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Introduction to Gestalt - Application form

The next virtual course to be run on 19 and 20 August 2021

Living and leading in challenging times: An introductory course on using Gestalt OD to manage self, inspire others, and impact systems. Delivered by Baobab Consulting & Training, and Distillery
1.Which course would you like to register for?
2.First name
3.Family name
4.Nationality
5.Gender
6.Email address
7.Contact number
8.Age
9.How did you hear about this course?
10.What is your primary role currently?
11.In which sector(s) do you currently work?
12.What interests you about this course? What are you hoping to get out of it?
13.We use the Zoom platform for the course - with what device do you anticipate connecting? (we understand this may change)
14.Company name (if required for invoice)
15.Mailing address (if required for invoice)
16.VAT number (if required for invoice)
17.The course fee is R4750.00 ex VAT. Please indicate how you'd like to pay and an invoice will be sent to you with the relevant payment details
18.The introduction program is the first in a number of modular courses exploring personal and leadership effectiveness using the frame of Gestalt. Please indicate if you'd like to join our mailing list to stay informed about future events 
19.Any questions you have about the course?
Cancellation policy: We understand that life happens and you may be unable to attend the event. Where we receive notice at least 1 month prior to the event we will refund course fees in full. Course fees are non-refundable where less than 1 month's notice is given, but we will defer your application to the next iteration of the course. 
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