Consultant Application Form

Part 1 – The Basics :

Full Name

Date of Birth

Nationality

Academic Qualifications

Part 2 – Contact Details :

E-mail - Primary:

E-mail - Secondary:

Phone - Home/Mobile:

Phone - Office:

Address

Nearest Airport

References and/or referees

Part 3 – Career and Professional Experience :

Brief Biography

Key Competencies / Specialities/Area of Expertise

Professional membership, associations and/or networks

Work/ Training/ Consultancy History

Association with other training provider(s)

Part 4: Fee :

Your total fee for 3-day training

Part 5: Courses and Training Materials :

Courses you can conduct and whether you have training materials available for these courses

Please name any clients you have previously conducted trainings for

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