FFPMP-Registration form2015.doc

3
Faith for Purpose Programme Registration Form Personal Details: Name: ____________________________________________________________ ______ Address: ____________________________________________________________ _____ Home telephone: ________________ Mobile No: ___________________________ Email: ______________________________________________ Date of Birth: ___________________________ level of Education: _____ GCSE Subjects: ____________________________________________ ___ A’ Levels Subjects: ____________________________________________ _____ Degree Subjects: ____________________________________________ _____ P/Graduate Subjects: _______________________________________ 1

Transcript of FFPMP-Registration form2015.doc

Page 1: FFPMP-Registration form2015.doc

Faith for Purpose Programme

Registration Form

Personal Details:

Name: __________________________________________________________________

Address: _________________________________________________________________

Home telephone: ________________ Mobile No: ___________________________ Email: ______________________________________________

Date of Birth: ___________________________

level of Education:_____ GCSE Subjects: ____________________________________________

___ A’ Levels Subjects: ____________________________________________

_____ Degree Subjects: ____________________________________________

_____ P/Graduate Subjects: _______________________________________

_____ Further Education Subjects: ______________________________________

Work Experience:Please give a brief summary of your present career experience: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1

Page 2: FFPMP-Registration form2015.doc

Please use the space provided to summarise the reasons why you are coming on the FFPP and what you would like to achieve at the end of the training.

References:Please give two referees {a personal referee & one from your local Pastor or Minister}

Name:___________________ Name:___________________________

Address_____________________ Address:__________________________

____________________________ _________________________________

_______Post Code____________ ___________Post Code________________

Tel: _________________________ Tel: ________________________________

Email:______________________ Email:__________________________________ Relationship__________________ Relationship________________________

Signature: _____________________ Signature:___________________________

Please return your completed application form with a £50 cheque (non-refundable) deposit TO: Admin Dept,WOFT c/o 17 Byland Road, Harrogate, North Yorkshire. HG1 4EY_________________________________________________________________________Official Use:

2