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Full name:
Postal address:
Mobile phone:
E-mail address:
Male/Female: Please select … Male Female
Age:
2.1 Please indicate your first choice of course, venue and date. i.e Sales, Liverpool, 20th March 2010
2.2 Please indicate your second choice of course, venue and date.
2.3 Please indicate your third choice of course, venue and date.
3.1 Please describe your educational qualifications:
4.1 Please indicate what, if any, media experience you have:
5.1 Please state your short and long term-career aims:
6.1 Please detail any special needs
Please select Cheque Wire Transfer Debit Card Credit Card
Word of mouth, online (if so which site?), careers advisor?
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