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Coachee Registration Form
The CPDWL Online Coaching Event on March 30 has a limited capacity of 40 participants. Successful applicants will be notified by March 20.
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* Indicates required question
Title
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Other (please specify)
Surname
*
Your answer
First Name
*
Your answer
Your Country
*
Your answer
Organisations/Workplace (Please enter the name of the organization or workplace you are currently associated with.)
*
Your answer
Current Job Title (If you are a student, please enter 'Student')
*
Your answer
Email Address (The provided email address will be used by coaches for communication purposes after the online coaching session.)
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Your answer
Mobile Number (Please provide your mobile number, starting with the country code, e.g., +1 for USA, +44 for UK. It will be used only by the CPDWL Online Coaching Working Group when necessary.)
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Your answer
Do you use WhatsApp?
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Yes
No
Please list the languages you are proficient in speaking :
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Arabic
Chinese
English
French
German
Russian
Spanish
Required
Please list other languages you are fluent in:
*
Your answer
Please specify the issues you wish to discuss during the 30-minute coaching session.
*
Your answer
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