Consultant Assessment Form
Please complete this form. We will explore possibilities of working together on a project in your area of choice. We will also add you to our knowledge and learning group.
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Your Title *
Please select your title
Your First Name *
Your Last Name *
Surname
Job Title in your Organization
If it is an organization
Name of your Organization
If it is an organization
Address of you(r) Organization
If it is an organization and if not include your personal address
Your email *
we will contact you back via the email
Your telephone number *
country code-area code-other numbers eg 233-09-xxxxx
Your Area of Expertise *
The expertise entered here will help us match you with an appropriate assignment. Your responses will act as a basis for further discussion.
Required
Others
Please Specify
Years of Experience *
Please enter as number e.g 10
Preferred Work Location (country/city) *
eg Cape Verde/Praia
Language of Competency *
eg English, French, Spanish
Proposed  Availability Date
MM
/
DD
/
YYYY
About our Communications
By listening and responding to your needs, we can improve our services and offer more of what you like
How did you first hear about us? *
Any comment about our Website, brochure or other marketing communications? *
Please read our terms and conditions before submitting your application *
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