Member Care Course - Fiji 2020
Event Date: October 11-30, 2020
Location: Lautoka, Fiji Islands
Contact us at
Email address *
Name *
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Cell Phone number including country code (may be helpful for airport pick-up)
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Personal reference
We would like you to include information for someone who knows you well and has possibly worked with you in a member care setting. We may contact this person to discuss your application.
Reference name *
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Reference email address
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Emergency contact information
In the event of an emergency or if you do not respond to our emails we will use this contact information.
Emergency contact name and relationship *
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Emergency email contact *
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Emergency / phone number (including country code) *
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