MSD Training, Ukraine, 23rd to 27th September 2024

In order to help us prepare for the upcoming training, please complete the following form as soon as possible.

Should you have any issues completing it, please contact the admin team: events@springfieldcentre.com

Personal Information

Title

First Name

Surname

Date of birth

Your Nationality

Job title/Occupation

Organisation Name

Email Address

Other information: Please tell us a little about your CURRENT role.

(1000 characters)

Certificate Name (required)

The full name you would like printed on your certificate

Your LinkedIn profile (or other professional profile page)?

Any special dietary requirements?

e.g. allergies

Any other special requirements?

e.g. do you have any disabilities or issues that we may need to make allowances or adjustments for?

Data Protection

All personal data gathered during the application process shall be used by The Springfield Centre CIC for the sole purpose of operating this training programme.

This may also include supplying some of your details to the course venue staff.

Following the completion of the course, data will be retained securely for reference purposes only.

Please check this box to confirm you understand how your data will be processed

You can withdraw your consent at any time by contacting us in writing to have your data updated or deleted from our records.

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