Leading Edge 2018 | Belfast

Please complete the following form to register for a place on your residential programme starting February 2018.

Everything you tell us is confidential and is only collected for administration, funder reporting and to make sure you get the best experience from your program.

Your Details
Title(*)
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Name(*)
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Surname(*)
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Gender(*)
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Date of Birth(*)
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Ethnic Origin(*)
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Your Role(*)
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Organisation(*)
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Address (*)
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Town or City(*)
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Postcode(*)
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Email(*)
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Telephone(*)
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Additional Requirements
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Organisation's main focus
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Organisation's sector
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Additional Details
Would you like to receive our e-news?
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How did you find out about this program?
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Pre-Programme Questions
How would you rate your understanding of the programme's subject?
I know...
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What do you hope to gain from this programme?(*)
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What impact do you hope this will have on your organisation?(*)
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Please contact us immediately if you need to cancel your booking.

Terms and Conditions: Cancellations made 15 – 21 days before the programme will be charged at 50%, and under 14 days at 100% to cover costs we have already incurred.
I accept the terms and conditions(*)
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