Pakiwaitara Info Session Registration Form

Pakiwaitara Program Info Session Registration Form

Tēnā koe, please fill out the form carefully for an info session. I will be in touch to make a time with you. Ngā mihi nui nā Ngapaki
Ingoa (Name)

First Name Middle Name Last Name
Birth Date (optional)

Month Day Year
Preferred Pronouns (they,them / she,her / he,him)
Do you live in Te Tairāwhiti? (This program is based in Te Tairāwhiti and is therefore only available to residents here)
Suburb you live in.
Email
example@example.com
Mobile Number

Country Code Area Code Phone Number
Phone Number

Area Code Phone Number
Work Number

Area Code Phone Number
What is the best time for you to have an info session online?
What are the best day/s to make a time for your info session?
What are you looking for from a tikanga guided program like Pakiwaitara?

To grow my understanding of Tikanga and Kawa application to my workDevelop and transform my current Leadership practiceComplete a specific project to its highest qualityGreatly improve certain area/s in my life
Should be Empty:

Pakiwaitara Program Info Session Registration Form