Certification Request Form

Certification programme

Ready to join and become a financial literacy certified facilitator? Please fill in this questionnaire.
Name *

First Name Last Name
E-mail *
Phone or Skype
Job Title *
How to contact you

Phone E-mail Skype
Organisation/ Company name *
Website *
Have you already facilitated workshops? *

Yes, I have facilitated workshops in financial literacy. Yes, I have facilitated workshops in other topics than financial literacy. No, I have never facilitated workshops.
Describe your project objective: why do you want to join this programme? *
Who are you planning to facilitate - please describe your target group(s): *
How is your internet access like? *

very good fair poor
Have you identified 2 or 3 people who will join this certification programme with you you? *

Yes No
How many hours a week are you planning to commit to this certification programme? *
Tick the points you would like to learn more about: *

Reduce debt Save for emergencies Control spending Save for long term goals Family budget Business plan Profit and cash calculation Ethics and money Book-keeping Project financing Cash management Improve profit Money issues and family Money and happiness Other option
How have you heard of a+b=3? *

attended event/training from colleagues web search link from another website Other option
Other comments:
Type the characters you see here: *
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Number
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Certification programme