W2W Virtual University 2020-2021 Enrollment Form

Enrollment Form
Over a ten-month period, the W2W Virtual University will conduct seven virtual sessions, each 45 minutes in length and addressing important issues and teaching critical leadership and communications skills, and three Global Gatherings, where students will be able to build their leadership network After each session, students will take a multiple choice test on the subject matter discussed. Those students who receive a passing grade at the end of the program will receive the Women2Women Virtual University diploma.

All virtual sessions will be conducted in English. Translation services are not available at this time. The W2WVU is recommended for young women between the ages of 15-19 years of age.

The cost for the Virtual University is $750 USD. Thanks to the generosity of a sponsor, we are able to offer the W2WVU for a discounted price of $500 USD (33% discount) to the first 25 registrants.
Full Name*

First NameLast Name
How do you want your name to appear on your certificate at completion of the course?
Name on Certificate upon completion of course
E-mail*
Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Country*
Best Phone Number to Reach You At*
This phone number is:
I give permission for my contact details (email and/or phone no) to be shared with my classmates at the end of class *

YesNo
Virtual University/Payment Information
Are you being sponsored by a US Embassy?*

YesNo
Which Embassy is sponsoring you?
What is name of the Embassy contact you are working with?
Would you like to be considered for a partial scholarship?*

YesNo
Please tell us why you would like to be considered for a partial scholarship. (no more than 500 words)
Thanks to the support of a generous sponsor, we are able to offer the first 25 Virtual University participants a 33% discount. The final cost would be $500.
Which method of payment will you be using?*

Credit Card - Processed through PayPal, no account required (Visa, MasterCard, Discover or American Express)Check/Online Transfer - Information will be emailed to you
Request a receipt

Please send me a receipt
Registration Fee
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Registration Fee (Required)$500.00
This is $500.00 USD registration fee covers seven virtual sessions and three global gatherings with online presenters, each 45 minutes in length and addressing important issues and teaching critical leadership and communication skills, multiple choice test on the subject matter discussed and Women2Women Virtual University diploma.

Total $0.00
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