Belong Network: Shared Ground community of practice
Registration Form
We're so pleased you are joining us! Please tell us a bit about yourself
For any queries, please contact andrew@belongnetwork.co.uk
Name
*
First Name
Last Name
Job Title
Employer / Organisation name
*
Employer / Organisation postal address
*
Location of your work (City / County e.g. Manchester)
Your Email
*
example@example.com
Your phone number
Please enter a valid phone number.
Format: (000) 000-0000.
How many sessions do you wish to attend?
*
Six
Three
Not sure - please contact me to discuss
How do you wish to pay for your place on Shared Ground? (Please note, invoices must be paid within six weeks of receipt or your place may be rescinded).
*
Invoice
N/a - Free place (please enter your discount code below)
If you have a discount code, please enter it here:
How did you hear about Shared Ground?
Please Select
Belong Network email
Email from colleague / professional contact
Social media
Belong Network website
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Other
Please tell us a little about your reasons for signing up – what are the main challenges you are currently facing? What would you like to gain from joining the Shared Ground community of practice? (Please note these answers are confidential and will not be shared without your permission).
Submit
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