2019-20 Training, Facilitation, and Consulting Certificate Program Application
Please complete this form and submit the $25 application fee.  The application fee is nonrefundable.  You can submit the application fee via our payment portal:  https://www.marlboro.edu/offices/center-for-new-leadership/submit-a-payment/

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CONTACT INFORMATION
First Name *
Last Name *
Street Address *
Town/City *
State or Province *
Zip code/Postal Code *
Email Address *
Best contact phone number *
APPLICANT INFO
Tell us about your current, or your most relevant professional experience.  What is/was your role? What is the focus of your organization or business? *
Have you had previous leadership or facilitation training? *
If yes, please list the training(s) you've attended.
Tell us a little about yourself as a learner.  What learning environments and situations have been most effective for you? *
What skills and knowledge are you most interested in acquiring or expanding through your participation in this program? *
How and where do you hope to apply these in the future? *
What would you like to achieve two to three years from now that could be supported by your enrollment in this program? *
What interests you most about this program? *
MARKETING INFORMATION
How did you hear about the Certificate in Training, Facilitation and Consulting Program? (check all that apply) *
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