days before the training starts on January 11, 2021. If such cancellation occurs, you will be responsible for paying $1,295. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Breakthrough ADR. Report Abuse