Task, Role, and System 2019: Application Form
We urge prospective members of this workshop to read the brochure and then fill this application form so that they take authority for applying as members. 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
First Name
Your answer
Last Name
Your answer
Gender
Age
Your answer
Nationality
Your answer
Organisation name (if you are part of one)
Your answer
What is the main task of your organisation?
Your answer
Current role/ job title/profession (the way you would like to present it)
Your answer
Nature of work (a brief statement of current major responsibilities)
Your answer
Work Address
Your answer
Personal Address
Your answer
Phone (Work)
Your answer
Phone (Personal)
Your answer
Email (Work)
Your answer
Email (Personal)
Your answer
Please indicate which is your preferred address for contact
Education (if you wish to state)
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RELATED TO THIS WORKSHOP
Previous group relations experience as this is a prerequisite for applying to this workshop (please indicate what where and when).
Your answer
How did you hear about this event
Please tell us why you would like to participate in this workshop.
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Any other information you may like to give us towards your participation.
Your answer
ADMINISTRATIVE DETAILS
Indicate meal preferences
Any dietary/health/access related requirements
Your answer
(Proceed to the next section to provide Payment Details)
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