LTTUC Workshop Application Form 2019
We urge you to read the workshop brochure thoroughly and then fill this application form. Your preferred email id is required to send you a copy of your form as well as to enable you to edit or add to the application form at a later date if necessary.
Email address *
Personal details
Name
Your answer
Last Name
Your answer
Gender
Age
Your answer
Name of your Organization
(if you are part of one)
Your answer
Work Address
Your answer
Personal Address
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Phone (Work)
Your answer
Phone (Personal)
Your answer
Email (Work)
Your answer
Email (Personal)
Your answer
Please indicate which is your preferred addresss for contact
Current Job Title/Profession /Role
(the way you would like to present it)
Your answer
Nature of Work
(a brief statement of current major responsibilities)
Your answer
Education (if you wish to state)
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Previous group relations conference experience and other experiential learning experience (please indicate what where and when).
Your answer
How did you hear about this workshop?
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Your expectations from this workshop
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Food Preference
Any dietary/health/access related requirements
Your answer
Any other information you may like to give us towards your participation
Your answer
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