ToP™ COURSE MODULE REGISTRATION AND ENROLMENT FORM
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ToP Facilitative Leadership Program - Module 1+ Group Facilitation Methods
Module 1 Group Facilitation Methods and Part 1 of Module 2 – Facilitation Integration & Expansion

Offered by Participatory Techniques Ltd (NZ)

Completion of this course can be used toward attainment of either the Graduate Diploma in Facilitative Leadership, or the Diploma in Facilitative Management, offered through Infinity Training Australia.

Dates and Course Attendance Requirements
Wednesday September 13 - Friday September 15 2017

The course is three full days. It is intensive in nature, and includes evening sessions (Day 1 and Day 2). Full attendance is required to be awarded a Completion Certificate.

Registration Per Person: $1600 + $240 GST Total $1840
Payment options:
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Cancellation Policy
A full refund of registration fees will be given if the course is cancelled. Registration cannot be refunded for withdrawal after August 16th, 2017, but can be transferred to someone else.
What Your Fee Covers
ACCOMMODATION
Te Mauri Tau, 20 Cornwall Rd, Whaingaroa (Raglan)
Includes all meals, marae-style accommodation and course materials.

If alternative accommodation is preferred, please book directly through the Raglan Information Centre telephone 07 8250556 info@raglan.org.nz

TRAVEL
Shared travel arrangements will be organised from Hamilton.


POST-COURSE MENTORING
Post-course mentoring with a course facilitator is available for participants and is included in the fee.

NOTE: Course will proceed subject to sufficient registrations. A decision will be made on Wednesday August 16 2017. Please await confirmation after that date before booking non-refundable travel.

Participant Details
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INSTITUTE OF CULTURAL AFFAIRS (AUSTRALIA)
ICA is an Australian organisation, and the body to which Participatory Techniques Ltd is authorised to provide this training.

To help us meet our obligations, please complete the questions below in full.

Name for Certificate
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Student Declaration
I understand that information contained on this form may be provided to Australian State and Commonwealth agencies (refer to the Privacy Policy) and research organisations and I consent to that occurring
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I have read and agree to abide by the terms & conditions send out in this Registration and Enrolment Form, fees and the cancellation/ refunds policy
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I understand the course attendance requirements and that post course mentoring is included in the course fee.
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Privacy Policy
Personal information is treated as confidential, is used only for organising training or related purposes, and will not be shared with other parties without permission from the participant unless required by law.
The ToP Global Institute for Facilitative Leadership (ToP GIFL) may from time to time provide participants with information about new courses available to them, or related matters. Consent to this will be implied unless a participant advises in writing that they do not wish to receive this information.
A course participant list will be generated to enable you to contact trainers and fellow trainees after the course. Please tick here if you do NOT want your details included on this list.
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