Application for Professional Development (Short Courses, Workshop, Seminars)

Application for Professional Development (Short Course, Workshop/Seminar)

DO YOU PREFER TO DOWNLOAD THE FORM AND APPLY MANUALLY?

Click Here to Download ACHL Program Form (Workshop/seminar/courses)

First Name
Last Name
Gender
Date of Birth
State of Origin
Local Government Area
Marital Status
Religion
Contact Address
Postal Address (optional)
Permanent Home Address
Telephone No.
Email Address


WHAT PROGRAM ARE YOU APPLYING FOR?

State Title Of Short Course, Seminar Or Workshop You Applying For?


Briefly describe your motivation for attending this program


Have you used the computer before?

YesNo


Briefly list any computer program and packages you are familiar with


How did you hear about our program?

Would like to serve as volunteer for ACHL?

YesNo

If yes, fill membership volunteer form here


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