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* 1. Name of Course

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* 2. Start Date of Course (Month & Year)

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* 3. Contact Information

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* 4. Gender

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* 5. Age Range

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* 6. Field of Employment

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* 7. Church/Organisation

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* 8. Kindly indicate which admission requirements have been met (select at least one)

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* 9. How did you hear about this course?

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* 10. What do you expect to gain from this course?

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* 11. How do you plan to use the knowledge gained?

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* 12. Date of Application

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Your registration form will be processed and Grace & Truth Critical Incident Training & Consultancies will contact you with further information.

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