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Women In ICT Registration Form
Personal Details
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Email address
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Title
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First Name
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Last Name
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Address
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City
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Province
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Postal Code
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Cellphone Number
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Age Group
Younger than 16
16 to 21 yrs old
22 to 25 yrs old
26 to 35 yrs old
Older than 35
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Do you have children?
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No
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Please select all relevant options applicable to yourself
School Learner
College Student
Graduate
Entrepreneur
Employed
Unemployed
Other
If "other", please indicate:
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If a college student, please indicate:
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Include my contact information on lists distributed to other attendees.
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Where have you heard about the event?
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Activities Attending
1) 1 hour Coding workshop
2) Robotics workshop
3) Work readiness workshop
4) Career testing
5) Exhibits and information on careers in the ICT sector
6) Funding to study further
You will be sms a time slot for the above points 1-4. We will accommodate where possible but spaces are limited.
Dietary requirements (Please state if any special dietary requirements or allergies)
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Special Requirements
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I hereby provide consent for the Women in ICT event organisor to use my information as indicated above.
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